LinkId Text Cardinality Type Description & Constraints SACQComorbidities Questionnaire https://connect.ichom.org/fhir/Questionnaire/SACQComorbidities#0.0.1 ComorbiditiesSACQ Have you been told by a doctor that you have any of the following? 1..* choice Value Set: SACQ Patient's comorbidity history ComorbiditiesSACQ_HeartDiseaseFU1 Do you receive treatment for heart disease (For example, angina, heart failure, or heart attack)? 0..1 boolean Enable When: ComorbiditiesSACQ = Heart disease (SNOMED CT#56265001) ComorbiditiesSACQ_HeartDiseaseFU2 Does your heart disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Heart disease (SNOMED CT#56265001) ComorbiditiesSACQ_HighBloodPressureFU1 Do you receive treatment for high blood pressure? 0..1 boolean Enable When: ComorbiditiesSACQ = High blood pressure (SNOMED CT#38341003) ComorbiditiesSACQ_HighBloodPressureFU2 Does your high blood pressure limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = High blood pressure (SNOMED CT#38341003) ComorbiditiesSACQ_LungDiseaseFU1 Do you receive treatment for lung disease? 0..1 boolean Enable When: ComorbiditiesSACQ = Lung disorder (SNOMED CT#19829001) ComorbiditiesSACQ_LungDiseaseFU2 Does your lung disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Lung disorder (SNOMED CT#19829001) ComorbiditiesSACQ_DiabetesFU1 Do you receive treatment for diabetes? 0..1 boolean Enable When: ComorbiditiesSACQ = Diabetes mellitus (SNOMED CT#73211009) ComorbiditiesSACQ_DiabetesFU2 Does your diabetes limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Diabetes mellitus (SNOMED CT#73211009) ComorbiditiesSACQ_StomachDiseaseFU1 Do you receive treatment for an ulcer or stomach disease? 0..1 boolean Enable When: ComorbiditiesSACQ = Ulcer (disorder) (SNOMED CT#429040005) ComorbiditiesSACQ_StomachDiseaseFU2 Does your ulcer or stomach disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Ulcer (disorder) (SNOMED CT#429040005) ComorbiditiesSACQ_KidneyDiseaseFU1 Do you receive treatment for kidney disease? 0..1 boolean Enable When: ComorbiditiesSACQ = Kidney disease (SNOMED CT#90708001) ComorbiditiesSACQ_KidneyDiseaseFU2 Does your kidney disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Kidney disease (SNOMED CT#90708001) ComorbiditiesSACQ_LiverDiseaseFU1 Do you receive treatment for liver disease? 0..1 boolean Enable When: ComorbiditiesSACQ = Hepatopathy (SNOMED CT#235856003) ComorbiditiesSACQ_LiverDiseaseFU2 Does your liver disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Hepatopathy (SNOMED CT#235856003) ComorbiditiesSACQ_BloodDiseaseFU1 Do you receive treatment for anemia or other blood disease? 0..1 boolean Enable When: ComorbiditiesSACQ = Anemia (SNOMED CT#271737000) ComorbiditiesSACQ_BloodDiseaseFU2 Does your anemia or other blood disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Anemia (SNOMED CT#271737000) ComorbiditiesSACQ_CancerFU1 Do you receive treatment for cancer/another cancer? 0..1 boolean Enable When: ComorbiditiesSACQ = Cancer/other cancer (within last 5 years) (SACQ patient's comorbidity history#cancer-within-5yrs) ComorbiditiesSACQ_CancerFU2 Does your cancer/other cancer limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Cancer/other cancer (within last 5 years) (SACQ patient's comorbidity history#cancer-within-5yrs) ComorbiditiesSACQ_DepressionFU1 Do you receive treatment for depression? 0..1 boolean Enable When: ComorbiditiesSACQ = Depressive disorder (SNOMED CT#35489007) ComorbiditiesSACQ_DepressionFU2 Does your depression limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Depressive disorder (SNOMED CT#35489007) ComorbiditiesSACQ_OsteoarthritisFU1 Do you receive treatment for osteoarthritis/degenerative arthritis? 0..1 boolean Enable When: ComorbiditiesSACQ = Osteoarthritis (disorder) (SNOMED CT#396275006) ComorbiditiesSACQ_OsteoarthritisFU2 Does your osteoarthritis/degenerative arthritis limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Osteoarthritis (disorder) (SNOMED CT#396275006) ComorbiditiesSACQ_BackPainFU1 Do you receive treatment for back pain? 0..1 boolean Enable When: ComorbiditiesSACQ = Backache (SNOMED CT#161891005) ComorbiditiesSACQ_BackPainFU2 Does your back pain limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Backache (SNOMED CT#161891005) ComorbiditiesSACQ_RheumatoidArthritisFU1 Do you receive treatment for rheumatoid arthritis? 0..1 boolean Enable When: ComorbiditiesSACQ = Rheumatoid arthritis (SNOMED CT#69896004) ComorbiditiesSACQ_RheumatoidArthritisFU2 Does your rheumatoid arthritis limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Rheumatoid arthritis (SNOMED CT#69896004) ComorbiditiesSACQ_Other What other medical problems are you experiencing? 0..1 text Enable When: ComorbiditiesSACQ = Other medical problems (SACQ patient's comorbidity history#other-medical-problems) ComorbiditiesSACQ_Score What is the total summed score of the patient's SACQ responses? 0..1 integer Documentation for this format
Have you been told by a doctor that you have any of the following?
Do you receive treatment for heart disease (For example, angina, heart failure, or heart attack)?
Does your heart disease limit your activities?
Do you receive treatment for high blood pressure?
Does your high blood pressure limit your activities?
Do you receive treatment for lung disease?
Does your lung disease limit your activities?
Does your diabetes limit your activities?
Do you receive treatment for an ulcer or stomach disease?
Does your ulcer or stomach disease limit your activities?
Do you receive treatment for kidney disease?
Does your kidney disease limit your activities?
Do you receive treatment for liver disease?
Does your liver disease limit your activities?
Do you receive treatment for anemia or other blood disease?
Does your anemia or other blood disease limit your activities?
Do you receive treatment for cancer/another cancer?
Does your cancer/other cancer limit your activities?
Do you receive treatment for depression?
Does your depression limit your activities?
Do you receive treatment for osteoarthritis/degenerative arthritis?
Does your osteoarthritis/degenerative arthritis limit your activities?
Does your back pain limit your activities?
Do you receive treatment for rheumatoid arthritis?
Does your rheumatoid arthritis limit your activities?
What other medical problems are you experiencing?
What is the total summed score of the patient's SACQ responses?