Research Data Sharing IG
1.0.0 - CI Build International flag

Research Data Sharing IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/research-data-sharing/ and changes regularly. See the Directory of published versions

Example Bundle: Questionnaire Example - CRF Intervall Coded

Bundle 37421897 of type collection


Entry 1 - fullUrl = http://interopEHRate.eu/fhir-resource/Questionnaire/CRFIntervalQuestionnaire

Resource Questionnaire:

Structure

LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. CRFIntervalQuestionnairehttp://interopEHRate.eu/fhir-resource/RDD/Questionnaire/CRFIntervalQuestionnaire
... sec1Section 1:. null0..1group
.... 1.1null0..1string
.... 1.2null0..1string
.... 1.3null0..1string
.... 1.4null0..1choiceOptions: 2 options
.... 1.5null0..1date
... sec2Section 2:. null0..1group
.... 2.1null0..1string
.... 2.2null0..1decimal
.... 2.3null0..1decimal
.... 2.4null0..1string
.... 2.5null0..1attachment
.... 2.6null0..1attachment
.... 2.7null0..1decimal
.... 2.8null0..1decimal
... sec3Section 3:. null0..*group
.... 3.11.. null0..1string
.... 3.2null0..1string
.... 3.3null0..1boolean
.... 3.4null0..1boolean
.... 3.5null0..1boolean
.... 3.6null0..1boolean
.... 3.7null0..1boolean
.... 3.8null0..1boolean
.... 3.9null0..1boolean
.... 3.10null0..1boolean
.... 3.11null0..1boolean
.... 3.12null0..1boolean
.... 3.13null0..*string
.... 3.143.. null0..1choiceOptions: 4 options
.... 3.154.. null0..1boolean
.... 3.165.. null0..1boolean
.... 4.1null0..1group
..... 4.1.1null0..1integer
..... 4.1.2null0..1string
..... 4.1.3null0..1choiceOptions: 4 options
..... 4.1.4null0..1choiceOptions: 2 options
..... 4.1.5null0..1string
..... 4.1.6null0..1boolean
..... 4.1.7null0..1boolean
.... 4.2null0..1choiceOptions: 4 options
.... 4.3null0..1choiceOptions: 4 options
.... 4.4null0..1choiceOptions: 4 options
.... 4.5null0..1choiceOptions: 4 options
.... 4.6null0..1choiceOptions: 4 options
.... 4.7null0..1choiceOptions: 4 options
.... 4.8null0..1choiceOptions: 4 options
.... 4.9null0..1choiceOptions: 4 options
.... 4.10null0..1choiceOptions: 4 options
.... 4.11null0..1choiceOptions: 4 options
.... 4.12null0..1decimal
.... 4.13null0..1decimal

doco Documentation for this format

Option Sets

Answer options for 1.4

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#1.4.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#1.4.2

Answer options for 3.14

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sideEffect.adverseEvent.1Day
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sideEffect.adverseEvent.1DayTo1Week
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sideEffect.adverseEvent.1WeekTo1Month
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sideEffect.adverseEvent.1Month

Answer options for 4.1.3

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.3.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.3.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.3.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.3.4

Answer options for 4.1.4

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.4.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.1.4.2

Answer options for 4.2

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.4

Answer options for 4.3

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.3.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.3.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.3.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.3.4

Answer options for 4.4

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.4

Answer options for 4.5

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.2.4

Answer options for 4.6

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.6.1
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.6.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.6.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.6.4

Answer options for 4.7

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyDisagree
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyAgree

Answer options for 4.8

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyDisagree
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyAgree

Answer options for 4.9

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyDisagree
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyAgree

Answer options for 4.10

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyDisagree
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyAgree

Answer options for 4.11

  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyDisagree
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.2
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#4.7.3
  • http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire#li.com.iehr.sus.rangeLabel.stronglyAgree


Entry 2 - fullUrl = http://interopEHRate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire

Resource CodeSystem:

This case-insensitive code system http://interopehrate.eu/fhir-resource/CodeSystem/CRFIntervalQuestionnaire provides a fragment that includes following codes:

