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Packagehl7.fhir.be.patient-monitoring
Resource TypeQuestionnaire
IdQuestionnaire-homehosp-trastuzumab.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/hl7-be/patient-monitoring/Questionnaire-homehosp-trastuzumab.html
URLhttp://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-trastuzumab
Version0.1.0
Statusactive
Date2026-05-27T09:31:20+00:00
NameHomehospTrastuzumabQuestionnaireDefinition
TitleTrastuzumab
Realmbe
Authorityhl7
DescriptionQuestionnaire containing the necessary information for the home hospitalization of a patient treated with Trastuzumab (Herceptin®).

Resources that use this resource

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire homehosp-trastuzumab

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HomehospTrastuzumabQuestionnaireDefinitionQuestionnaire containing the necessary information for the home hospitalization of a patient treated with Trastuzumab (Herceptin®).Questionnairehttp://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-trastuzumab#0.1.0
... NursingAssessmentVerpleegkundig assessment0..1group
.... MedicationStorageMedicationStorage0..1group
..... A1_MedicationStorageZijn er opmerkingen of bezorgdheden omtrent de (correcte) thuisbewaring van de medicatie?1..1choiceOptions: 2 options
..... A2_MedicationStorageSpecify> Indien opmerkingen of bezorgdheid: specifieer0..1stringEnable When: A1_MedicationStorage = Improper storage of medication (SNOMED CT#424363005)
.... ObservationParametersObservatie parameters0..1group
..... B1_BodyTemperatureLichaamstemperatuur:1..1decimal
..... B2_HeartRatePols:1..1decimal
..... B3_SystolicBloodPressureBloeddruk systolisch:1..1decimal
..... B4_DiastolicBloodPressureBloeddruk diastolisch:1..1decimal
..... B5_BodyWeightLichaamsgewicht:1..1decimal
.... ContraindicationsContraindications0..1group
..... C1_ContraindicationPresentZijn er tegenindicaties voor toediening?1..1choiceValue Set: Yes / No Value Set
..... C2_ContraindicationSpecify> Indien 'ja': specifieer0..1displayEnable When: C1_ContraindicationPresent = Yes (SNOMED CT#373066001)
..... C3_FeverChillsKoorts, koude rillingen, zich ziek voelen1..1choiceValue Set: Yes / No Value Set
..... C4_LowBloodPressureHerhaaldelijk bloeddruk lager dan 100/60 mmHg1..1choiceValue Set: Yes / No Value Set
..... C5_ElevatedOrIrregularHeartRateHartslag boven 100 slagen per minuut in rust of onregelmatig hartritme, tenzij chronisch gekend1..1choiceValue Set: Yes / No Value Set
..... C6_WeightGainToename van het lichaamsgewicht van 3 kg/3 weken of 5 kg/6 weken, zeker met toegenomen oedeem1..1choiceValue Set: Yes / No Value Set
..... C7_EdemaHandsFeetToegenomen oedeem in handen en/of voeten1..1choiceValue Set: Yes / No Value Set
..... C8_DyspneaToegenomen kortademigheid en/of ernstige kortademigheid (dwz kortademigheid in rust/zonder inspanning en/of kortademigheid die hindert bij de dagelijkse activiteiten)1..1choiceValue Set: Yes / No Value Set
..... C9_ContactCareTeam> Indien tegenindicatie(s): gelieve contact op te nemen met het zorgteam in het ziekenhuis0..1displayEnable When: C1_ContraindicationPresent = Yes (SNOMED CT#373066001)
..... C10_DecisionBeslissing na overleg ziekenhuis0..1choiceOptions: 3 options
..... C11_DecisionSpecify> Indien andere: specifieer0..1stringEnable When: C10_Decision = andere
.... SymptomBurdenSymptomBurden0..1group
..... D1_NauseaMisselijkheid0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D2_VomitingBraken0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D3_DecreasedAppetiteVerminderde eetlust of smaakverandering0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D4_DiarrheaBuikloop0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D5_ConstipationVerstopping0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D6_FatigueVermoeidheid/futloosheid0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D7_PainPijn0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D8_SkinRashHuiduitslag0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D9_PsychosocialBurdenPsychosociale belasting0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D10_DyspneaKortademigheid0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D11_EdemaOedeem0..1choiceValue Set: ONCO Symptom Grade Scale (CTCAE 0–3)
..... D12_OtherObservationsAndere nevenwerkingen of relevante klinische en psychosociale observaties (gelieve bij klinische bezorgdheid contact te nemen met het ziekenhuis voor bespreking)0..1string
... AssignmentAssignment0..1group
.... MedicationPreparationVoorbereiding medicatietoediening0..1group
..... E1_PreparationCorrectKon de medicatie worden bereid volgens de procedure?1..1choiceValue Set: Yes / No Value Set
..... E2_ContactCareTeam> Indien 'nee': gelieve contact op te nemen met het zorgteam in het ziekenhuis0..1displayEnable When: E1_PreparationCorrect = No (SNOMED CT#373067005)
.... MedicationAdministrationMedicationAdministration0..1group
..... E3_AdministrationCorrectKon de medicatie exact volgens de procedure worden toegediend (er waren geen afwijkingen)?1..1choiceValue Set: Yes / No Value Set
..... E4_SpecifyNo> Indien 'nee': specifieer0..1stringEnable When: E3_AdministrationCorrect = No (SNOMED CT#373067005)
.... AftercareAftercare0..1group
..... G1_ReactionDuringHomeObservationWas er een reactie tijdens de thuisobservatieperiode?1..1choiceValue Set: Yes / No Value Set
..... G2_SpecifyReaction> Indien 'ja': specifieer0..1displayEnable When: G1_ReactionDuringHomeObservation = Yes (SNOMED CT#373066001)
..... G3_FeverKoorts0..1choiceValue Set: Yes / No Value Set
..... G4_NauseaMisselijkheid0..1choiceValue Set: Yes / No Value Set
..... G5_DyspneaKortademigheid0..1choiceValue Set: Yes / No Value Set
..... G6_ShiveringRillingen0..1choiceValue Set: Yes / No Value Set
..... G7_FluLikeSymptomsGriepachtige symptomen0..1choiceValue Set: Yes / No Value Set
... QualityMonitoring(Kwaliteits)opvolging0..1group
.... F1_CommentsRegistrationZijn er opmerkingen of bezorgdheden omtrent de aanmelding van deze patient, de gegevensdeling vanuit het ziekenhuis, de communicatie door en het contact met het ziekenhuis, de beschikbaarheid van de materialen, of andere aspecten van de transmurale samenwerking rond thuishospitalisatie oncologie, dan kan je deze hier noteren. Alvast dank.0..1string

