Research Data Sharing IG
1.0.0 - CI Build
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
Official URL: http://interopEHRate.eu/fhir-resource/Questionnaire/CRFIntervalQuestionnaire | Version: 1.0.0 | |||
Active as of 2022-04-25 | Computable Name: CRFInterval |
LinkId | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
CRFInterval | Questionnaire | http://interopEHRate.eu/fhir-resource/Questionnaire/CRFIntervalQuestionnaire#1.0.0 | ||
sec1 | Section 1:. Patient general data | 0..1 | group | |
1.1 | Surname | 0..1 | string | |
1.2 | Name | 0..1 | string | |
1.3 | Allergies | 0..1 | string | |
1.4 | Gender | 0..1 | choice | Options: 2 options |
1.5 | Date of birth (DD/MM/YYYY) | 0..1 | date | |
sec2 | Section 2:. Disease related data | 0..1 | group | |
2.1 | Year of hypertension diagnosis | 0..1 | string | |
2.2 | blood pressure measurement SYS/DIA (mmHg/mmHg) | 0..1 | string | |
2.3 | Latest creatinine (mg/dL) | 0..1 | string | |
2.4 | Current Medications | 0..1 | string | |
2.5 | EKG report signal | 0..1 | string | |
2.6 | Echocardiogram report and video | 0..1 | attachment | |
2.7 | Latest left ventricular ejection fraction (%) | 0..1 | decimal | |
2.8 | Latest interventricular septum thickness (mm) | 0..1 | decimal | |
sec3 | Section 3:. Questionnaire on side effects | 0..* | group | |
3.1 | 1.. Name of the Drug | 0..* | string | |
3.2 | 2.. Type of symptom(s) | 0..* | open-choice | Options: 11 options |
3.3 | 3.. How long the adverse event last? | 0..1 | choice | Options: 4 options |
3.4 | 4.. Did you withdraw the drug? | 0..1 | boolean | |
3.5 | 5.. Did the adverse reaction require specific treatment? | 0..1 | boolean | |
sec4 | Section 4:. Feasibility assessment | 0..1 | group | |
4.1 | Preliminary Questions | 0..1 | group | |
4.1.1 | Age | 0..1 | integer | |
4.1.2 | Sex | 0..1 | string | |
4.1.3 | Educational Level | 0..1 | choice | Options: 4 options |
4.1.4 | Urban Zone (rural/ urban) | 0..1 | string | |
4.1.5 | Profession (if retired, previously exercised | 0..1 | string | |
4.1.6 | Do you routinely use apps of your smartphone/table in your daily life (excluded messages and phone calls)? | 0..1 | boolean | |
4.1.7 | Do you have wifi/xDSL/3g/4g connection in you home | 0..1 | boolean | |
4.2 | What satisfaction level do you have about the clinical staff explanation or instruction manual for use and maintenance of the system? | 0..1 | choice | Options: 4 options |
4.3 | How would you rate the ease of use of the platform? | 0..1 | choice | Options: 4 options |
4.4 | What satisfaction level do you have about the received clinical care provided by the use of the platform? | 0..1 | choice | Options: 4 options |
4.5 | If you had any technical problem, were you satisfied with the solution of it? | 0..1 | choice | Options: 4 options |
4.6 | How would you rate the mobile device operation? | 0..1 | choice | Options: 4 options |
4.7 | Has the INTEROPEHRATE System helped you understand better your disease? | 0..1 | choice | Options: 4 options |
4.8 | Has the INTEROPEHRATE System allowed you to have more autonomy to access to hospitals or care Centres? | 0..1 | choice | Options: 4 options |
4.9 | Do you consider that INTEROPEHRATE system has a major role i communicating with foreign healthcare provider? | 0..1 | choice | Options: 4 options |
4.10 | The INTEROPEHRATE System has had a positive impact in the way that you live your disease? | 0..1 | choice | Options: 4 options |
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? | 0..1 | choice | Options: 4 options |
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)? | 0..1 | decimal | |
4.13 | Please mark from 1 to 4, if you would recommend other people to use the INTEROPEHRATE System | 0..1 | decimal | |
Documentation for this format |
Option Sets
Answer options for 1.4
Answer options for 3.2
Answer options for 3.3
Answer options for 4.1.3
Answer options for 4.2
Answer options for 4.3
Answer options for 4.4
Answer options for 4.5
Answer options for 4.6
Answer options for 4.7
Answer options for 4.8
Answer options for 4.9
Answer options for 4.10
Answer options for 4.11