Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1
Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1
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
XML representation of the homehosp-azacitidine questionnaire.
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="homehosp-azacitidine"/>
<meta>
<profile
value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/homehosp-onco-azacitidine"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire homehosp-azacitidine</b></p><a name="homehosp-azacitidine"> </a><a name="hchomehosp-azacitidine"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-homehosp-onco-azacitidine.html">ONCO Azacitidine Nursing Questionnaire</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" class="xhtTableBorder1"><tr class="xhtRowBorder2"><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><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 scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & 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 class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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"/> HomehospAzacitidineQuestionnaireDefinition</td><td style="" class="hierarchy xhtCellBorder1">Questionnaire containing the necessary information for the home hospitalization of a patient treated with Azacitidine.</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">Questionnaire</td><td style="" class="hierarchy xhtCellBorder1">http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-azacitidine#0.1.0</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.NursingAssessment" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / </span>NursingAssessment</td><td style="" class="hierarchy xhtCellBorder1">Verpleegkundig assessment</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck111.png)" id="item.MedicationStorage" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="" style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / </span>MedicationStorage</td><td style="" class="hierarchy xhtCellBorder1">MedicationStorage</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.A1_MedicationStorage" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / MedicationStorage / </span>A1_MedicationStorage</td><td style="" class="hierarchy xhtCellBorder1">Zijn er opmerkingen of bezorgdheden omtrent de (correcte) thuisbewaring van de medicatie?</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Options: <a href="#opt-item.A1_MedicationStorage">2 options</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1100.png)" id="item.A2_MedicationStorageSpecify" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="" style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / MedicationStorage / </span>A2_MedicationStorageSpecify</td><td style="" class="hierarchy xhtCellBorder1">> Indien opmerkingen of bezorgdheid: specifieer</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.A1_MedicationStorage">A1_MedicationStorage</a> = Improper storage of medication (SNOMED CT#424363005)</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck111.png)" id="item.ObservationParameters" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / </span>ObservationParameters</td><td style="" class="hierarchy xhtCellBorder1">Observatie parameters</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.B1_BodyTemperature" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="" style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / ObservationParameters / </span>B1_BodyTemperature</td><td style="" class="hierarchy xhtCellBorder1">Lichaamstemperatuur:</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.B2_HeartRate" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / ObservationParameters / </span>B2_HeartRate</td><td style="" class="hierarchy xhtCellBorder1">Pols:</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.B3_SystolicBloodPressure" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="" style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / ObservationParameters / </span>B3_SystolicBloodPressure</td><td style="" class="hierarchy xhtCellBorder1">Bloeddruk systolisch:</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.B4_DiastolicBloodPressure" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / ObservationParameters / </span>B4_DiastolicBloodPressure</td><td style="" class="hierarchy xhtCellBorder1">Bloeddruk diastolisch:</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1100.png)" id="item.B5_OxygenSaturation" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-decimal.png" alt="" style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / ObservationParameters / </span>B5_OxygenSaturation</td><td style="" class="hierarchy xhtCellBorder1">Zuurstofsaturatie (enkel uitvoeren bij hoest en kortademigheid)</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck111.png)" id="item.Contraindications" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / </span>Contraindications</td><td style="" class="hierarchy xhtCellBorder1">Contraindications</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C1_ContraindicationPresent" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C1_ContraindicationPresent</td><td style="" class="hierarchy xhtCellBorder1">Zijn er tegenindicaties voor toediening?