doco Documentation for this format

Options Sets

Answer options for A1_MedicationStorage

  • http://snomed.info/sct#710977001 ("Safe storage and management of medication")
  • http://snomed.info/sct#424363005 ("Improper storage of medication")

Answer options for C10_Decision

  • toediening
  • geen toediening
  • andere

Source1

{
  "resourceType": "Questionnaire",
  "id": "homehosp-trastuzumab",
  "meta": {
    "profile": [
      "http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-onco-trastuzumab"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-trastuzumab",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.54.35.7"
    }
  ],
  "version": "0.1.0",
  "name": "HomehospTrastuzumabQuestionnaireDefinition",
  "title": "Trastuzumab",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "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"
        }
      ]
    }
  ],
  "description": "Questionnaire containing the necessary information for the home hospitalization of a patient treated with Trastuzumab (Herceptin®).",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "BE",
          "display": "Belgium"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "NursingAssessment",
      "text": "Verpleegkundig assessment",
      "type": "group",
      "item": [
        {
          "linkId": "MedicationStorage",
          "text": "MedicationStorage",
          "type": "group",
          "item": [
            {
              "linkId": "A1_MedicationStorage",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "422413002",
                  "display": "Ability to store medications"
                }
              ],
              "text": "Zijn er opmerkingen of bezorgdheden omtrent de (correcte) thuisbewaring van de medicatie?",
              "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",
              "text": "> Indien opmerkingen of bezorgdheid: specifieer",
              "type": "string",
              "enableWhen": [
                {
                  "question": "A1_MedicationStorage",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "424363005",
                    "display": "Improper storage of medication"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "ObservationParameters",
          "text": "Observatie parameters",
          "type": "group",
          "item": [
            {
              "linkId": "B1_BodyTemperature",
              "code": [
                {
                  "system": "http://loinc.org",
                  "code": "8310-5",
                  "display": "Body temperature"
                }
              ],
              "text": "Lichaamstemperatuur:",
              "type": "decimal",
              "required": true
            },
            {
              "linkId": "B2_HeartRate",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "364075005",
                  "display": "Heart rate"
                }
              ],
              "text": "Pols:",
              "type": "decimal",
              "required": true
            },
            {
              "linkId": "B3_SystolicBloodPressure",
              "code": [
                {
                  "system": "http://loinc.org",
                  "code": "8480-6",
                  "display": "Systolic blood pressure"
                }
              ],
              "text": "Bloeddruk systolisch:",
              "type": "decimal",
              "required": true
            },
            {
              "linkId": "B4_DiastolicBloodPressure",
              "code": [
                {
                  "system": "http://loinc.org",
                  "code": "8462-4",
                  "display": "Diastolic blood pressure"
                }
              ],
              "text": "Bloeddruk diastolisch:",
              "type": "decimal",
              "required": true
            },
            {
              "linkId": "B5_BodyWeight",
              "code": [
                {
                  "system": "http://loinc.org",
                  "code": "29463-7",
                  "display": "Body weight"
                }
              ],
              "text": "Lichaamsgewicht:",
              "type": "decimal",
              "required": true
            }
          ]
        },
        {
          "linkId": "Contraindications",
          "text": "Contraindications",
          "type": "group",
          "item": [
            {
              "linkId": "C1_ContraindicationPresent",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "395008009",
                  "display": "Medication stopped - contra-indication"
                }
              ],
              "text": "Zijn er tegenindicaties voor toediening?",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C2_ContraindicationSpecify",
              "text": "> Indien 'ja': specifieer",
              "type": "display",
              "enableWhen": [
                {
                  "question": "C1_ContraindicationPresent",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373066001",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "C3_FeverChills",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "39104002",
                  "display": "Illness"
                }
              ],
              "text": "Koorts, koude rillingen, zich ziek voelen",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C4_LowBloodPressure",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "12763006",
                  "display": "Low blood pressure, not hypotension"
                }
              ],
