Health New Zealand Te Whatu Ora Shared Care FHIR API
1.4.8 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API
1.4.8 - release
Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v1.4.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2026-11-04 |
{
"resourceType" : "Questionnaire",
"id" : "DHOHowDoesYourConditionAffectYourLife",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire DHOHowDoesYourConditionAffectYourLife</b></p><a name=\"DHOHowDoesYourConditionAffectYourLife\"> </a><a name=\"hcDHOHowDoesYourConditionAffectYourLife\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> DHOHowDoesYourConditionAffectYourLife</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">This form collects information about how a health condition affects different aspects of a person’s sleep, daily functioning, and overall quality of life.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOHowDoesYourConditionAffectYourLife#1.0</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.png)\" id=\"item.formheading\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / </span>formheading</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Please tell us about how much difficulty your condition causes in different areas of your life, which may limit the things you can do.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.display1\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>display1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"> 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 select the number that most represents how much your condition affects each area of your life.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.socialinteractions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>socialinteractions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much does your condition affect your social interactions? (Examples: meeting friends, going out, joining in groups, going shopping, everyday activities outside the home)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.socialinteractions\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.personalrelationships\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>personalrelationships</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much does your condition affect your personal relationships? (Examples: personal relations with partner, family members, close personal friends)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.personalrelationships\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.responsibilitiestoothers_05\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>responsibilitiestoothers_05</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How 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)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.responsibilitiestoothers_05\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.personalcare_07\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>personalcare_07</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much does your condition affect your personal care? (Examples: looking after yourself, your health, personal hygiene, need for aids or special clothing)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.personalcare_07\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.personalsafety_08\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>personalsafety_08</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much does your condition affect your personal safety? (Examples: being safe from injury and harm, from yourself or others and in your surroundings)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.personalsafety_08\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.leisure\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>leisure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much does your condition affect your leisure activities? (Examples: getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts and travel)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.leisure\">6 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck000.png)\" id=\"item.total-score-display\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">DHOHowDoesYourConditionAffectYourLife / formheading / </span>total-score-display</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Total score</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"\"/></a><img src=\"icon-qi-hidden.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.socialinteractions\"> </a><p><b>Answer options for socialinteractions </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul><a name=\"opt-item.personalrelationships\"> </a><p><b>Answer options for personalrelationships </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul><a name=\"opt-item.responsibilitiestoothers_05\"> </a><p><b>Answer options for responsibilitiestoothers_05 </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul><a name=\"opt-item.personalcare_07\"> </a><p><b>Answer options for personalcare_07 </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul><a name=\"opt-item.personalsafety_08\"> </a><p><b>Answer options for personalsafety_08 </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul><a name=\"opt-item.leisure\"> </a><p><b>Answer options for leisure </b></p><ul><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#1 ("1 -- No difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 ("2 -- Little difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 ("3 -- Some difficulty")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 ("4 -- Quite difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 ("5 -- Very difficult")</li><li style=\"font-size: 11px\">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 ("6 -- Extremely difficult")</li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "formheading",
"language" : "text/fhirpath",