</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.C2_ContraindicationSpecify" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C2_ContraindicationSpecify</td><td style="" class="hierarchy xhtCellBorder1">> Indien 'ja': specifieer</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.C1_ContraindicationPresent">C1_ContraindicationPresent</a> = Yes (SNOMED CT#373066001)</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C3_FeverChills" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C3_FeverChills</td><td style="" class="hierarchy xhtCellBorder1">Koorts , koude rillingen, zich ziek voelen</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.C4_OralIntake" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C4_OralIntake</td><td style="" class="hierarchy xhtCellBorder1">Geen orale intake (tgv verminderde eetlust of smaakverandering)</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C5_SevereNausea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C5_SevereNausea</td><td style="" class="hierarchy xhtCellBorder1">Ernstige misselijkheid (dwz misselijkheid met onvoldoende orale intake)</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.C6_SevereDyspnea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C6_SevereDyspnea</td><td style="" class="hierarchy xhtCellBorder1">Toegenomen kortademigheid en/of ernstige kortademigheid (dwz kortademigheid in rust/zonder inspanning en/of kortademigheid die hindert bij de dagelijkse activiteiten) (Trastuzumab, Azacitidine)</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C7_NewCoughDyspnea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C7_NewCoughDyspnea</td><td style="" class="hierarchy xhtCellBorder1">Nieuwe of toegenomen productieve of droge hoest, met of zonder dyspnoe</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.C8_GeneralDecline" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C8_GeneralDecline</td><td style="" class="hierarchy xhtCellBorder1">Algemene achteruitgang</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C9_Other" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="" style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C9_Other</td><td style="" class="hierarchy xhtCellBorder1">Andere: (indien van toepassing)</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.C10_ContactCareTeam" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C10_ContactCareTeam</td><td style="" class="hierarchy xhtCellBorder1">> Indien tegenindicatie(s): gelieve contact op te nemen met het zorgteam in het ziekenhuis</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.C1_ContraindicationPresent">C1_ContraindicationPresent</a> = Yes (SNOMED CT#373066001)</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1110.png)" id="item.C11_Decision" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C11_Decision</td><td style="" class="hierarchy xhtCellBorder1">Beslissing na overleg ziekenhuis</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Options: <a href="#opt-item.C11_Decision">3 options</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1100.png)" id="item.C12_DecisionSpecify" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / Contraindications / </span>C12_DecisionSpecify</td><td style="" class="hierarchy xhtCellBorder1">> Indien andere: specifieer</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.C11_Decision">C11_Decision</a> = andere</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck101.png)" id="item.SymptomBurden" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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: white; background-color: inherit" title="group" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / </span>SymptomBurden</td><td style="" class="hierarchy xhtCellBorder1">SymptomBurden</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D1_Nausea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D1_Nausea</td><td style="" class="hierarchy xhtCellBorder1">Misselijkheid</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.D2_Vomiting" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D2_Vomiting</td><td style="" class="hierarchy xhtCellBorder1">Braken</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D3_DecreasedAppetite" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D3_DecreasedAppetite</td><td style="" class="hierarchy xhtCellBorder1">Verminderde eetlust of smaakverandering</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.D4_Diarrhea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D4_Diarrhea</td><td style="" class="hierarchy xhtCellBorder1">Buikloop</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D5_Constipation" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D5_Constipation</td><td style="" class="hierarchy xhtCellBorder1">Verstopping</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.D6_Fatigue" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D6_Fatigue</td><td style="" class="hierarchy xhtCellBorder1">Vermoeidheid/futloosheid</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D7_Pain" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D7_Pain</td><td style="" class="hierarchy xhtCellBorder1">Pijn</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.D8_SkinRash" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D8_SkinRash</td><td style="" class="hierarchy xhtCellBorder1">Huiduitslag</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D9_PsychosocialBurden" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D9_PsychosocialBurden</td><td style="" class="hierarchy xhtCellBorder1">Psychosociale belasting</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.D10_Dyspnea" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D10_Dyspnea</td><td style="" class="hierarchy xhtCellBorder1">Kortademigheid</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1010.png)" id="item.D11_Cough" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D11_Cough</td><td style="" class="hierarchy xhtCellBorder1">Hoest</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-onco-symptom-grade.html">ONCO Symptom Grade Scale (CTCAE 0–3)</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1000.png)" id="item.D12_OtherObservations" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="" style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / NursingAssessment / SymptomBurden / </span>D12_OtherObservations</td><td style="" class="hierarchy xhtCellBorder1">Andere nevenwerkingen of relevante klinische en psychosociale observaties
