Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: How does your condition affect your life?

Official URL: https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOHowDoesYourConditionAffectYourLife Version: 1.0
Active as of 2026-04-16 Computable Name: DHOHowDoesYourConditionAffectYourLife

This form collects information about how a health condition affects different aspects of a person’s sleep, daily functioning, and overall quality of life.

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. DHOHowDoesYourConditionAffectYourLifeThis form collects information about how a health condition affects different aspects of a person’s sleep, daily functioning, and overall quality of life.Questionnairehttps://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOHowDoesYourConditionAffectYourLife#1.0
... patientdetailsPatient details0..1group
.... prefferdnamePreferred name1..1string
.... fullnameFull name1..1string
.... nhinumberNHI number1..1string
.... dob_01DOB1..1date
.... address_02Address1..1string
.... telephonenumberTelephone Number1..1string
.... date_03Date1..1date
.... patientlabelStick patient label here (or fill in the details below if no label is available)0..1display
... introduction_04Introduction0..1group
... formheadingHow does your condition affect your life?0..1group
.... socialinteractionsHow much does your condition affect your social interactions? (Examples: meeting friends, going out, joining in groups, going shopping, everyday activities outside the home)1..1choiceValue Set: difficulty-scale
.... personalrelationships_05How much does your condition affect your personal relationships? (Examples: personal relations with partner, family members, close personal friends)1..1choiceValue Set: difficulty-scale
.... responsibilitiestoothersHow much does your condition affect your ability to meet your responsibilities to others? (Examples: doing meaningful things for yourself or others, including caring for children, grandchildren or partner, work (paid and unpaid), including how having to rely on others may have an impact on you))1..1choiceValue Set: difficulty-scale
.... personalcare_06How much does your condition affect your personal care? (Examples: looking after yourself, your health, personal hygiene, need for aids or special clothing)1..1choiceValue Set: difficulty-scale
.... personalsafety_07How much does your condition affect your personal safety? (Examples: being safe from injury and harm, from yourself or others and in your surroundings)1..1choiceValue Set: difficulty-scale
.... leisureactivities_08How much does your condition affect your leisure activities? (Examples: 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


This value set expansion contains 6 concepts.

CodeSystemDisplay
  111 -- No difficulty
  222 -- Little difficulty
  333 -- Some difficulty
  444 -- Quite difficulty
  555 -- Very difficulty
  666 -- Extremely difficulty