PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. 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/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

## : 46349c26-30b3-4f36-94a6-f9ddfe4b7426 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "46349c26-30b3-4f36-94a6-f9ddfe4b7426",
      "meta" : {
        "lastUpdated" : "2025-06-20T16:47:25.389+00:00"
      },
      "type" : "searchset",
      "total" : 3,
      "link" : [
        {
          "relation" : "self",
          "url" : "https://gw.interop.community/cmspqrs/open/Questionnaire"
        }
      ],
      "entry" : [
        {
          "fullUrl" : "https://gw.interop.community/cmspqrs/open/Questionnaire/44249-1",
          "resource" : {
            "resourceType" : "Questionnaire",
            "id" : "44249-1",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2025-05-28T18:06:29.000+00:00",
              "source" : "#aLYUC2N4J9eLQ33k"
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Questionnaire_44249-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire 44249-1</b></p><a name=\"44249-1\"> </a><a name=\"hc44249-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2025-05-28 18:06:29+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #aLYUC2N4J9eLQ33k</p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; 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, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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\"/> PHQ_quick_depression_assessment_panel</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://loinc.org/q/44249-1</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14363\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14363</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PHQ-9.1. Little interest or pleasure in doing things</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14363\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14364\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14364</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PHQ-9.2. Feeling down, depressed, or hopeless</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14364\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14365\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14365</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trouble falling or staying asleep, or sleeping too much</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14365\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14366\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14366</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feeling tired or having little energy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14366\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14367\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14367</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Poor appetite or overeating</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14367\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14368\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14368</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feeling bad about yourself-or that you are a failure or have let yourself or your family down</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14368\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14369\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14369</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trouble concentrating on things, such as reading the newspaper or watching television</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14369\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14370\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14370</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Moving or speaking so slowly that other people could have noticed. Or the opposite-being so fidgety or restless that you have been moving around a lot more than usual</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14370\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14371\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 14371</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thoughts that you would be better off dead, or of hurting yourself in some way</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.14371\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.57492\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> 57492</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.57492\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.14372\" class=\"hierarchy\"><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-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 14372</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient health questionnaire 9 item total score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<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, \" 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.14363\"> </a><p><b>Answer options for 14363 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14364\"> </a><p><b>Answer options for 14364 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14365\"> </a><p><b>Answer options for 14365 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14366\"> </a><p><b>Answer options for 14366 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14367\"> </a><p><b>Answer options for 14367 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14368\"> </a><p><b>Answer options for 14368 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14369\"> </a><p><b>Answer options for 14369 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14370\"> </a><p><b>Answer options for 14370 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.14371\"> </a><p><b>Answer options for 14371 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item.57492\"> </a><p><b>Answer options for 57492 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6572-7 (&quot;Not difficult at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6573-5 (&quot;Somewhat difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6575-0 (&quot;Very difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6574-3 (&quot;Extremely difficult&quot;)</li></ul></div>"
            },
            "url" : "http://loinc.org/q/44249-1",
            "name" : "PHQ_quick_depression_assessment_panel",
            "title" : "PHQ-9 quick depression assessment panel",
            "status" : "draft",
            "subjectType" : [
              "Patient"
            ],
            "publisher" : "Regenstrief Institute, Inc.",
            "contact" : [
              {
                "name" : "Regenstrief Institute, Inc.",
                "telecom" : [
                  {
                    "system" : "url",
                    "value" : "http://loinc.org"
                  }
                ]
              }
            ],
            "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at https://loinc.org/license/\r\nCopyright © Pfizer Inc. All rights reserved. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute.",
            "code" : [
              {
                "system" : "http://loinc.org",
                "code" : "44249-1",
                "display" : "PHQ-9 quick depression assessment panel [Reported.PHQ]"
              }
            ],
            "item" : [
              {
                "linkId" : "14363",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44250-9",
                    "display" : "Little interest or pleasure in doing things in last 2 weeks"
                  }
                ],
                "prefix" : "PHQ-9.1",
                "text" : "Little interest or pleasure in doing things",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14364",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44255-8",
                    "display" : "Feeling down, depressed, or hopeless in last 2 weeks"
                  }
                ],
                "prefix" : "PHQ-9.2",
                "text" : "Feeling down, depressed, or hopeless",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14365",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44259-0",
                    "display" : "Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Trouble falling or staying asleep, or sleeping too much",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14366",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44254-1",