(gelieve bij klinische bezorgdheid contact te nemen met het ziekenhuis voor bespreking)</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" id="item.Assignment" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / </span>Assignment</td><td style="" class="hierarchy xhtCellBorder1">Assignment</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck111.png)" id="item.MedicationPreparation" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="" style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / </span>MedicationPreparation</td><td style="" class="hierarchy xhtCellBorder1">Voorbereiding medicatietoediening</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1110.png)" id="item.E1_PreparationCorrect" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / MedicationPreparation / </span>E1_PreparationCorrect</td><td style="" class="hierarchy xhtCellBorder1">Kon de medicatie worden bereid volgens de procedure?</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1100.png)" id="item.E2_ContactCareTeam" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-display.png" alt="" style="background-color: white; background-color: inherit" title="display" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / MedicationPreparation / </span>E2_ContactCareTeam</td><td style="" class="hierarchy xhtCellBorder1">> Indien 'nee': gelieve contact op te nemen met het zorgteam in het ziekenhuis</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.E1_PreparationCorrect">E1_PreparationCorrect</a> = No (SNOMED CT#373067005)</span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck101.png)" id="item.MedicationAdministration" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / </span>MedicationAdministration</td><td style="" class="hierarchy xhtCellBorder1">MedicationAdministration</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1010.png)" id="item.E3_AdministrationCorrect" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / MedicationAdministration / </span>E3_AdministrationCorrect</td><td style="" class="hierarchy xhtCellBorder1">Kon de medicatie exact volgens de procedure worden toegediend (er waren geen afwijkingen)?</td><td style="" class="hierarchy xhtCellBorder1">1..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="" class="hierarchy xhtCellBorder1">Value Set: <a href="ValueSet-YesNoVS.html">Yes / No Value Set</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck1000.png)" id="item.E4_SpecifyNo" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / Assignment / MedicationAdministration / </span>E4_SpecifyNo</td><td style="" class="hierarchy xhtCellBorder1">> Indien 'nee': specifieer</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1">Enable When: <span><a href="#item.E3_AdministrationCorrect">E3_AdministrationCorrect</a> = No (SNOMED CT#373067005)</span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck01.png)" id="item.QualityMonitoring" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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: white; background-color: inherit" title="group" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / </span>QualityMonitoring</td><td style="" class="hierarchy xhtCellBorder1">(Kwaliteits)opvolging</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck000.png)" id="item.F1_CommentsRegistration" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">HomehospAzacitidineQuestionnaireDefinition / QualityMonitoring / </span>F1_CommentsRegistration</td><td style="" class="hierarchy xhtCellBorder1">Zijn 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.</td><td style="" class="hierarchy xhtCellBorder1">0..1</td><td style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="" class="hierarchy xhtCellBorder1"/></tr>
<tr><td colspan="5" 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.A1_MedicationStorage"> </a><p><b>Answer options for A1_MedicationStorage </b></p><ul><li style="font-size: 11px">http://snomed.info/sct#710977001 ("Safe storage and management of medication")</li><li style="font-size: 11px">http://snomed.info/sct#424363005 ("Improper storage of medication")</li></ul><a name="opt-item.C11_Decision"> </a><p><b>Answer options for C11_Decision </b></p><ul><li style="font-size: 11px">toediening</li><li style="font-size: 11px">geen toediening</li><li style="font-size: 11px">andere</li></ul></div>
</text>
<url
value="http://hl7belgium.org/fhir/patient-monitoring/Questionnaire/homehosp-azacitidine"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.54.35.1"/>
</identifier>
<version value="0.1.0"/>
<name value="HomehospAzacitidineQuestionnaireDefinition"/>
<title value="Azacitidine"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2026-11-05T13:37:44+00:00"/>
<publisher value="HL7 Belgium"/>
<contact>
<name value="HL7 Belgium"/>
<telecom>
<system value="url"/>
<value value="http://example.com/committees"/>
</telecom>
<telecom>
<system value="email"/>
<value value="my-group@example.com"/>
</telecom>
</contact>
<contact>
<name value="Bob Smith"/>
<telecom>
<system value="email"/>
<value value="bobsmith@example.com"/>
<use value="work"/>
</telecom>
</contact>
<description
