{ "resourceType" : "Questionnaire", "id" : "DHOCataractPatientQuestionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire DHOCataractPatientQuestionnaire

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" DHOCataractPatientQuestionnairePatient-reported impact of cataract on daily life.Questionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOCataractPatientQuestionnaire#1.0
\".\"\".\"\".\" difficultyscale_01Name0..1text
\".\"\".\"\".\" PatientQuestionnaire_02Patient Questionnaire Ophthalmology0..1display
\".\"\".\"\".\" cataractcauses_03Please tell us about how much difficulty your cataract causes in different areas of your life, which may limit the things you can do. Each question below includes examples to illustrate some of the things this area of life covers. It is okay if some of these examples don’t apply to you. Please just think about whatever this area of life means for you.0..1display
\".\"\".\"\".\" conditionaffects_04Please select that most represents how much your condition affects each area of life. 0..1display
\".\"\".\"\".\" social-interactionsHow much does your condition affect your social interactions? Examples include meeting friends, going out, joining groups, going shopping, and other everyday activities outside the home.1..1choiceValue Set: difficulty-scale
\".\"\".\"\".\" personalrelationshipsHow much does your condition affect your personal relationships? Examples include personal relationships with a partner, family members, and close personal friends.1..1choiceValue Set: difficulty-scale
\".\"\".\"\".\" abilitytomeetHow much does your condition affect your ability to meet your responsibilities to others? Examples include doing meaningful things for yourself or others, such as caring for children, grandchildren or a partner, and work (both paid and unpaid), including how having to rely on others may affect you.1..1choiceValue Set: difficulty-scale
\".\"\".\"\".\" personalcareHow much does your condition affect your personal care? Examples include looking after yourself and your health, personal hygiene, and any need for aids or special clothing.1..1choiceValue Set: difficulty-scale
\".\"\".\"\".\" personalsafetyHow much does your condition affect your personal safety? Examples include being safe from injury or harm, from yourself or others, and in your surroundings.1..1choiceValue Set: difficulty-scale
\".\"\".\"\".\" leisureactivitiesHow much does your condition affect your leisure activities? Examples include getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts, and travel.1..1choiceValue Set: difficulty-scale

\"doco\" Documentation for this format

Contained Resources

ValueSet #difficulty-scale

This value set expansion contains 6 concepts.

CodeSystemDisplay
\u00a0\u00a0111 -- No difficulty
\u00a0\u00a0222 -- Little difficulty
\u00a0\u00a0333 -- Some difficulty
\u00a0\u00a0444 -- Quite difficulty
\u00a0\u00a0555 -- Very difficulty
\u00a0\u00a0666 -- Extremely difficulty
" }, "contained" : [{ "resourceType" : "ValueSet", "id" : "difficulty-scale", "status" : "active", "date" : "2026-04-13T23:10:03.370Z", "compose" : { "include" : [{ "concept" : [{ "code" : "1", "display" : "No difficulty" }, { "code" : "2", "display" : "Little difficulty" }, { "code" : "3", "display" : "Some difficulty" }, { "code" : "4", "display" : "Quite difficult" }, { "code" : "5", "display" : "Very difficult" }, { "code" : "6", "display" : "Extremely difficult" }] }] }, "expansion" : { "timestamp" : "2026-04-13T23:10:01.648Z", "contains" : [{ "system" : "1", "code" : "1", "display" : "1 -- No difficulty" }, { "system" : "2", "code" : "2", "display" : "2 -- Little difficulty" }, { "system" : "3", "code" : "3", "display" : "3 -- Some difficulty" }, { "system" : "4", "code" : "4", "display" : "4 -- Quite difficulty" }, { "system" : "5", "code" : "5", "display" : "5 -- Very difficulty" }, { "system" : "6", "code" : "6", "display" : "6 -- Extremely difficulty" }] } }], "url" : "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOCataractPatientQuestionnaire", "version" : "1.0", "name" : "DHOCataractPatientQuestionnaire", "title" : "How does your cataract affect your life?", "status" : "active", "experimental" : false, "subjectType" : ["Patient"], "date" : "2026-02-10", "publisher" : "Te Whatu Ora", "contact" : [{ "name" : "Te Whatu Ora", "telecom" : [{ "system" : "url", "value" : "https://www.tewhatuora.govt.nz/" }] }, { "name" : "Te Whatu Ora Integration Team", "telecom" : [{ "system" : "email", "value" : "integration@tewhatuora.govt.nz", "use" : "work" }] }], "description" : "Patient-reported impact of cataract on daily life.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "NZ", "display" : "New Zealand" }] }], "item" : [{ "linkId" : "difficultyscale_01", "text" : "Name", "type" : "text" }, { "linkId" : "PatientQuestionnaire_02", "text" : "Patient Questionnaire Ophthalmology", "type" : "display" }, { "linkId" : "cataractcauses_03", "text" : "Please tell us about how much difficulty your cataract causes in different areas of your life, which may limit the things you can do. Each question below includes examples to illustrate some of the things this area of life covers. It is okay if some of these examples don’t apply to you. Please just think about whatever this area of life means for you.", "type" : "display" }, { "linkId" : "conditionaffects_04", "text" : "Please select that most represents how much your condition affects each area of life. ", "type" : "display" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "social-interactions", "text" : "How much does your condition affect your social interactions? Examples include meeting friends, going out, joining groups, going shopping, and other everyday activities outside the home.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "personalrelationships", "text" : "How much does your condition affect your personal relationships? Examples include personal relationships with a partner, family members, and close personal friends.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "abilitytomeet", "text" : "How much does your condition affect your ability to meet your responsibilities to others? Examples include doing meaningful things for yourself or others, such as caring for children, grandchildren or a partner, and work (both paid and unpaid), including how having to rely on others may affect you.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "personalcare", "text" : "How much does your condition affect your personal care? Examples include looking after yourself and your health, personal hygiene, and any need for aids or special clothing.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "personalsafety", "text" : "How much does your condition affect your personal safety? Examples include being safe from injury or harm, from yourself or others, and in your surroundings.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/questionnaire-item-control", "code" : "drop-down", "display" : "Drop down" }] } }], "linkId" : "leisureactivities", "text" : "How much does your condition affect your leisure activities? Examples include getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts, and travel.", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "#difficulty-scale" }] }