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FHIR IG analytics

Packagehl7.fhir.be.patient-monitoring
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-HomehospOpatContinuousInfusionQRMultiLumenExample.json
FHIR VersionR4

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Narrative

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

Generated Narrative: QuestionnaireResponse HomehospOpatContinuousInfusionQRMultiLumenExample

LinkIDTextDefinitionAnswerdoco
.. HomehospOpatContinuousInfusionQRMultiLumenExampleQuestionnaire:Questionnaire[http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-opat-definitions|0.1.0]
... NursingAssessmentNursing Assessment
.... MedicationStorageMedication Storage
..... A1_MedicationStorageAre there any comments or concerns regarding the (correct) home storage of the medication?SNOMED CT: 710977001 (Safe storage and management of medication)
.... MedicationPreparationMedication Preparation
..... B1_MedicationFullyDissolvedThe medication was fully dissolved into a clear solution without visible particlesSNOMED CT: 373066001 (Yes)
..... B3_WeightFullInfusorWeight of full Infusor just before new administration312
..... B4_WeightEmptyInfusorWeight when disconnecting empty infusor118
.... MedicationAdministrationMedication Administration
..... C1_AdministrationCorrectCould the medication be administered exactly according to the procedure (there were no deviations)?SNOMED CT: 373066001 (Yes)
.... VitalParametersVital Parameters
..... D1_BodyTemperature37.5
..... D2_HeartRate88
..... D3_SystolicBloodPressure124
..... D4_DiastolicBloodPressure72
.... DressingObservationDressing observation at insertion site
..... E1_DressingObservationSNOMED CT: 17621005 (Normal)
.... InsertionSiteObservationInsertion site observation
..... F1_InsertionSiteObservationSNOMED CT: 17621005 (Normal)
.... CatheterObservationCatheter observation
..... G1_CatheterObservationCatheter observationSNOMED CT: 263654008 (Abnormal)
..... G2b_CatheterTypeSelect catheter typeSNOMED CT: 1396570005 (2-lumen tunneled catheter)
..... G_LumenPer-lumen observation
...... G_LumenColorLumen colorSNOMED CT: 371253002 (Gray color)
...... G3_BloodAspirationBlood aspirationSNOMED CT: 36203004 (Easy)
...... G4_InfusionInfusionSNOMED CT: 36203004 (Easy)
..... G_LumenPer-lumen observation
...... G_LumenColorLumen colorSNOMED CT: 371251000 (White colour)
...... G3_BloodAspirationBlood aspirationSNOMED CT: 52925006 (Difficult)
...... G4_InfusionInfusionSNOMED CT: 36203004 (Easy)
..... G5_DamagedCatheterDamaged catheterSNOMED CT: 373067005 (No)
..... G6_OtherOther: (if applicable)Difficult blood aspiration from lumen 2 (white). Hospital care team contacted by phone.
.... SideEffectsSide Effects
..... H1_SkinRashSNOMED CT: 2667000 (Absent)
..... H2_ItchingSNOMED CT: 2667000 (Absent)
..... H3_BlistersOrSkinPeelingSNOMED CT: 2667000 (Absent)
..... H4_NauseaSNOMED CT: 2667000 (Absent)
..... H5_VomitingSNOMED CT: 2667000 (Absent)
..... H6_DiarrheaSNOMED CT: 2667000 (Absent)
..... H7_ConstipationSNOMED CT: 2667000 (Absent)
..... H8_DecreasedAppetiteSNOMED CT: 2667000 (Absent)
..... H9_PainDuringAdministrationSNOMED CT: 2667000 (Absent)
..... H10_GeneralPainSNOMED CT: 2667000 (Absent)
..... H11_FatigueSNOMED CT: 255604002 (Mild)
..... H12_ChillsSNOMED CT: 2667000 (Absent)
..... H13_CandidiasisSNOMED CT: 2667000 (Absent)
..... H14_JointPainSNOMED CT: 2667000 (Absent)
..... H15_RespiratoryProblemsSNOMED CT: 2667000 (Absent)
..... H16_FacialTongueSwellSNOMED CT: 2667000 (Absent)
... QualityMonitoringQuality Monitoring
.... I1_CommentsRegistrationDifficult blood aspiration from the white lumen (lumen 2). Hospital OPAT team informed at 09:20. Follow-up catheter assessment scheduled for tomorrow.