value="Questionnaire containing the necessary information for the home hospitalization of a patient treated with Azacitidine."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="BE"/>
<display value="Belgium"/>
</coding>
</jurisdiction>
<item>
<linkId value="NursingAssessment"/>
<text value="Verpleegkundig assessment"/>
<type value="group"/>
<item>
<linkId value="MedicationStorage"/>
<text value="MedicationStorage"/>
<type value="group"/>
<item>
<linkId value="A1_MedicationStorage"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="422413002"/>
<display value="Ability to store medications"/>
</code>
<text
value="Zijn er opmerkingen of bezorgdheden omtrent de (correcte) thuisbewaring van de medicatie?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="710977001"/>
<display value="Safe storage and management of medication"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="424363005"/>
<display value="Improper storage of medication"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="A2_MedicationStorageSpecify"/>
<text value="> Indien opmerkingen of bezorgdheid: specifieer"/>
<type value="string"/>
<enableWhen>
<question value="A1_MedicationStorage"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="424363005"/>
<display value="Improper storage of medication"/>
</answerCoding>
</enableWhen>
</item>
</item>
<item>
<linkId value="ObservationParameters"/>
<text value="Observatie parameters"/>
<type value="group"/>
<item>
<linkId value="B1_BodyTemperature"/>
<code>
<system value="http://loinc.org"/>
<code value="8310-5"/>
<display value="Body temperature"/>
</code>
<text value="Lichaamstemperatuur:"/>
<type value="decimal"/>
<required value="true"/>
</item>
<item>
<linkId value="B2_HeartRate"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="364075005"/>
<display value="Heart rate"/>
</code>
<text value="Pols:"/>
<type value="decimal"/>
<required value="true"/>
</item>
<item>
<linkId value="B3_SystolicBloodPressure"/>
<code>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</code>
<text value="Bloeddruk systolisch:"/>
<type value="decimal"/>
<required value="true"/>
</item>
<item>
<linkId value="B4_DiastolicBloodPressure"/>
<code>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</code>
<text value="Bloeddruk diastolisch:"/>
<type value="decimal"/>
<required value="true"/>
</item>
<item>
<linkId value="B5_OxygenSaturation"/>
<code>
<system value="http://loinc.org"/>
<code value="2708-6"/>
<display value="Oxygen saturation in Arterial blood"/>
</code>
<text
value="Zuurstofsaturatie (enkel uitvoeren bij hoest en kortademigheid)"/>
<type value="decimal"/>
</item>
</item>
<item>
<linkId value="Contraindications"/>
<text value="Contraindications"/>
<type value="group"/>
<item>
<linkId value="C1_ContraindicationPresent"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="395008009"/>
<display value="Medication stopped - contra-indication"/>
</code>
<text value="Zijn er tegenindicaties voor toediening?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C2_ContraindicationSpecify"/>
<text value="> Indien 'ja': specifieer"/>
<type value="display"/>
<enableWhen>
<question value="C1_ContraindicationPresent"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes"/>
</answerCoding>
</enableWhen>
</item>
<item>
<linkId value="C3_FeverChills"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="39104002"/>
<display value="Illness"/>
</code>
<text value="Koorts , koude rillingen, zich ziek voelen"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C4_OralIntake"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="247318005"/>
<display value="Abnormal taste in mouth"/>
</code>
<text
value="Geen orale intake (tgv verminderde eetlust of smaakverandering)"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C5_SevereNausea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="73335002"/>
<display value="Increased nausea and vomiting"/>
</code>
<text
value="Ernstige misselijkheid (dwz misselijkheid met onvoldoende orale intake)"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C6_SevereDyspnea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="297216006"/>
<display value="Increasing breathlessness"/>
</code>
<text
value="Toegenomen kortademigheid en/of ernstige kortademigheid (dwz kortademigheid in rust/zonder inspanning en/of kortademigheid die hindert bij de dagelijkse activiteiten) (Trastuzumab, Azacitidine)"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C7_NewCoughDyspnea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="11833005"/>
<display value="Dry cough"/>
</code>
<text
value="Nieuwe of toegenomen productieve of droge hoest, met of zonder dyspnoe"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C8_GeneralDecline"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="154091000119106"/>
<display value="Decline in functional status"/>
</code>
<text value="Algemene achteruitgang"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="C9_Other"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="438833006"/>
<display
value="Administration of drug or medicament contraindicated"/>
</code>
<text value="Andere: (indien van toepassing)"/>
<type value="string"/>
</item>
<item>
<linkId value="C10_ContactCareTeam"/>
<text
value="> Indien tegenindicatie(s): gelieve contact op te nemen met het zorgteam in het ziekenhuis"/>
<type value="display"/>
<enableWhen>
<question value="C1_ContraindicationPresent"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="373066001"/>
<display value="Yes"/>
</answerCoding>
</enableWhen>
</item>
<item>
<linkId value="C11_Decision"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="182836005"/>