              "text": "Herhaaldelijk bloeddruk lager dan 100/60 mmHg",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C5_ElevatedOrIrregularHeartRate",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "361137007",
                  "display": "Irregular heart beat"
                }
              ],
              "text": "Hartslag boven 100 slagen per minuut in rust of onregelmatig hartritme, tenzij chronisch gekend",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C6_WeightGain",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "262286000",
                  "display": "Weight increased"
                }
              ],
              "text": "Toename van het lichaamsgewicht van 3 kg/3 weken of 5 kg/6 weken, zeker met toegenomen oedeem",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C7_EdemaHandsFeet",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "267038008",
                  "display": "Edema"
                }
              ],
              "text": "Toegenomen oedeem in handen en/of voeten",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C8_Dyspnea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "297216006",
                  "display": "Increasing breathlessness"
                }
              ],
              "text": "Toegenomen kortademigheid en/of ernstige kortademigheid (dwz kortademigheid in rust/zonder inspanning en/of kortademigheid die hindert bij de dagelijkse activiteiten)",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "C9_ContactCareTeam",
              "text": "> Indien tegenindicatie(s): gelieve contact op te nemen met het zorgteam in het ziekenhuis",
              "type": "display",
              "enableWhen": [
                {
                  "question": "C1_ContraindicationPresent",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373066001",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "C10_Decision",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "182836005",
                  "display": "Medication review"
                }
              ],
              "text": "Beslissing na overleg ziekenhuis",
              "type": "choice",
              "answerOption": [
                {
                  "valueString": "toediening"
                },
                {
                  "valueString": "geen toediening"
                },
                {
                  "valueString": "andere"
                }
              ]
            },
            {
              "linkId": "C11_DecisionSpecify",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "1156698007",
                  "display": "Review of current supply of medication"
                }
              ],
              "text": "> Indien andere: specifieer",
              "type": "string",
              "enableWhen": [
                {
                  "question": "C10_Decision",
                  "operator": "=",
                  "answerString": "andere"
                }
              ]
            }
          ]
        },
        {
          "linkId": "SymptomBurden",
          "text": "SymptomBurden",
          "type": "group",
          "item": [
            {
              "linkId": "D1_Nausea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "422587007",
                  "display": "Nausea"
                }
              ],
              "text": "Misselijkheid",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D2_Vomiting",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "249497008",
                  "display": "Vomiting symptom"
                }
              ],
              "text": "Braken",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D3_DecreasedAppetite",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "64379006",
                  "display": "Decrease in appetite"
                }
              ],
              "text": "Verminderde eetlust of smaakverandering",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D4_Diarrhea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "62315008",
                  "display": "Diarrhea"
                }
              ],
              "text": "Buikloop",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D5_Constipation",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "14760008",
                  "display": "Constipation"
                }
              ],
              "text": "Verstopping",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D6_Fatigue",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "224960004",
                  "display": "Tired"
                }
              ],
              "text": "Vermoeidheid/futloosheid",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D7_Pain",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "112104007",
                  "display": "Localized pain"
                }
              ],
              "text": "Pijn",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D8_SkinRash",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "271807003",
                  "display": "Eruption"
                }
              ],
              "text": "Huiduitslag",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D9_PsychosocialBurden",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "384821006",
                  "display": "Mental state, behaviour and/or psychosocial function finding"
                }
              ],
              "text": "Psychosociale belasting",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D10_Dyspnea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "267036007",
                  "display": "Dyspnea"
                }
              ],
              "text": "Kortademigheid",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D11_Edema",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "79654002",
