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

: How does your cataract affect your life? - XML Representation

Active as of 2026-02-10

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="DHOCataractPatientQuestionnaire"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire DHOCataractPatientQuestionnaire</b></p><a name="DHOCataractPatientQuestionnaire"> </a><a name="hcDHOCataractPatientQuestionnaire"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><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 style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; 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 style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><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"/> DHOCataractPatientQuestionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient-reported impact of cataract on daily life.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOCataractPatientQuestionnaire#1.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.PatientQuestionnaire_02" class="hierarchy"><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"/> PatientQuestionnaire_02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient Questionnaire Ophthalmology</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.cataractcauses_03" class="hierarchy"><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"/> cataractcauses_03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please tell us about how much difficulty your cataract causes in different areas of your life, which may limit the things you can do.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.cataractcauses_04" class="hierarchy"><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: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> cataractcauses_04</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.conditionaffects_05" class="hierarchy"><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"/> conditionaffects_05</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please select the option that best represents how much your condition affects each area of life.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.social-interactions" class="hierarchy"><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"/> social-interactions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your social interactions?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.social-interactions">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.personalrelationships" class="hierarchy"><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"/> personalrelationships</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your personal relationships?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.personalrelationships">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.abilitytomeet" class="hierarchy"><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"/> abilitytomeet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your ability to meet your responsibilities to others?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.abilitytomeet">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.personalcare" class="hierarchy"><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"/> personalcare</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your personal care?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.personalcare">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.personalsafety" class="hierarchy"><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"/> personalsafety</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your personal safety?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.personalsafety">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" id="item.leisureactivities" class="hierarchy"><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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> leisureactivities</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much does your condition affect your leisure activities?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.leisureactivities">6 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" 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.social-interactions"> </a><p><b>Answer options for social-interactions </b></p><ul><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</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/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</li></ul><a name="opt-item.abilitytomeet"> </a><p><b>Answer options for abilitytomeet </b></p><ul><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</li></ul><a name="opt-item.personalcare"> </a><p><b>Answer options for personalcare </b></p><ul><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</li></ul><a name="opt-item.personalsafety"> </a><p><b>Answer options for personalsafety </b></p><ul><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</li></ul><a name="opt-item.leisureactivities"> </a><p><b>Answer options for leisureactivities </b></p><ul><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/cataract-answers#6 (&quot;6 -- Extremely difficult&quot;)</li></ul></div>
  </text>
  <url
       value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOCataractPatientQuestionnaire"/>
  <identifier>
    <use value="official"/>
    <value value="DHOCataractPatientQuestionnaire"/>
  </identifier>
  <version value="1.0"/>
  <name value="DHOCataractPatientQuestionnaire"/>
  <title value="How does your cataract affect your life?"/>
  <status value="active"/>
  <experimental value="false"/>
  <subjectType value="Patient"/>
  <date value="2026-02-10"/>
  <publisher value="Te Whatu Ora"/>
  <contact>
    <name value="Te Whatu Ora"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.tewhatuora.govt.nz/"/>
    </telecom>
  </contact>
  <contact>
    <name value="Te Whatu Ora Integration Team"/>
    <telecom>
      <system value="email"/>
      <value value="integration@tewhatuora.govt.nz"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description value="Patient-reported impact of cataract on daily life."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="NZ"/>
      <display value="New Zealand"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="PatientQuestionnaire_02"/>
    <text value="Patient Questionnaire Ophthalmology"/>
    <type value="group"/>
    <item>
      <linkId value="cataractcauses_03"/>
      <text
            value="Please tell us about how much difficulty your cataract causes in different areas of your life, which may limit the things you can do."/>
      <type value="display"/>
    </item>
    <item>
      <linkId value="cataractcauses_04"/>
      <text
            value="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 value="display"/>
    </item>
    <item>
      <linkId value="conditionaffects_05"/>
      <text
            value="Please select the option that best represents how much your condition affects each area of life."/>
      <type value="display"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="social-interactions"/>
      <text
            value="How much does your condition affect your social interactions?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="personalrelationships"/>
      <text
            value="How much does your condition affect your personal relationships?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="abilitytomeet"/>
      <text
            value="How much does your condition affect your ability to meet your responsibilities to others?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="personalcare"/>
      <text value="How much does your condition affect your personal care?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="personalsafety"/>
      <text
            value="How much does your condition affect your personal safety?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="leisureactivities"/>
      <text
            value="How much does your condition affect your leisure activities?"/>
      <type value="choice"/>
      <required value="true"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/cataract-answers"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
  </item>
</Questionnaire>