Generated Narrative: Questionnaire mii-qst-pro-eortc-qlq-c30-variant-a Language: en Profile: MII PR PRO Questionnaire LinkID Text Cardinality Type Flags Description & Constraints EORTC QLQ-C30 Version 3.0 - Variant A: Without contained CodeSystem (ValueSets reference external CodeSystem URL) Questionnaire https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30-variant-a#2026.0.0-rc.1 #xD; QLQ-C30.Introduction We are interested in some things about you and your health. Please answer all of the questions yourself by circling the number that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential. 0..1 display #xD; QLQ-C30.Section1 During the past week: 0..1 display #xD; qlq-c30-q01 1. Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q02 2. Do you have any trouble taking a long walk? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q03 3. Do you have any trouble taking a short walk outside of the house? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q04 4. Do you need to stay in bed or a chair during the day? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q05 5. Do you need help with eating, dressing, washing yourself or using the toilet? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q06 6. Were you limited in doing either your work or other daily activities? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q07 7. Were you limited in pursuing your hobbies or other leisure time activities? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q08 8. Were you short of breath? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q09 9. Have you had pain? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q10 10. Did you need to rest? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q11 11. Have you had trouble sleeping? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q12 12. Have you felt weak? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q13 13. Have you lacked appetite? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q14 14. Have you felt nauseated? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q15 15. Have you vomited? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q16 16. Have you been constipated? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q17 17. Have you had diarrhea? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q18 18. Were you tired? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q19 19. Did pain interfere with your daily activities? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q20 20. Have you had difficulty in concentrating on things, like reading a newspaper or watching television? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q21 21. Did you feel tense? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q22 22. Did you worry? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q23 23. Did you feel irritable? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q24 24. Did you feel depressed? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q25 25. Have you had difficulty remembering things? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q26 26. Has your physical condition or medical treatment interfered with your family life? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q27 27. Has your physical condition or medical treatment interfered with your social activities? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; qlq-c30-q28 28. Has your physical condition or medical treatment caused you financial difficulties? 0..1 choice Value Set: eortc-qlq-c30-4pt-a #xD; QLQ-C30.Section2 For the following questions please circle the number between 1 and 7 that best applies to you 0..1 display #xD; qlq-c30-q29 29. How would you rate your overall health during the past week? 0..1 choice Value Set: eortc-qlq-c30-7pt-a #xD; qlq-c30-q30 30. How would you rate your overall quality of life during the past week? 0..1 choice Value Set: eortc-qlq-c30-7pt-a #xD; QLQ-C30.Scores Calculated Scores (0-100 scale) 0..1 group #xD; score-pf Physical Functioning Score 0..1 decimal #xD; score-rf Role Functioning Score 0..1 decimal #xD; score-ef Emotional Functioning Score 0..1 decimal #xD; score-cf Cognitive Functioning Score 0..1 decimal #xD; score-sf Social Functioning Score 0..1 decimal #xD; score-fa Fatigue Score 0..1 decimal #xD; score-nv Nausea and Vomiting Score 0..1 decimal #xD; score-pa Pain Score 0..1 decimal #xD; score-dy Dyspnoea Score 0..1 decimal #xD; score-sl Insomnia Score 0..1 decimal #xD; score-ap Appetite Loss Score 0..1 decimal #xD; score-co Constipation Score 0..1 decimal #xD; score-di Diarrhoea Score 0..1 decimal #xD; score-fi Financial Difficulties Score 0..1 decimal #xD; score-ql Global Health Status / Quality of Life Score 0..1 decimal #xD; Documentation for this format Contained Resources ValueSet #eortc-qlq-c30-4pt-a Include these codes as defined in https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30 version ?2026.0.0-rc.1 Code Display not-at-all Not at all a-little A little quite-a-bit Quite a bit very-much Very much ValueSet #eortc-qlq-c30-7pt-a Include these codes as defined in https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30 version ?2026.0.0-rc.1 Code Display 1-very-poor 1 - Very poor 2-poor 2 - Poor 3-fair 3 - Fair 4-good 4 - Good 5-very-good 5 - Very good 6-excellent 6 - Excellent 7-perfect 7 - Perfect
EORTC QLQ-C30 Quality of Life Questionnaire Version 3.0 - Variant A
EORTC QLQ-C30 Version 3.0 - Variant A: Without contained CodeSystem (ValueSets reference external CodeSystem URL)
© Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0
European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)
EORTC QLQ-C30 Quality of Life Questionnaire
We are interested in some things about you and your health. Please answer all of the questions yourself by circling the number that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential.
Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?
Do you have any trouble taking a long walk?
Do you have any trouble taking a short walk outside of the house?
Do you need to stay in bed or a chair during the day?
Do you need help with eating, dressing, washing yourself or using the toilet?
Were you limited in doing either your work or other daily activities?
Were you limited in pursuing your hobbies or other leisure time activities?
Did pain interfere with your daily activities?
Have you had difficulty in concentrating on things, like reading a newspaper or watching television?
Have you had difficulty remembering things?
Has your physical condition or medical treatment interfered with your family life?
Has your physical condition or medical treatment interfered with your social activities?
Has your physical condition or medical treatment caused you financial difficulties?
For the following questions please circle the number between 1 and 7 that best applies to you
How would you rate your overall health during the past week?
How would you rate your overall quality of life during the past week?
(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q0[1-5]$')).answer.value.ordinal().sum()) / 5) - 1) / 3) * 100
(1 - (((%resource.item.where(linkId='qlq-c30-q06' or linkId='qlq-c30-q07').answer.value.ordinal().sum()) / 2) - 1) / 3) * 100
(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q2[1-4]$')).answer.value.ordinal().sum()) / 4) - 1) / 3) * 100
(1 - (((%resource.item.where(linkId='qlq-c30-q20' or linkId='qlq-c30-q25').answer.value.ordinal().sum()) / 2) - 1) / 3) * 100
(1 - (((%resource.item.where(linkId='qlq-c30-q26' or linkId='qlq-c30-q27').answer.value.ordinal().sum()) / 2) - 1) / 3) * 100
(((%resource.item.where(linkId='qlq-c30-q10' or linkId='qlq-c30-q12' or linkId='qlq-c30-q18').answer.value.ordinal().sum()) / 3) - 1) / 3) * 100
(((%resource.item.where(linkId='qlq-c30-q14' or linkId='qlq-c30-q15').answer.value.ordinal().sum()) / 2) - 1) / 3) * 100
(((%resource.item.where(linkId='qlq-c30-q09' or linkId='qlq-c30-q19').answer.value.ordinal().sum()) / 2) - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q08').answer.value.ordinal() - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q11').answer.value.ordinal() - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q13').answer.value.ordinal() - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q16').answer.value.ordinal() - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q17').answer.value.ordinal() - 1) / 3) * 100
((%resource.item.where(linkId='qlq-c30-q28').answer.value.ordinal() - 1) / 3) * 100
(((%resource.item.where(linkId='qlq-c30-q29' or linkId='qlq-c30-q30').answer.value.ordinal().sum()) / 2) - 1) / 6) * 100
Global Health Status / Quality of Life Score