<display value="Medication review"/>
</code>
<text value="Beslissing na overleg ziekenhuis"/>
<type value="choice"/>
<answerOption>
<valueString value="toediening"/>
</answerOption>
<answerOption>
<valueString value="geen toediening"/>
</answerOption>
<answerOption>
<valueString value="andere"/>
</answerOption>
</item>
<item>
<linkId value="C12_DecisionSpecify"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="1156698007"/>
<display value="Review of current supply of medication"/>
</code>
<text value="> Indien andere: specifieer"/>
<type value="string"/>
<enableWhen>
<question value="C11_Decision"/>
<operator value="="/>
<answerString value="andere"/>
</enableWhen>
</item>
</item>
<item>
<linkId value="SymptomBurden"/>
<text value="SymptomBurden"/>
<type value="group"/>
<item>
<linkId value="D1_Nausea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="422587007"/>
<display value="Nausea"/>
</code>
<text value="Misselijkheid"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D2_Vomiting"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="249497008"/>
<display value="Vomiting symptom"/>
</code>
<text value="Braken"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D3_DecreasedAppetite"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="64379006"/>
<display value="Decrease in appetite"/>
</code>
<text value="Verminderde eetlust of smaakverandering"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D4_Diarrhea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="62315008"/>
<display value="Diarrhea"/>
</code>
<text value="Buikloop"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D5_Constipation"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="14760008"/>
<display value="Constipation"/>
</code>
<text value="Verstopping"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D6_Fatigue"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="224960004"/>
<display value="Tired"/>
</code>
<text value="Vermoeidheid/futloosheid"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D7_Pain"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="112104007"/>
<display value="Localized pain"/>
</code>
<text value="Pijn"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D8_SkinRash"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="271807003"/>
<display value="Eruption"/>
</code>
<text value="Huiduitslag"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D9_PsychosocialBurden"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="384821006"/>
<display
value="Mental state, behaviour and/or psychosocial function finding"/>
</code>
<text value="Psychosociale belasting"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D10_Dyspnea"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="267036007"/>
<display value="Dyspnea"/>
</code>
<text value="Kortademigheid"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D11_Cough"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="49727002"/>
<display value="Cough"/>
</code>
<text value="Hoest"/>
<type value="choice"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/onco-symptom-grade"/>
</item>
<item>
<linkId value="D12_OtherObservations"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="365275006"/>
<display value="General well-being finding"/>
</code>
<text
value="Andere nevenwerkingen of relevante klinische en psychosociale observaties
(gelieve bij klinische bezorgdheid contact te nemen met het ziekenhuis voor bespreking)"/>
<type value="string"/>
</item>
</item>
</item>
<item>
<linkId value="Assignment"/>
<text value="Assignment"/>
<type value="group"/>
<item>
<linkId value="MedicationPreparation"/>
<text value="Voorbereiding medicatietoediening"/>
<type value="group"/>
<item>
<linkId value="E1_PreparationCorrect"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="385796006"/>
<display value="Medication prefill preparation"/>
</code>
<text value="Kon de medicatie worden bereid volgens de procedure?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="E2_ContactCareTeam"/>
<text
value="> Indien 'nee': gelieve contact op te nemen met het zorgteam in het ziekenhuis"/>
<type value="display"/>
<enableWhen>
<question value="E1_PreparationCorrect"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="373067005"/>
<display value="No"/>
</answerCoding>
</enableWhen>
</item>
</item>
<item>
<linkId value="MedicationAdministration"/>
<text value="MedicationAdministration"/>
<type value="group"/>
<item>
<linkId value="E3_AdministrationCorrect"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="373149000"/>
<display value="Medication administered following procedure"/>
</code>
<text
value="Kon de medicatie exact volgens de procedure worden toegediend (er waren geen afwijkingen)?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7belgium.org/fhir/patient-monitoring/ValueSet/YesNoVS"/>
</item>
<item>
<linkId value="E4_SpecifyNo"/>
<text value="> Indien 'nee': specifieer"/>
<type value="string"/>
<enableWhen>
<question value="E3_AdministrationCorrect"/>
<operator value="="/>
<answerCoding>
<system value="http://snomed.info/sct"/>
<code value="373067005"/>
<display value="No"/>
</answerCoding>
</enableWhen>
</item>
</item>
</item>
<item>
<linkId value="QualityMonitoring"/>
<text value="(Kwaliteits)opvolging"/>
<type value="group"/>
<item>
<linkId value="F1_CommentsRegistration"/>
<code>
<system value="http://snomed.info/sct"/>
<code value="276238005"/>
<display value="Comments on own writing"/>
</code>
<text
value="Zijn 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."/>
<type value="string"/>
</item>
</item>
</Questionnaire>
HL7 Belgium.
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