                    "display" : "Feeling tired or having little energy in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Feeling tired or having little energy",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14367",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44251-7",
                    "display" : "Poor appetite or overeating in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Poor appetite or overeating",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14368",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44258-2",
                    "display" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Feeling bad about yourself-or that you are a failure or have let yourself or your family down",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14369",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44252-5",
                    "display" : "Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Trouble concentrating on things, such as reading the newspaper or watching television",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14370",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44253-3",
                    "display" : "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Moving or speaking so slowly that other people could have noticed. Or the opposite-being so fidgety or restless that you have been moving around a lot more than usual",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "14371",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "44260-8",
                    "display" : "Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]"
                  }
                ],
                "text" : "Thoughts that you would be better off dead, or of hurting yourself in some way",
                "type" : "choice",
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6568-5",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6569-3",
                      "display" : "Several days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6570-1",
                      "display" : "More than half the days"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6571-9",
                      "display" : "Nearly every day"
                    }
                  }
                ]
              },
              {
                "linkId" : "57492",
                "code" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "69722-7",
                    "display" : "How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ]"
                  }
                ],
                "text" : "How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?",
                "type" : "choice",
                "repeats" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6572-7",
                      "display" : "Not difficult at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6573-5",
                      "display" : "Somewhat difficult"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6575-0",
                      "display" : "Very difficult"
                    }
                  },
                  {
                    "valueCoding" : {
                      "system" : "http://loinc.org",
                      "code" : "LA6574-3",
                      "display" : "Extremely difficult"
                    }
                  }
                ]
              },
              {
                "linkId" : "14372",
                "text" : "Patient health questionnaire 9 item total score",
                "type" : "decimal"
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        },
        {
          "fullUrl" : "https://gw.interop.community/cmspqrs/open/Questionnaire/52",
          "resource" : {
            "resourceType" : "Questionnaire",
            "id" : "52",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2025-06-10T19:04:47.000+00:00",
              "source" : "#zOBHLc4oJjsM2fkp"
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Questionnaire_52\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire 52</b></p><a name=\"52\"> </a><a name=\"hc52\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2025-06-10 19:04:47+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #zOBHLc4oJjsM2fkp</p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; 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, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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\"/> ZBI-22</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Zarit Burden Interview (ZBI) </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://globalalliantinc.com/fhir/questionnaires/ZBI-22#1.0.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.mbi\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> mbi</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is this patient's Medicare Beneficiary Identifier (MBI)?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.first_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> first_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the patient's first name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.last_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> last_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the patient's last name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.date_of_birth\" class=\"hierarchy\"><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-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> date_of_birth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is this patient's date of birth?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pcg_first_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> pcg_first_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the primary caregiver's first name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pcg_last_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> pcg_last_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the primary caregiver's last name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.assessment_date\" class=\"hierarchy\"><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-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> assessment_date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Please report the date this assessment was complete.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.ask_more\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> ask_more</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative asks for more help than he/she needs?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.ask_more\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.enough_time\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> enough_time</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that because of the time you spend with your relative that you don't have enough time for yourself?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.enough_time\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.stressed\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> stressed</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel stressed between caring for your relative and trying to meet other responsibilities for your family or work?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.stressed\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.embarrassed\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> embarrassed</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel embarrassed over your relative's behavior?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.embarrassed\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.angry\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> angry</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel angry when you are around your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.angry\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.affects_relationships\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> affects_relationships</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative currently affects your relationship with other family members or friends in a negative way?