"expression" : "%resource.item.where(linkId='formheading').item"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "socialInteractionsScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='socialinteractions').answer.valueCoding.code.exists(), %formheading.where(linkId='socialinteractions').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "personalRelationshipsScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='personalrelationships').answer.valueCoding.code.exists(), %formheading.where(linkId='personalrelationships').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "responsibilitiesToOthersScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='responsibilitiestoothers_05').answer.valueCoding.code.exists(), %formheading.where(linkId='responsibilitiestoothers_05').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "personalCareScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='personalcare_07').answer.valueCoding.code.exists(), %formheading.where(linkId='personalcare_07').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "personalSafetyScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='personalsafety_08').answer.valueCoding.code.exists(), %formheading.where(linkId='personalsafety_08').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "leisureScore",
"language" : "text/fhirpath",
"expression" : "iif(%formheading.where(linkId='leisure').answer.valueCoding.code.exists(), %formheading.where(linkId='leisure').answer.valueCoding.code.toInteger(), 0)"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "conditionImpactTotal",
"language" : "text/fhirpath",
"expression" : "%socialInteractionsScore + %personalRelationshipsScore + %responsibilitiesToOthersScore + %personalCareScore + %personalSafetyScore + %leisureScore"
}
}
],
"url" : "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOHowDoesYourConditionAffectYourLife",
"identifier" : [
{
"use" : "official",
"value" : "DHOHowDoesYourConditionAffectYourLife"
}
],
"version" : "1.0",
"name" : "DHOHowDoesYourConditionAffectYourLife",
"title" : "How does your condition affect your life?",
"status" : "active",
"date" : "2026-11-04T02:30:39+00:00",
"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" : "This form collects information about how a health condition affects different aspects of a person’s sleep, daily functioning, and overall quality of life.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "NZ",
"display" : "New Zealand"
}
]
}
],
"item" : [
{
"linkId" : "formheading",
"text" : "Please tell us about how much difficulty your condition causes in different areas of your life, which may limit the things you can do.",
"type" : "group",
"item" : [
{
"linkId" : "display1",
"text" : " 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 select the number that most represents how much your condition affects each area of your 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" : "socialinteractions",
"text" : "How much does your condition affect your social interactions? (Examples: meeting friends, going out, joining in groups, going shopping, everyday activities outside the home)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"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: personal relations with partner, family members, close personal friends)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"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" : "responsibilitiestoothers_05",
"text" : "How 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)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"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_07",
"text" : "How much does your condition affect your personal care? (Examples: looking after yourself, your health, personal hygiene, need for aids or special clothing)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"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_08",
"text" : "How much does your condition affect your personal safety? (Examples: being safe from injury and harm, from yourself or others and in your surroundings)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"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" : "leisure",
"text" : "How much does your condition affect your leisure activities? (Examples: getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts and travel)",
"type" : "choice",
"required" : true,
"readOnly" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "1",
"display" : "1 -- No difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "2",
"display" : "2 -- Little difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "3",
"display" : "3 -- Some difficulty"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "4",
"display" : "4 -- Quite difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "5",
"display" : "5 -- Very difficult"
}
},
{
"valueCoding" : {
"system" : "https://fhir-ig.digital.health.nz/cs/difficulty-scale",
"code" : "6",
"display" : "6 -- Extremely difficult"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "total-score-display",
"text" : "Total score",
"_text" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "iif(%conditionImpactTotal <= 12, iif(%conditionImpactTotal = 0, '0', iif(%conditionImpactTotal = 1, '1', iif(%conditionImpactTotal = 2, '2', iif(%conditionImpactTotal = 3, '3', iif(%conditionImpactTotal = 4, '4', iif(%conditionImpactTotal = 5, '5', iif(%conditionImpactTotal = 6, '6', iif(%conditionImpactTotal = 7, '7', iif(%conditionImpactTotal = 8, '8', iif(%conditionImpactTotal = 9, '9', iif(%conditionImpactTotal = 10, '10', iif(%conditionImpactTotal = 11, '11', iif(%conditionImpactTotal = 12, '12', ''))))))))))))), iif(%conditionImpactTotal <= 24, iif(%conditionImpactTotal = 13, '13', iif(%conditionImpactTotal = 14, '14', iif(%conditionImpactTotal = 15, '15', iif(%conditionImpactTotal = 16, '16', iif(%conditionImpactTotal = 17, '17', iif(%conditionImpactTotal = 18, '18', iif(%conditionImpactTotal = 19, '19', iif(%conditionImpactTotal = 20, '20', iif(%conditionImpactTotal = 21, '21', iif(%conditionImpactTotal = 22, '22', iif(%conditionImpactTotal = 23, '23', iif(%conditionImpactTotal = 24, '24', '')))))))))))), iif(%conditionImpactTotal = 25, '25', iif(%conditionImpactTotal = 26, '26', iif(%conditionImpactTotal = 27, '27', iif(%conditionImpactTotal = 28, '28', iif(%conditionImpactTotal = 29, '29', iif(%conditionImpactTotal = 30, '30', iif(%conditionImpactTotal = 31, '31', iif(%conditionImpactTotal = 32, '32', iif(%conditionImpactTotal = 33, '33', iif(%conditionImpactTotal = 34, '34', iif(%conditionImpactTotal = 35, '35', iif(%conditionImpactTotal = 36, '36', ''))))))))))))))"
}
}
]
},
"type" : "display"
}
]
}
]
}