Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 BE

Patient Monitoring Outcome FHIR Implementation Guide, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-monitoring/ and changes regularly. See the Directory of published versions

Questionnaire: BortezomibV1

Branch:

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. BortezomibV1Questionnairehttp://hl7belgium.org/fhir/patient-monitoring/Questionnaire/BortezomibV1#0.1.0
... VerpleegkundigassessmentVerpleegkundig assessment0..1groupValue Set:
.... BewaringBewaring0..1groupValue Set:
..... A1_BewaringZijn er opmerkingen of bezorgdheden omtrent de (correcte) thuisbewaring van de medicatie?1..1choiceValue Set:
Options: 2 options
..... A2_BewaringSpecifieer> Indien opmerkingen of bezorgdheid: specifieer0..1stringEnable When: A1_Bewaring = Improper storage of medication (SNOMED CT#424363005)
Value Set:
.... ObservatieparametersObservatie parameters0..1groupValue Set:
..... B1_TemperatuurLichaamstemperatuur:1..1decimalValue Set:
..... B2_PolsPols:1..1decimalValue Set:
..... B3_BloeddrukSystolischBloeddruk systolisch:1..1decimalValue Set:
..... B4_BloeddrukDiastolischBloeddruk diastolisch:1..1decimalValue Set:
.... TegenindicatiesTegenindicaties0..1groupValue Set:
..... C1_TegenindicatieZijn er tegenindicaties voor toediening?1..1choiceValue Set:
Options: 2 options
..... C2_SpecifieerTegenindicatie> Indien 'ja': specifieer0..1displayEnable When: C1_Tegenindicatie = Yes (SNOMED CT#373066001)
Value Set:
..... C3_KoortsRillingenKoorts, koude rillingen, zich ziek voelen1..1choiceValue Set:
Options: 2 options
..... C4_LageBloeddrukHerhaaldelijk bloeddruk lager dan 100/60 mmHg1..1choiceValue Set:
Options: 2 options
..... C5_HartslagHoogHartslag boven 100 slagen per minuut in rust of onregelmatig hartritme, tenzij chronisch gekend1..1choiceValue Set:
Options: 2 options
..... C6_ErnstSensorischeNeuropathieErnstige sensorische neuropathie (bv. gevoelloosheid, tintelingen, brandend of koud gevoel in handen/voeten met pijn en/of impact op dagelijkse activiteiten)1..1choiceValue Set:
Options: 2 options
..... C7_ErnstMotorisheNeuropathieErnstige motorische neuropathie (bv. ernstige spierzwakte, algemene zwakte of tremor met impact op activiteiten zoals stappen of schrijven)1..1choiceValue Set:
Options: 2 options
..... C8_ContactZorgteam> Indien tegenindicatie(s): gelieve contact op te nemen met het zorgteam in het ziekenhuis0..1displayEnable When: C1_Tegenindicatie = Yes (SNOMED CT#373066001)
Value Set:
..... C9_BeslissingBeslissing na overleg ziekenhuis0..1choiceValue Set:
Options: 3 options
..... C10_BeslissingSpecifieer> Indien andere: specifieer0..1stringEnable When: C9_Beslissing = andere
Value Set:
.... SymptoomlastSymptoomlast0..1groupValue Set:
..... D1_MisselijkheidMisselijkheid0..1choiceValue Set:
Options: 4 options
..... D2_BrakenBraken0..1choiceValue Set:
Options: 4 options
..... D3_VerminderdeEetlustVerminderde eetlust of smaakverandering0..1choiceValue Set:
Options: 4 options
..... D4_BuikloopBuikloop0..1choiceValue Set:
Options: 4 options
..... D5_VerstoppingVerstopping0..1choiceValue Set:
Options: 4 options
..... D6_VermoeidheidVermoeidheid/futloosheid0..1choiceValue Set:
Options: 4 options
..... D7_PijnPijn0..1choiceValue Set:
Options: 4 options
..... D8_HuiduitslagHuiduitslag0..1choiceValue Set:
Options: 4 options
..... D9_PsychosociaalPsychosociale belasting0..1choiceValue Set:
Options: 4 options
..... D10_KortademigheidKortademigheid0..1choiceValue Set:
Options: 4 options
..... D11_TintelingenGevoelloosheidTintelingen of gevoelloosheid in vingers of tenen0..1choiceValue Set:
Options: 4 options
..... D12_MotorisischeNeuropathieMotorische neuropathie (bv. spierzwakte of tremor)0..1choiceValue Set:
Options: 4 options
..... D13_HoestHoest0..1choiceValue Set:
Options: 4 options
..... D14_AndereObservatiesAndere nevenwerkingen of relevante klinische en psychosociale observaties (gelieve bij klinische bezorgdheid contact te nemen met het ziekenhuis voor bespreking)0..1stringValue Set:
... OpdrachtOpdracht0..1groupValue Set:
.... MedicatietoedieningMedicatietoediening0..1groupValue Set:
..... E1_ToedieningCorrectKon de medicatie exact volgens de procedure worden toegediend (er waren geen afwijkingen)?1..1choiceValue Set:
Options: 2 options
..... E2_SpecifieerNee> Indien 'nee': specifieer0..1stringEnable When: E1_ToedieningCorrect = No (SNOMED CT#373067005)
Value Set:
... Kwaliteitsopvolging(Kwaliteits)opvolging0..1groupValue Set:
.... F1_OpmerkingenAanmeldingZijn er opmerkingen of bezorgdheden omtrent de aanmelding van deze patient, de gegevensdeling vanuit het ziekenhuis, de communicatie door en het contact met het ziekenhuis, de beschikbaarheid van de materialen, of andere aspecten van de transmurale samenwerking rond thuishospitalisatie oncologie, dan kan je deze hier noteren. Alvast dank.0..1stringValue Set:

doco Documentation for this format

Options Sets

Answer options for A1_Bewaring

  • http://snomed.info/sct#710977001 ("Safe storage and management of medication")
  • http://snomed.info/sct#424363005 ("Improper storage of medication")

Answer options for C1_Tegenindicatie

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C3_KoortsRillingen

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C4_LageBloeddruk

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C5_HartslagHoog

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C6_ErnstSensorischeNeuropathie

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C7_ErnstMotorisheNeuropathie

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")

Answer options for C9_Beslissing

  • toediening
  • geen toediening
  • andere

Answer options for D1_Misselijkheid

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D2_Braken

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D3_VerminderdeEetlust

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D4_Buikloop

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D5_Verstopping

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D6_Vermoeidheid

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D7_Pijn

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D8_Huiduitslag

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D9_Psychosociaal

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D10_Kortademigheid

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D11_TintelingenGevoelloosheid

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D12_MotorisischeNeuropathie

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for D13_Hoest

  • http://snomed.info/sct#444431007 ("Grade 0 on a scale of 0 to 3")
  • http://snomed.info/sct#444456001 ("Grade 1 on a scale of 0 to 3")
  • http://snomed.info/sct#444457005 ("Grade 2 on a scale of 0 to 3")
  • http://snomed.info/sct#444447009 ("Grade 3 on a scale of 0 to 3")

Answer options for E1_ToedieningCorrect

  • http://snomed.info/sct#373066001 ("Yes")
  • http://snomed.info/sct#373067005 ("No")