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.affects_relationships\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.afraid_future\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> afraid_future</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Are you afraid what the future holds for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.afraid_future\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.dependent\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> dependent</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel your relative is dependent upon you?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.dependent\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.strained\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> strained</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel strained when you are around your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.strained\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.health_suffered\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> health_suffered</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel your health has suffered because of your involvement with your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.health_suffered\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.privacy\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> privacy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you don't have as much privacy as you would like, because of your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.privacy\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.social_life\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> social_life</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your social life has suffered because you are caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.social_life\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.uncomfortable\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> uncomfortable</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel uncomfortable about having friends over, because of your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.uncomfortable\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.expectation\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> expectation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative seems to expect you to take care of him/her, as if you were the only one he/she could depend on?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.expectation\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.enough_money\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> enough_money</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you don't have enough money to care for your relative, in addition to the rest of your expenses?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.enough_money\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.much_longer\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> much_longer</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you will be unable to take care of your relative much longer?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.much_longer\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.lost_control\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> lost_control</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you have lost control of your life since your relative's illness?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.lost_control\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.leave_care\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> leave_care</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you wish you could just leave the care of your relative to someone else?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.leave_care\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.uncertain\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> uncertain</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel uncertain about what to do about your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.uncertain\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.do_more\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> do_more</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you should be doing more for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.do_more\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.better_job\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> better_job</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you could do a better job in caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.better_job\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.overall_burden\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> overall_burden</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Overall, how burdened do you feel in caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.overall_burden\">5 options</a></td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" 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.ask_more\"> </a><p><b>Answer options for ask_more </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.enough_time\"> </a><p><b>Answer options for enough_time </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.stressed\"> </a><p><b>Answer options for stressed </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.embarrassed\"> </a><p><b>Answer options for embarrassed </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.angry\"> </a><p><b>Answer options for angry </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.affects_relationships\"> </a><p><b>Answer options for affects_relationships </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.afraid_future\"> </a><p><b>Answer options for afraid_future </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.dependent\"> </a><p><b>Answer options for dependent </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.strained\"> </a><p><b>Answer options for strained </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.health_suffered\"> </a><p><b>Answer options for health_suffered </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.privacy\"> </a><p><b>Answer options for privacy </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.social_life\"> </a><p><b>Answer options for social_life </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.uncomfortable\"> </a><p><b>Answer options for uncomfortable </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.expectation\"> </a><p><b>Answer options for expectation </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.enough_money\"> </a><p><b>Answer options for enough_money </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.much_longer\"> </a><p><b>Answer options for much_longer </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.lost_control\"> </a><p><b>Answer options for lost_control </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.leave_care\"> </a><p><b>Answer options for leave_care </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.uncertain\"> </a><p><b>Answer options for uncertain </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.do_more\"> </a><p><b>Answer options for do_more </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.better_job\"> </a><p><b>Answer options for better_job </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.overall_burden\"> </a><p><b>Answer options for overall_burden </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;A little bit&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Moderately&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite a bit&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Extremely&quot;)</li></ul></div>"
            },
            "url" : "https://globalalliantinc.com/fhir/questionnaires/ZBI-22",
            "version" : "1.0.0",
            "name" : "ZBI-22",
            "title" : "ZBI-22",
            "status" : "draft",
            "publisher" : "Global Alliant Inc.",
            "description" : "Zarit Burden Interview (ZBI) ",
            "purpose" : "The ZBI-22 uses a scale of 0-4 to gauge the  degree of burden Primary Caregivers experience related to the demands of providing daily care  to a dependent adult.",
            "lastReviewDate" : "2024-04-11",
            "item" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/regex",
                    "valueString" : "^[1-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[A-Z])[0-9][0-9]$"
                  }
                ],
                "linkId" : "mbi",