CodeDisplay
1 Patient general data
1.1 Surname
1.2 Name
1.3 Allergies
1.4 Gender
1.4.1 male
1.4.2 female
1.5 Date of birth (DD/MM/YYYY)
2 Disease related data
ami.com.iehr.crf.q1 Year of hypertension diagnosis
ami.com.iehr.crf.q2 blood pressure measurement SYS/DIA (mmHg/mmHg)
2.3 Latest creatinine (mg/dL)
2.4 Current Medications
2.5 EKG report signal
2.6 Echocardiogram report and video
2.7 Latest left ventricular ejection fraction (%)
2.8 Latest interventricular septum thickness (mm)
3 Questionnaire on side effects
ami.com.iehr.sideEffect.q1 Name of the Drug
3.2 Cutaneous symptoms (please describe)
3.3 Symptom: Nausea
3.4 Symptom: Constipation
3.5 Symptom: Palpitation
3.6 Symptom: Cough
3.7 Symptom: Swollen feet or legs
3.8 Symptom: Cold hands or feet
3.9 Symptom: Cramps
3.10 Symptom: Persistent dry cough
3.11 Symptom: Frequent urination
3.12 Symptom: Decreased sexual desire
3.13 Symptom: Other
ami.com.iehr.sideEffect.q3 How long did the adverse event last?
li.com.iehr.sideEffect.adverseEvent.1Day < 1 day
li.com.iehr.sideEffect.adverseEvent.1DayTo1Week 1 day to 1 week
li.com.iehr.sideEffect.adverseEvent.1WeekTo1Month 1 week to 1 month
li.com.iehr.sideEffect.adverseEvent.1Month > 1 month
ami.com.iehr.sideEffect.q4 Did you withdraw the drug?
ami.com.iehr.sideEffect.q5 Did the adverse reaction require specific treatment?
4 Feasibility assessment
4.1 Preliminary Questions
4.1.1 Age
4.1.2 Sex
4.1.3 Educational Level
4.1.3.1 No studies
4.1.3.2 Some School
4.1.3.3 Graduate
4.1.3.4 Postgraduate
4.1.4 Urban Zone
4.1.4.1 urban
4.1.4.2 rural
4.1.5 Profession (if retired, previously exercised)
4.1.6 Do you routinely use apps of your smartphone/table in your daily life (excluded messages and phone calls)?
4.1.7 Do you have wifi/xDSL/3g/4g connection in you home
4.2 What satisfaction level do you have about the clinical staff explanation or instruction manual for use and maintenance of the system?
4.2.1 Very dissatisfied
4.2.2 Dissatisfied
4.2.3 Satisfied
4.2.4 Very Satisfied
4.3 How would you rate the ease of use of the platform?
4.3.1 Very difficult
4.3.2 Difficult
4.3.3 Easy
4.3.4 Very Easy
4.4 What satisfaction level do you have about the received clinical care provided by the use of the platform?
4.5 If you had any technical problem, were you satisfied with the solution of it?
4.6 How would you rate the mobile device operation?
4.6.1 Very unsafe
4.6.2 Bit unsafe
4.6.3 Fairly safe
4.6.4 Very safe
4.7 Has the INTEROPEHRATE System helped you understand better your disease?
li.com.iehr.sus.rangeLabel.stronglyDisagree Strongly disagree
4.7.2 Disagree
4.7.3 Agree
li.com.iehr.sus.rangeLabel.stronglyAgree Strongly Agree
4.8 Has the INTEROPEHRATE System allowed you to have more autonomy to access to hospitals or care Centres?
4.9 Do you consider that INTEROPEHRATE system has a major role in communicating with foreign healthcare provider?
4.10 The INTEROPEHRATE System has had a positive impact in the way that you live your disease?
4.11 Do you consider that your family/caregivers have been benefited from your use of the INTEROPEHRATE system by a lower possibility of psychological or physical burden that can cause the disease?
4.12 Please mark from 1 to 4 your satisfaction level about the INTEROPEHRATE system (1 ist considered as Very dissatisfied and 4 as Very satisfied)?
4.13 Please mark from 1 to 4, if you would recommend other people to use the INTEROPEHRATE System

