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

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{
  "resourceType": "Questionnaire",
  "url": "http://fhir.smart4health.eu/Questionnaire/pre-training-questionnaire",
  "version": "1.0.0",
  "title": "Smart4Health pre-training questionnaire",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "date": "2021-04-13",
  "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"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "training_no",
      "text": "Training Number",
      "type": "integer",
      "required": true
    },
    {
      "linkId": "back_pain_level_before",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "72514-3"
        }
      ],
      "text": "Lower back pain level before training",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://loinc.org/vs/LL2335-9",
      "item": [
        {
          "linkId": "back_pain_level_before.explanation",
          "text": "In the following, please provide your pain level (Visual Analog Scale for Pain - VAS Pain). Please select how you experience your pain (under your usual medication dose) from the given scale (0-10). The VAS pain level describes the scale between '0' ('no pain') and '10' ('worst imaginable pain').",
          "type": "display",
          "enableBehavior": "any"
        }
      ],
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes",
                "code": "painscalewithlabels"
              }
            ]
          }
        }
      ]
    },
    {
      "linkId": "well_being",
      "text": "Well being",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://loinc.org/vs/LL2335-9",
      "item": [
        {
          "linkId": "well_being.explanation",
          "text": "0: All well, 10: All bad",
          "type": "display"
        }
      ],
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://fhir.smart4health.eu/CodeSystem/questionnaire-ui-codes",
                "code": "wellbeingscalewithlabels"
              }
            ]
          }
        }
      ]
    },
    {
      "linkId": "well-being_summary",
      "text": "Summary of your health, general well-being and activities in the last days/weeks",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-pre-training-well-being-summary"
    },
    {
      "linkId": "extraordinary_circumstances",
      "text": "Extraordinary circumstances",
      "type": "choice",
      "enableWhen": [
        {
          "question": "well-being_summary",
          "operator": "=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-pre-training-well-being-summary",
            "code": "extraordinary"
          }
        }
      ],
      "required": true,
      "repeats": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-backpain-extraordinary-circumstances"
    }
  ]
}