                "text" : "What is this patient's Medicare Beneficiary Identifier (MBI)?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "readOnly" : false
              },
              {
                "linkId" : "first_name",
                "text" : "What is the patient's first name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "last_name",
                "text" : "What is the patient's last name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "date_of_birth",
                "text" : "What is this patient's date of birth?",
                "type" : "date",
                "required" : true,
                "repeats" : false
              },
              {
                "linkId" : "pcg_first_name",
                "text" : "What is the primary caregiver's first name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "pcg_last_name",
                "text" : "What is the primary caregiver's last name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "assessment_date",
                "text" : "Please report the date this assessment was complete.",
                "type" : "date",
                "required" : true,
                "repeats" : false,
                "readOnly" : false
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "ask_more",
                "text" : "Do you feel that your relative asks for more help than he/she needs?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "enough_time",
                "text" : "Do you feel that because of the time you spend with your relative that you don't have enough time for yourself?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "stressed",
                "text" : "Do you feel stressed between caring for your relative and trying to meet other responsibilities for your family or work?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "embarrassed",
                "text" : "Do you feel embarrassed over your relative's behavior?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "angry",
                "text" : "Do you feel angry when you are around your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "affects_relationships",
                "text" : "Do you feel that your relative currently affects your relationship with other family members or friends in a negative way?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "afraid_future",
                "text" : "Are you afraid what the future holds for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "dependent",
                "text" : "Do you feel your relative is dependent upon you?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "strained",
                "text" : "Do you feel strained when you are around your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "health_suffered",
                "text" : "Do you feel your health has suffered because of your involvement with your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "privacy",
                "text" : "Do you feel that you don't have as much privacy as you would like, because of your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "social_life",
                "text" : "Do you feel that your social life has suffered because you are caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "uncomfortable",
                "text" : "Do you feel uncomfortable about having friends over, because of your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "expectation",
                "text" : "Do you feel that your relative seems to expect you to take care of him/her, as if you were the only one he/she could depend on?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "enough_money",
                "text" : "Do you feel that you don't have enough money to care for your relative, in addition to the rest of your expenses?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "much_longer",
                "text" : "Do you feel that you will be unable to take care of your relative much longer?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "lost_control",
                "text" : "Do you feel you have lost control of your life since your relative's illness?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "leave_care",
                "text" : "Do you wish you could just leave the care of your relative to someone else?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "uncertain",
                "text" : "Do you feel uncertain about what to do about your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "do_more",
                "text" : "Do you feel you should be doing more for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "better_job",
                "text" : "Do you feel you could do a better job in caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "overall_burden",
                "text" : "Overall, how burdened do you feel in caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "A little bit"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Moderately"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite a bit"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Extremely"
                    }
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        },
        {
          "fullUrl" : "https://gw.interop.community/cmspqrs/open/Questionnaire/questionnaire-ZBI22",
          "resource" : {
            "resourceType" : "Questionnaire",
            "id" : "questionnaire-ZBI22",
            "meta" : {
              "versionId" : "1",
              "lastUpdated" : "2025-06-12T13:01:35.000+00:00",
              "source" : "#jhl8BZ4aslKK0xGI"
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Questionnaire_questionnaire-ZBI22\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire questionnaire-ZBI22</b></p><a name=\"questionnaire-ZBI22\"> </a><a name=\"hcquestionnaire-ZBI22\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2025-06-12 13:01:35+0000; </p><p style=\"margin-bottom: 0px\">Information Source: #jhl8BZ4aslKK0xGI</p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; 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, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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\"/> ZBI-22</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Zarit Burden Interview (ZBI) </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://globalalliantinc.com/fhir/questionnaires/ZBI-22#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.first_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> first_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the patient's first name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.last_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> last_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the patient's last name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.date_of_birth\" class=\"hierarchy\"><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-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> date_of_birth</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is this patient's date of birth?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.mbi\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> mbi</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is this patient's Medicare Beneficiary Identifier (MBI)?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pcg_first_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> pcg_first_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the primary caregiver's first name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pcg_last_name\" class=\"hierarchy\"><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-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> pcg_last_name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is the primary caregiver's last name?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 100</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.assessment_date\" class=\"hierarchy\"><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-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> assessment_date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Please report the date this assessment was complete.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.ask_more\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> ask_more</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative asks for more help than he/she needs?