LinkID	Text	Cardinality	Type	Flags	Description & Constraints
	Patient‑reported assessment of the impact of a health condition on daily life.		Questionnaire		https://fhir-ig.digital.health.nz/shared-care/Questionnaire/DunedinFormConditionAffectQuestionnaire#0.4.5
765911107151	How does your condition affect your life?	0..1	group
765911107151_helpText	Please tell us about how much difficulty your condition 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. Please circle the number that most represents how much your condition affects each area of your life.	0..1	display
624356696038	How much does your condition affect your social interactions?	1..1	choice		Options: 6 options
624356696038_helpText	(Examples: meeting friends, going out, joining in groups, going shopping, everyday activities outside the home)	0..1	display
601664488659	How much does your condition affect your personal relationships?	1..1	choice		Options: 6 options
938604546200	(Examples: personal relations with partner, family members, close personal friends)	0..1	display
863443735387	How much does your condition affect your ability to meet your responsibilities to others?	1..1	choice		Options: 6 options
624618506381	(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))	0..1	display
161471334792	How much does your condition affect your personal care?	1..1	choice		Options: 6 options
220304359852	(Examples: looking after yourself, your health, personal hygiene, need for aids or special clothing)	0..1	display
159129288879	How much does your condition affect your personal safety?	1..1	choice		Options: 6 options
324353862698	(Examples: being safe from injury and harm, from yourself or others and in your surroundings)	0..1	display
104877718606	How much does your condition affect your leisure activities?	1..1	choice		Options: 6 options
738991042018	(Examples: getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts and travel)	0..1	display
502868396322	Patient details	0..1	group
995364900981	Stick patient label here (or fill in the details below if no label is available)	0..1	display
140426997110	Preferred name	0..1	string
961244077884	Full name	0..1	string
392686174684	NHI number	0..1	string
220094605396	DOB	0..1	date
348937414067	Address	0..1	string
917247769414	Telephone Number	0..1	string
717341772298	Date	0..1	date
Documentation for this format

Options Sets

Answer options for 624356696038

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")

Answer options for 601664488659

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")

Answer options for 863443735387

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")

Answer options for 161471334792

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")

Answer options for 159129288879

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")

Answer options for 104877718606

• null#1 ("No difficulty")
• null#2 ("Little difficulty")
• null#3 ("Some difficulty")
• null#4 ("Quite difficult")
• null#5 ("Very difficult")
• null#6 ("Extremely difficult")