Generated Narrative: Questionnaire DHOMusculoskeletalHealthQuestionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints DHOMusculoskeletalHealthQuestionnaire This questionnaire is about your joint, bone, muscle and nerve symptoms such as aches, pains, pins and needles and/or stiffness, or other health problem symptoms. Questionnaire https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOMusculoskeletalHealthQuestionnaire#1.0.0 #xD; Intro1 Please complete the following questions. 0..1 group #xD; Intro2 This questionnaire is about your joint, bone, muscle and nerve symptoms such as aches, pains, pins and needles and/or stiffness, or other health problems. Please focus on the particular health problem(s) for which you sought treatment from this service. 0..1 display #xD; DayPainStiffness 1. Pain/stiffness/pins and needles/other health problem symptoms during the day 0..1 display #xD; painStiffnessPinsAndNeedlesDay How severe were your usual symptoms overall during the day in the past 2 weeks? 0..1 choice Options: 5 options #xD; NightPainStiffness 2. Pain/stiffness/pins and needles/other health problem symptoms during the night 0..1 display #xD; painStiffnessPinsAndNeedlesNight How severe were your usual symptoms overall during the night in the past 2 weeks? 0..1 choice Options: 5 options #xD; Walking 3. Walking 0..1 display #xD; walking How much have your symptoms interfered with your ability to walk in the past 2 weeks? 0..1 choice Options: 5 options #xD; Washing 4. Washing/Dressing 0..1 display #xD; washingDressing 4. Washing/Dressing.. How much have your symptoms interfered with your ability to wash or dress yourself in the past 2 weeks? 0..1 choice Options: 5 options #xD; PhysicalActivity 5. Physical activity levels 0..1 display #xD; physicalActivityLevels How much has it been a problem for you to do physical activities (e.g. going for walk, jogging, gardening, or gym) to the level you want because of your joint, muscle, nerve or other health problem symptoms in the past 2 weeks? 0..1 choice Options: 5 options #xD; dailyroutine_11 6. Work/daily routine 0..1 display #xD; workDailyRoutine How much have your joint, muscle, nerve or other symptoms interfered with your work or daily routine in the past 2 weeks (including work & jobs around the house)? 0..1 choice Options: 5 options #xD; SocialActivity 7. Social activities and hobbies 0..1 display #xD; socialActivitiesAndHobbies How much have your joint, muscle, nerve or other symptoms interfered with your social activities and hobbies in the past 2 weeks? 0..1 choice Options: 5 options #xD; ImpactOnOthers 8. Impact on others around me 0..1 display #xD; impactOnOthersAroundMe How have your whānau, family, friends or carers been impacted by your joint, muscle, nerve or other symptoms in the past 2 weeks? 0..1 choice Options: 5 options #xD; Sleep 9. Sleep 0..1 display #xD; sleep How often have you had trouble with either falling asleep or staying asleep because of your joint, muscle, nerve or other symptoms in the past 2 weeks? 0..1 choice Options: 5 options #xD; Fatigue 10. Fatigue or low energy 0..1 display #xD; fatigueOrLowEnergy How much fatigue or low energy have you felt in the past 2 weeks? 0..1 choice Options: 5 options #xD; EmotionalImpact 11. Emotional well-being 0..1 display #xD; emotionalWellBeing How much have you felt anxious or low in your mood because of your joint, muscle, nerve or other health problem symptoms in the past 2 weeks? 0..1 choice Options: 5 options #xD; Currentconditions 12. Understanding of your condition and any current treatment 0..1 display #xD; understandingOfYourConditionAndCurrentTreatment 12. Understanding of your condition and any current treatment.. Thinking about your joint, muscle, nerve or other symptoms, how well do you feel you understand your condition and any current treatment (including your diagnosis and medication)? 0..1 choice Options: 5 options #xD; managesymptoms_12 13. Confidence in being able to manage your symptoms 0..1 display #xD; confidenceInBeingAbleToManageYourSymptoms How confident have you felt in being able to manage your joint, muscle, nerve or other health problem symptoms in the past 2 weeks (e.g. exercises, medication, changing lifestyle, assistive devices)? 0..1 choice Options: 5 options #xD; OverallImpact 14. Overall impact 0..1 display #xD; overallImpact How much have your joint, muscle, nerve or other health problem symptoms bothered you overall in the past 2 weeks? 