Additional Language Displays

CodeFrench (fr)Italian (it)
1Données générales sur le patientDati generali del paziente
1.1Nom de familleCognome
1.2NomNome
1.3AllergiesAllergie
1.4GenreGenere
1.4.1hommemaschio
1.4.2femmefemmina
1.5Date de naissance (DD/MM/YYYY)Data di nascita (DD/MM/YYYY)
2Données relatives aux maladiesDati relativi alla malattia
ami.com.iehr.crf.q1Année du diagnostic d'hypertensionAnno di diagnosi dell'ipertensione
ami.com.iehr.crf.q2mesure de la pression artérielle SYS/DIA (mmHg/mmHg)misurazione della pressione sanguigna SYS/DIA (mmHg/mmHg)
2.3Dernière créatinine (mg/dL)Ultima creatinina (mg/dL)
2.4Médicaments actuelsFarmaci attuali
2.5Signal de rapport d'ECGSegnale del rapporto ECG
2.6Rapport et vidéo d'échocardiographieRapporto e video dell'ecocardiogramma
2.7Dernière fraction d'éjection du ventricule gauche (%)Ultima frazione di eiezione ventricolare sinistra (%)
2.8Dernière épaisseur du septum interventriculaire (mm)Ultimo spessore del setto interventricolare (mm)
3Questionnaire sur les effets secondairesQuestionario sugli effetti collaterali
ami.com.iehr.sideEffect.q1Nom du médicamentNome del farmaco
3.2Symptômes cutanés (décrivez s’il vous plait)Sintomi cutanei (descrivere)
3.3Symptôme : NauséeSintomo: Nausea
3.4Symptôme: ConstipationSintomo: Costipazione
3.5Symptôme: PalpitationSintomo: Palpitazione
3.6Symptôme: TouxSintomo: Tosse
3.7Symptôme: Pieds ou jambes enflésSintomo: Piedi o gambe gonfie
3.8Symptôme: Mains ou pieds froidsSintomo: Mani o piedi freddi
3.9Symptôme: CrampesSintomo: Crampi
3.10Symptôme: Toux sèche persistanteSintomo: Tosse secca persistente
3.11Symptôme: Miction fréquenteSintomo: Minzione frequente
3.12Symptôme: Baisse du désir sexuelSintomo: Diminuzione del desiderio sessuale
3.13Symptôme: AutreSintomo: Altro
ami.com.iehr.sideEffect.q3Combien de temps l'événement indésirable a-t-il duré ?Quanto è durato l'evento avverso?
li.com.iehr.sideEffect.adverseEvent.1Day<1 jour<1 giorno
li.com.iehr.sideEffect.adverseEvent.1DayTo1Week1 jour à 1 semaineDa 1 giorno a 1 settimana
li.com.iehr.sideEffect.adverseEvent.1WeekTo1Month1 semaine à 1 moisDa 1 settimana a 1 mese
li.com.iehr.sideEffect.adverseEvent.1Month> 1 mois> 1 month
ami.com.iehr.sideEffect.q4Avez-vous retiré le médicament ?Ha ritirato la droga?
ami.com.iehr.sideEffect.q5L'effet indésirable a-t-il nécessité un traitement spécifique ?La reazione avversa ha richiesto un trattamento specifico?
4Évaluation de la faisabilitéValutazione della fattibilità
4.1Questions préliminairesDomande preliminari
4.1.1ÂgeEtà
4.1.2SexeSesso
4.1.3Niveau d'éducationLivello di istruzione
4.1.3.1Aucune étudeNessuno studio
4.1.3.2Certaines écolesAlcune scuole
4.1.3.3DiplôméLaureato
4.1.3.4PostgraduatePostgraduate
4.1.4Zone urbaineZona urbana
4.1.4.1urbainurbano
4.1.4.2ruralrurale
4.1.5Profession (si retraité, précédemment exercé)Professione (se in pensione, precedentemente esercitata)
4.1.6Utilisez-vous régulièrement les applications de votre smartphone/tablette dans votre vie quotidienne (à l'exclusion des messages et des appels téléphoniques) ?Utilizzi abitualmente le app del tuo smartphone/tablet nella tua vita quotidiana (esclusi messaggi e telefonate)?
4.1.7Avez-vous une connexion wifi/xDSL/3g/4g chez vous ?Avete una connessione wifi/xDSL/3g/4g in casa vostra