                  "display": "Edema"
                }
              ],
              "text": "Oedeem",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"
            },
            {
              "linkId": "D12_OtherObservations",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "365275006",
                  "display": "General well-being finding"
                }
              ],
              "text": "Andere nevenwerkingen of relevante klinische en psychosociale observaties\n(gelieve bij klinische bezorgdheid contact te nemen met het ziekenhuis voor bespreking)",
              "type": "string"
            }
          ]
        }
      ]
    },
    {
      "linkId": "Assignment",
      "text": "Assignment",
      "type": "group",
      "item": [
        {
          "linkId": "MedicationPreparation",
          "text": "Voorbereiding medicatietoediening",
          "type": "group",
          "item": [
            {
              "linkId": "E1_PreparationCorrect",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "385796006",
                  "display": "Medication prefill preparation"
                }
              ],
              "text": "Kon de medicatie worden bereid volgens de procedure?",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "E2_ContactCareTeam",
              "text": "> Indien 'nee': gelieve contact op te nemen met het zorgteam in het ziekenhuis",
              "type": "display",
              "enableWhen": [
                {
                  "question": "E1_PreparationCorrect",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373067005",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "MedicationAdministration",
          "text": "MedicationAdministration",
          "type": "group",
          "item": [
            {
              "linkId": "E3_AdministrationCorrect",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "373149000",
                  "display": "Medication administered following procedure"
                }
              ],
              "text": "Kon de medicatie exact volgens de procedure worden toegediend (er waren geen afwijkingen)?",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "E4_SpecifyNo",
              "text": "> Indien 'nee': specifieer",
              "type": "string",
              "enableWhen": [
                {
                  "question": "E3_AdministrationCorrect",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373067005",
                    "display": "No"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "Aftercare",
          "text": "Aftercare",
          "type": "group",
          "item": [
            {
              "linkId": "G1_ReactionDuringHomeObservation",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "281647001",
                  "display": "Adverse reaction"
                }
              ],
              "text": "Was er een reactie tijdens de thuisobservatieperiode?",
              "type": "choice",
              "required": true,
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "G2_SpecifyReaction",
              "text": "> Indien 'ja': specifieer",
              "type": "display",
              "enableWhen": [
                {
                  "question": "G1_ReactionDuringHomeObservation",
                  "operator": "=",
                  "answerCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373066001",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "G3_Fever",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "386661006",
                  "display": "Fever"
                }
              ],
              "text": "Koorts",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "G4_Nausea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "422587007",
                  "display": "Nausea"
                }
              ],
              "text": "Misselijkheid",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "G5_Dyspnea",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "255365009",
                  "display": "Tightness"
                }
              ],
              "text": "Kortademigheid",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "G6_Shivering",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "43724002",
                  "display": "Shivering"
                }
              ],
              "text": "Rillingen",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            },
            {
              "linkId": "G7_FluLikeSymptoms",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "95891005",
                  "display": "Influenza-like illness"
                }
              ],
              "text": "Griepachtige symptomen",
              "type": "choice",
              "answerValueSet": "http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"
            }
          ]
        }
      ]
    },
    {
      "linkId": "QualityMonitoring",
      "text": "(Kwaliteits)opvolging",
      "type": "group",
      "item": [
        {
          "linkId": "F1_CommentsRegistration",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "276238005",
              "display": "Comments on own writing"
            }
          ],
          "text": "Zijn er opmerkingen of bezorgdheden omtrent de aanmelding van deze patient, de gegevensdeling vanuit het ziekenhuis, de communicatie door en het contact met het ziekenhuis, de beschikbaarheid van de materialen, of andere aspecten van de transmurale samenwerking rond thuishospitalisatie oncologie, dan kan je deze hier noteren. Alvast dank.",
          "type": "string"
        }
      ]
    }
  ]
}