0..1 choice Options: 5 options #xD; total Total 0..1 integer #xD; Documentation for this format Options Sets Answer options for painStiffnessPinsAndNeedlesDay https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Fairly severe") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Very severe") Answer options for painStiffnessPinsAndNeedlesNight https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Fairly severe") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Very severe") Answer options for walking https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severely") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Not able to walk") Answer options for washingDressing https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severely") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Unable to was or dress myself") Answer options for physicalActivityLevels https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Very much") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Unable to do physicial activities") Answer options for workDailyRoutine https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severely") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Extremely") Answer options for socialActivitiesAndHobbies https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severely") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Extremely") Answer options for impactOnOthersAroundMe https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Rarely") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Sometimes") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Frequently") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("All the time") Answer options for sleep https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Rarely") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Sometimes") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Frequently") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Every night") Answer options for fatigueOrLowEnergy https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slight") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderate") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severe") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Extreme") Answer options for emotionalWellBeing https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Severely") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Extremely") Answer options for understandingOfYourConditionAndCurrentTreatment https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Completely") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Very well") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Not at all") Answer options for confidenceInBeingAbleToManageYourSymptoms https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Extremely") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Very") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Not at all") Answer options for overallImpact https://fhir-ig.digital.health.nz/cs/general-scale#4 ("Not at all") https://fhir-ig.digital.health.nz/cs/general-scale#3 ("Slightly") https://fhir-ig.digital.health.nz/cs/general-scale#2 ("Moderately") https://fhir-ig.digital.health.nz/cs/general-scale#1 ("Very much") https://fhir-ig.digital.health.nz/cs/general-scale#0 ("Extremely")
MUSCULOSKELETAL HEALTH QUESTIONNAIRE (MSK-HQ)
This questionnaire is about your joint, bone, muscle and nerve symptoms such as aches, pains, pins and needles and/or stiffness, or other health problem symptoms.
Please complete the following questions.
This questionnaire is about your joint, bone, muscle and nerve symptoms such as aches, pains, pins and needles and/or stiffness, or other health problems. Please focus on the particular health problem(s) for which you sought treatment from this service.
1. Pain/stiffness/pins and needles/other health problem symptoms during the day
How severe were your usual symptoms overall during the day in the past 2 weeks?
2. Pain/stiffness/pins and needles/other health problem symptoms during the night
How severe were your usual symptoms overall during the night in the past 2 weeks?
How much have your symptoms interfered with your ability to walk in the past 2 weeks?
How much have your symptoms interfered with your ability to wash or dress yourself in the past 2 weeks?
How much has it been a problem for you to do physical activities (e.g. going for walk, jogging, gardening, or gym) to the level you want because of your joint, muscle, nerve or other health problem symptoms in the past 2 weeks?
How much have your joint, muscle, nerve or other symptoms interfered with your work or daily routine in the past 2 weeks (including work & jobs around the house)?
How much have your joint, muscle, nerve or other symptoms interfered with your social activities and hobbies in the past 2 weeks?
How have your whānau, family, friends or carers been impacted by your joint, muscle, nerve or other symptoms in the past 2 weeks?
How often have you had trouble with either falling asleep or staying asleep because of your joint, muscle, nerve or other symptoms in the past 2 weeks?
How much fatigue or low energy have you felt in the past 2 weeks?
How much have you felt anxious or low in your mood because of your joint, muscle, nerve or other health problem symptoms in the past 2 weeks?
12. Understanding of your condition and any current treatment
12. Understanding of your condition and any current treatment.
Thinking about your joint, muscle, nerve or other symptoms, how well do you feel you understand your condition and any current treatment (including your diagnosis and medication)?
13. Confidence in being able to manage your symptoms
How confident have you felt in being able to manage your joint, muscle, nerve or other health problem symptoms in the past 2 weeks (e.g. exercises, medication, changing lifestyle, assistive devices)?
How much have your joint, muscle, nerve or other health problem symptoms bothered you overall in the past 2 weeks?