4.2Quel est votre niveau de satisfaction concernant l'explication ou le manuel d'instruction du personnel clinique pour l'utilisation et la maintenance du système ?Che livello di soddisfazione ha riguardo alla spiegazione del personale clinico o al manuale di istruzioni per l'uso e la manutenzione del sistema?
4.2.1Très insatisfaitMolto insoddisfatto
4.2.2InsatisfaitsInsoddisfatto
4.2.3SatisfaitsSoddisfatto
4.2.4Très satisfaitMolto soddisfatto
4.3Comment évaluez-vous la facilité d'utilisation de la plateforme ?Come valuterebbe la facilità d'uso della piattaforma?
4.3.1Très difficileMolto difficile
4.3.2DifficileDifficile
4.3.3FacileFacile
4.3.4Très facileMolto facile
4.4Quel est votre niveau de satisfaction concernant les soins cliniques reçus grâce à l'utilisation de la plateforme ?Che livello di soddisfazione ha riguardo all'assistenza clinica ricevuta grazie all'uso della piattaforma?
4.5Si vous avez eu un problème technique, avez-vous été satisfait de sa résolution ?Se ha avuto qualche problema tecnico, è stato soddisfatto della sua soluzione?
4.6Comment évaluez-vous le fonctionnement du dispositif mobile ?Come valuterebbe il funzionamento del dispositivo mobile?
4.6.1Très peu sûrMolto insicuro
4.6.2Bit non sécuriséBit non sicuro
4.6.3Assez sûrAbbastanza sicuro
4.6.4Très sûrMolto sicuro
4.7Le système INTEROPEHRATE vous a-t-il aidé à mieux comprendre votre maladie ?Il sistema INTEROPEHRATE l'ha aiutata a capire meglio la sua malattia?
li.com.iehr.sus.rangeLabel.stronglyDisagreePas du tout d'accordFortemente in disaccordo
4.7.2Pas d'accordNon sono d'accordo
4.7.3D'accordSono d'accordo
li.com.iehr.sus.rangeLabel.stronglyAgreeTout à fait d'accordFortemente d'accordo
4.8Le système INTEROPEHRATE vous a-t-il permis d'avoir plus d'autonomie pour accéder aux hôpitaux ou aux centres de soins ?Il sistema INTEROPEHRATE le ha permesso di avere più autonomia nell'accesso agli ospedali o ai centri di cura?
4.9Considérez-vous que le système INTEROPEHRATE joue un rôle important dans la communication avec le prestataire de soins étranger ?Ritiene che il sistema INTEROPEHRATE abbia un ruolo importante nella comunicazione con l'operatore sanitario straniero?
4.10Le système INTEROPEHRATE a eu un impact positif sur la façon dont vous vivez votre maladie ?Il sistema INTEROPEHRATE ha avuto un impatto positivo sul modo in cui vive la sua malattia?
4.11Considérez-vous que votre famille/les personnes qui s'occupent de vous ont bénéficié de votre utilisation du système INTEROPEHRATE par une moindre possibilité de charge psychologique ou physique pouvant entraîner la maladie ?Ritiene che i suoi familiari/caregiver abbiano tratto beneficio dall'uso del sistema INTEROPEHRATE con una minore possibilità di carico psicologico o fisico che può causare la malattia?
4.12Veuillez indiquer de 1 à 4 votre degré de satisfaction à l'égard du système INTEROPEHRATE (1 est considéré comme très insatisfait et 4 comme très satisfait) ?Per favore segni da 1 a 4 il suo livello di soddisfazione sul sistema INTEROPEHRATE (1 è considerato molto insoddisfatto e 4 molto soddisfatto)?
4.13Veuillez indiquer de 1 à 4 si vous recommanderiez à d'autres personnes d'utiliser le système INTEROPEHRATE.Indichi da 1 a 4 se raccomanderebbe ad altre persone di usare il sistema INTEROPEHRATE