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.ask_more\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.enough_time\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> enough_time</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that because of the time you spend with your relative that you don’t have enough time for yourself?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.enough_time\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.stressed\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> stressed</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel stressed between caring for your relative and trying to meet other responsibilities for your family or work?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.stressed\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.embarrassed\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> embarrassed</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel embarrassed over your relative’s behavior?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.embarrassed\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.angry\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> angry</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel angry when you are around your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.angry\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.affects_relationships\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> affects_relationships</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative currently affects your relationship with other family members or friends in a negative way?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.affects_relationships\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.afraid_future\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> afraid_future</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Are you afraid what the future holds for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.afraid_future\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.dependent\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> dependent</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel your relative is dependent upon you?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.dependent\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.strained\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> strained</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel strained when you are around your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.strained\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.health_suffered\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> health_suffered</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel your health has suffered because of your involvement with your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.health_suffered\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.privacy\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> privacy</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you don’t have as much privacy as you would like, because of your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.privacy\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.social_life\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> social_life</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your social life has suffered because you are caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.social_life\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.uncomfortable\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> uncomfortable</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel uncomfortable about having friends over, because of your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.uncomfortable\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.expectation\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> expectation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that your relative seems to expect you to take care of him/her, as if you were the only one he/she could depend on?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.expectation\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.enough_money\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> enough_money</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you don’t have enough money to care for your relative, in addition to the rest of your expenses?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.enough_money\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.much_longer\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> much_longer</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel that you will be unable to take care of your relative much longer?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.much_longer\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.lost_control\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> lost_control</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you have lost control of your life since your relative’s illness?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.lost_control\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.leave_care\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> leave_care</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you wish you could just leave the care of your relative to someone else?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.leave_care\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.uncertain\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> uncertain</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel uncertain about what to do about your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.uncertain\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.do_more\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> do_more</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you should be doing more for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.do_more\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.better_job\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> better_job</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Do you feel you could do a better job in caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.better_job\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.overall_burden\" class=\"hierarchy\"><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-choice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"choice\" class=\"hierarchy\"/> overall_burden</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Overall, how burdened do you feel in caring for your relative?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.overall_burden\">5 options</a></td></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" 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.ask_more\"> </a><p><b>Answer options for ask_more </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.enough_time\"> </a><p><b>Answer options for enough_time </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.stressed\"> </a><p><b>Answer options for stressed </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.embarrassed\"> </a><p><b>Answer options for embarrassed </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.angry\"> </a><p><b>Answer options for angry </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.affects_relationships\"> </a><p><b>Answer options for affects_relationships </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.afraid_future\"> </a><p><b>Answer options for afraid_future </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.dependent\"> </a><p><b>Answer options for dependent </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.strained\"> </a><p><b>Answer options for strained </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.health_suffered\"> </a><p><b>Answer options for health_suffered </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.privacy\"> </a><p><b>Answer options for privacy </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.social_life\"> </a><p><b>Answer options for social_life </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.uncomfortable\"> </a><p><b>Answer options for uncomfortable </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.expectation\"> </a><p><b>Answer options for expectation </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.enough_money\"> </a><p><b>Answer