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "HomehospOpatContinuousInfusionQRMultiLumenExample",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-q-opat-definitions",
  "status": "completed",
  "subject": {
    "reference": "Patient/Patient-123"
  },
  "authored": "2025-11-22T09:15:00+01:00",
  "item": [
    {
      "linkId": "NursingAssessment",
      "text": "Nursing Assessment",
      "item": [
        {
          "linkId": "MedicationStorage",
          "text": "Medication Storage",
          "item": [
            {
              "linkId": "A1_MedicationStorage",
              "text": "Are there any comments or concerns regarding the (correct) home storage of the medication?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "710977001",
                    "display": "Safe storage and management of medication"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "MedicationPreparation",
          "text": "Medication Preparation",
          "item": [
            {
              "linkId": "B1_MedicationFullyDissolved",
              "text": "The medication was fully dissolved into a clear solution without visible particles",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373066001",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "B3_WeightFullInfusor",
              "text": "Weight of full Infusor just before new administration",
              "answer": [
                {
                  "valueDecimal": 312
                }
              ]
            },
            {
              "linkId": "B4_WeightEmptyInfusor",
              "text": "Weight when disconnecting empty infusor",
              "answer": [
                {
                  "valueDecimal": 118
                }
              ]
            }
          ]
        },
        {
          "linkId": "MedicationAdministration",
          "text": "Medication Administration",
          "item": [
            {
              "linkId": "C1_AdministrationCorrect",
              "text": "Could the medication be administered exactly according to the procedure (there were no deviations)?",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373066001",
                    "display": "Yes"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "VitalParameters",
          "text": "Vital Parameters",
          "item": [
            {
              "linkId": "D1_BodyTemperature",
              "answer": [
                {
                  "valueDecimal": 37.5
                }
              ]
            },
            {
              "linkId": "D2_HeartRate",
              "answer": [
                {
                  "valueDecimal": 88
                }
              ]
            },
            {
              "linkId": "D3_SystolicBloodPressure",
              "answer": [
                {
                  "valueDecimal": 124
                }
              ]
            },
            {
              "linkId": "D4_DiastolicBloodPressure",
              "answer": [
                {
                  "valueDecimal": 72
                }
              ]
            }
          ]
        },
        {
          "linkId": "DressingObservation",
          "text": "Dressing observation at insertion site",
          "item": [
            {
              "linkId": "E1_DressingObservation",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "InsertionSiteObservation",
          "text": "Insertion site observation",
          "item": [
            {
              "linkId": "F1_InsertionSiteObservation",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "17621005",
                    "display": "Normal"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "CatheterObservation",
          "text": "Catheter observation",
          "item": [
            {
              "linkId": "G1_CatheterObservation",
              "text": "Catheter observation",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "263654008",
                    "display": "Abnormal"
                  }
                }
              ]
            },
            {
              "linkId": "G2b_CatheterType",
              "text": "Select catheter type",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "1396570005",
                    "display": "2-lumen tunneled catheter"
                  }
                }
              ]
            },
            {
              "linkId": "G_Lumen",
              "text": "Per-lumen observation",
              "item": [
                {
                  "linkId": "G_LumenColor",
                  "text": "Lumen color",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "371253002",
                        "display": "Gray color"
                      }
                    }
                  ]
                },
                {
                  "linkId": "G3_BloodAspiration",
                  "text": "Blood aspiration",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "36203004",
                        "display": "Easy"
                      }
                    }
                  ]
                },
                {
                  "linkId": "G4_Infusion",
                  "text": "Infusion",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "36203004",
                        "display": "Easy"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "G_Lumen",
              "text": "Per-lumen observation",
              "item": [
                {
                  "linkId": "G_LumenColor",
                  "text": "Lumen color",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "371251000",
                        "display": "White colour"
                      }
                    }
                  ]
                },
                {
                  "linkId": "G3_BloodAspiration",
                  "text": "Blood aspiration",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "52925006",
                        "display": "Difficult"
                      }
                    }
                  ]
                },
                {
                  "linkId": "G4_Infusion",
                  "text": "Infusion",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "36203004",
                        "display": "Easy"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "G5_DamagedCatheter",
              "text": "Damaged catheter",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "373067005",
                    "display": "No"
                  }
                }
              ]
            },
            {
              "linkId": "G6_Other",
              "text": "Other: (if applicable)",
              "answer": [
                {
                  "valueString": "Difficult blood aspiration from lumen 2 (white). Hospital care team contacted by phone."
                }
              ]
            }
          ]
        },
        {
          "linkId": "SideEffects",
          "text": "Side Effects",
          "item": [
            {
              "linkId": "H1_SkinRash",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H2_Itching",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H3_BlistersOrSkinPeeling",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H4_Nausea",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H5_Vomiting",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H6_Diarrhea",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H7_Constipation",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H8_DecreasedAppetite",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H9_PainDuringAdministration",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H10_GeneralPain",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H11_Fatigue",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "255604002",
                    "display": "Mild"
                  }
                }
              ]
            },
            {
              "linkId": "H12_Chills",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H13_Candidiasis",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H14_JointPain",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H15_RespiratoryProblems",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            },
            {
              "linkId": "H16_FacialTongueSwell",
              "answer": [
                {
                  "valueCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "2667000",
                    "display": "Absent"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "QualityMonitoring",
      "text": "Quality Monitoring",
      "item": [
        {
          "linkId": "I1_CommentsRegistration",
          "answer": [
            {
              "valueString": "Difficult blood aspiration from the white lumen (lumen 2). Hospital OPAT team informed at 09:20. Follow-up catheter assessment scheduled for tomorrow."
            }
          ]
        }
      ]
    }
  ]
}