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

• Narrative Content
• XML
• JSON
• TTL

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

Active as of 2026-05-19

Raw xml | Download

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="DHOHowDoesYourConditionAffectYourLife"/>
  <text>
    <status value="extensions"/>
    <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" 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="Other attributes of the item">Flags</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"/> DHOHowDoesYourConditionAffectYourLife</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">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="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"/><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/DHOHowDoesYourConditionAffectYourLife#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.formheading" 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"/> formheading</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">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="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"/><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.lifecover" 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"/> lifecover</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">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="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"/><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.socialinteractions" 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"/> socialinteractions</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. 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="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"/><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.socialinteractions">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? (Examples: personal relations with partner, family members, close personal friends)</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"/><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.responsibilitiestoothers_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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> responsibilitiestoothers_05</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">2. 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="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"/><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.responsibilitiestoothers_05">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_07" 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_07</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">4. 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="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"/><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_07">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_08" 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_08</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">5. 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="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"/><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_08">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.leisure" 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"/> leisure</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">6. 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="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"/><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.leisure">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_bck000.png)" id="item.totalScore" 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-integer.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> totalScore</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">Total score</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-integer">integer</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"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></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><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 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#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/difficulty-scale#1 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 (&quot;6 -- Extremely difficult&quot;)</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 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 (&quot;6 -- Extremely difficult&quot;)</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 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 (&quot;6 -- Extremely difficult&quot;)</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 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 (&quot;6 -- Extremely difficult&quot;)</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 (&quot;1 -- No difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#2 (&quot;2 -- Little difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#3 (&quot;3 -- Some difficulty&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#4 (&quot;4 -- Quite difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#5 (&quot;5 -- Very difficult&quot;)</li><li style="font-size: 11px">https://fhir-ig.digital.health.nz/cs/difficulty-scale#6 (&quot;6 -- Extremely difficult&quot;)</li></ul></div>
  </text>
  <url
       value="https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/DHOHowDoesYourConditionAffectYourLife"/>
  <identifier>
    <use value="official"/>
    <value value="DHOHowDoesYourConditionAffectYourLife"/>
  </identifier>
  <version value="1.0"/>
  <name value="DHOHowDoesYourConditionAffectYourLife"/>
  <title value="How does your condition affect your life?"/>
  <status value="active"/>
  <date value="2026-05-19T03:39:29+00:00"/>
  <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="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 value="urn:iso:std:iso:3166"/>
      <code value="NZ"/>
      <display value="New Zealand"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="formheading"/>
    <text
          value="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 value="group"/>
    <item>
      <linkId value="lifecover"/>
      <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.  Please select the number that most represents how much your condition affects each area of your 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="socialinteractions"/>
      <text
            value="1. 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 value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <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? (Examples: personal relations with partner, family members, close personal friends)"/>
      <type value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <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="responsibilitiestoothers_05"/>
      <text
            value="2. 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 value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <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_07"/>
      <text
            value="4. How much does your condition affect your personal care? (Examples: looking after yourself, your health, personal hygiene, need for aids or special clothing)"/>
      <type value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <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_08"/>
      <text
            value="5. 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 value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <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="leisure"/>
      <text
            value="6. How much does your condition affect your leisure activities? (Examples: getting exercise, hobbies, sporting activities, gardening, do-it-yourself activities, crafts and travel)"/>
      <type value="choice"/>
      <required value="true"/>
      <readOnly value="false"/>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="1"/>
          <display value="1 -- No difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="2"/>
          <display value="2 -- Little difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="3"/>
          <display value="3 -- Some difficulty"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="4"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="4"/>
          <display value="4 -- Quite difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="5"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="5"/>
          <display value="5 -- Very difficult"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="6"/>
        </extension>
        <valueCoding>
          <system
                  value="https://fhir-ig.digital.health.nz/cs/difficulty-scale"/>
          <code value="6"/>
          <display value="6 -- Extremely difficult"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <language value="#text/fhirpath"/>
          <expression
                      value="iif(%resource.item.descendants().where(linkId='socialinteractions').answer.value.exists(), %resource.item.descendants().where(linkId='socialinteractions').answer.value.ordinal(), 0) + iif(%resource.item.descendants().where(linkId='personalrelationships').answer.value.exists(), %resource.item.descendants().where(linkId='personalrelationships').answer.value.ordinal(), 0) + iif(%resource.item.descendants().where(linkId='responsibilitiestoothers_05').answer.value.exists(), %resource.item.descendants().where(linkId='responsibilitiestoothers_05').answer.value.ordinal(), 0) + iif(%resource.item.descendants().where(linkId='personalcare_07').answer.value.exists(), %resource.item.descendants().where(linkId='personalcare_07').answer.value.ordinal(), 0) + iif(%resource.item.descendants().where(linkId='personalsafety_08').answer.value.exists(), %resource.item.descendants().where(linkId='personalsafety_08').answer.value.ordinal(), 0) + iif(%resource.item.descendants().where(linkId='leisure').answer.value.exists(), %resource.item.descendants().where(linkId='leisure').answer.value.ordinal(), 0)"/>
        </valueExpression>
      </extension>
      <linkId value="totalScore"/>
      <text value="Total score"/>
      <type value="integer"/>
      <required value="false"/>
      <readOnly value="true"/>
    </item>
  </item>
</Questionnaire>