FHIR IG Statistics: Questionnaire/back-pain-pre-session-en.questionnaire

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{
  "resourceType": "Questionnaire",
  "language": "en",
  "url": "http://fhir.smart4health.eu/Questionnaire/pre-session-questionnaire",
  "version": "1.0.0",
  "name": "Smart4Health_pre-session_pain_questionnaire",
  "title": "Pre-session treatment questionnaire",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "date": "2021-01-28",
  "publisher": "D4L data4life gGmbH",
  "contact": [
    {
      "name": "ITTM Solutions",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ittm-solutions.com/"
        }
      ]
    },
    {
      "name": "D4L data4life gGmbH",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.data4life.care"
        }
      ]
    }
  ],
  "description": "Pre-session treatment questionnaire",
  "item": [
    {
      "linkId": "current_back_pain_level",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "72514-3",
          "display": "Pain severity 0-10 Score Reported"
        }
      ],
      "text": "Please indicate your current pain level",
      "type": "choice",
      "enableBehavior": "any",
      "required": true,
      "answerValueSet": "http://loinc.org/vs/LL2335-9",
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes",
                "code": "painscalewithlabels"
              }
            ]
          }
        }
      ]
    },
    {
      "linkId": "average_back_pain_level",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "72514-3",
          "display": "Pain severity 0-10 Score Reported"
        }
      ],
      "text": "Please indicate your average pain level during the past four weeks",
      "type": "choice",
      "enableBehavior": "any",
      "required": true,
      "answerValueSet": "http://loinc.org/vs/LL2335-9",
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes",
                "code": "painscalewithlabels"
              }
            ]
          }
        }
      ]
    },
    {
      "linkId": "max_back_pain_level_4w",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "72514-3",
          "display": "Pain severity 0-10 Score Reported"
        }
      ],
      "text": "Please indicate your maximum pain level during the past four weeks",
      "type": "choice",
      "enableBehavior": "any",
      "required": true,
      "answerValueSet": "http://loinc.org/vs/LL2335-9",
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes",
                "code": "painscalewithlabels"
              }
            ]
          }
        }
      ]
    },
    {
      "linkId": "taking_painkillers",
      "text": "Are you taking painkillers at the moment?",
      "type": "choice",
      "enableBehavior": "any",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/yesno"
    }
  ]
}