options for enough_money </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.much_longer\"> </a><p><b>Answer options for much_longer </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.lost_control\"> </a><p><b>Answer options for lost_control </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.leave_care\"> </a><p><b>Answer options for leave_care </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.uncertain\"> </a><p><b>Answer options for uncertain </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.do_more\"> </a><p><b>Answer options for do_more </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.better_job\"> </a><p><b>Answer options for better_job </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite Frequently&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Nearly Always&quot;)</li></ul><a name=\"opt-item.overall_burden\"> </a><p><b>Answer options for overall_burden </b></p><ul><li style=\"font-size: 11px\">null#0 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">null#1 (&quot;A little bit&quot;)</li><li style=\"font-size: 11px\">null#2 (&quot;Moderately&quot;)</li><li style=\"font-size: 11px\">null#3 (&quot;Quite a bit&quot;)</li><li style=\"font-size: 11px\">null#4 (&quot;Extremely&quot;)</li></ul></div>"
            },
            "url" : "https://globalalliantinc.com/fhir/questionnaires/ZBI-22",
            "version" : "0.1.0",
            "name" : "ZBI-22",
            "title" : "ZBI-22",
            "status" : "draft",
            "date" : "2025-06-11T22:07:39-04:00",
            "publisher" : "MITRE",
            "contact" : [
              {
                "name" : "MITRE",
                "telecom" : [
                  {
                    "system" : "url",
                    "value" : "http://www.mitre.org"
                  }
                ]
              },
              {
                "name" : "May Terry",
                "telecom" : [
                  {
                    "system" : "email",
                    "value" : "mayT@mitre.org",
                    "use" : "work"
                  }
                ]
              }
            ],
            "description" : "Zarit Burden Interview (ZBI) ",
            "purpose" : "The ZBI-22 uses a scale of 0-4 to gauge the  degree of burden Primary Caregivers experience related to the demands of providing daily care  to a dependent adult.",
            "lastReviewDate" : "2024-04-11",
            "item" : [
              {
                "linkId" : "first_name",
                "text" : "What is the patient's first name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "last_name",
                "text" : "What is the patient's last name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "date_of_birth",
                "text" : "What is this patient's date of birth?",
                "type" : "date",
                "required" : true,
                "repeats" : false
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/regex",
                    "valueString" : "^[1-9](?![SLOIBZ])[A-Z](?![SLOIBZ])[0-9A-Z][0-9](?![SLOIBZ])[A-Z](?![SLOIBZ])[0-9A-Z][0-9](?![SLOIBZ])[A-Z]{2}[0-9]{2}$"
                  }
                ],
                "linkId" : "mbi",
                "text" : "What is this patient's Medicare Beneficiary Identifier (MBI)?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "readOnly" : false
              },
              {
                "linkId" : "pcg_first_name",
                "text" : "What is the primary caregiver's first name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "pcg_last_name",
                "text" : "What is the primary caregiver's last name?",
                "type" : "string",
                "required" : true,
                "repeats" : false,
                "maxLength" : 100
              },
              {
                "linkId" : "assessment_date",
                "text" : "Please report the date this assessment was complete.",
                "type" : "date",
                "required" : true,
                "repeats" : false,
                "readOnly" : false
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "ask_more",
                "text" : "Do you feel that your relative asks for more help than he/she needs?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "enough_time",
                "text" : "Do you feel that because of the time you spend with your relative that you don’t have enough time for yourself?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "stressed",
                "text" : "Do you feel stressed between caring for your relative and trying to meet other responsibilities for your family or work?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "embarrassed",
                "text" : "Do you feel embarrassed over your relative’s behavior?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "angry",
                "text" : "Do you feel angry when you are around your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "affects_relationships",
                "text" : "Do you feel that your relative currently affects your relationship with other family members or friends in a negative way?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "afraid_future",
                "text" : "Are you afraid what the future holds for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "dependent",
                "text" : "Do you feel your relative is dependent upon you?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "strained",
                "text" : "Do you feel strained when you are around your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "health_suffered",
                "text" : "Do you feel your health has suffered because of your involvement with your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "privacy",
                "text" : "Do you feel that you don’t have as much privacy as you would like, because of your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "social_life",
                "text" : "Do you feel that your social life has suffered because you are caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "uncomfortable",
                "text" : "Do you feel uncomfortable about having friends over, because of your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "expectation",
                "text" : "Do you feel that your relative seems to expect you to take care of him/her, as if you were the only one he/she could depend on?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "enough_money",
                "text" : "Do you feel that you don’t have enough money to care for your relative, in addition to the rest of your expenses?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "much_longer",
                "text" : "Do you feel that you will be unable to take care of your relative much longer?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "lost_control",
                "text" : "Do you feel you have lost control of your life since your relative’s illness?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "leave_care",
                "text" : "Do you wish you could just leave the care of your relative to someone else?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "uncertain",
                "text" : "Do you feel uncertain about what to do about your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "do_more",
                "text" : "Do you feel you should be doing more for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "better_job",
                "text" : "Do you feel you could do a better job in caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Never"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "Rarely"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Sometimes"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite Frequently"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Nearly Always"
                    }
                  }
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                    "valueCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://hl7.org/fhir/questionnaire-item-control",
                          "code" : "drop-down",
                          "display" : "Drop down"
                        }
                      ]
                    }
                  }
                ],
                "linkId" : "overall_burden",
                "text" : "Overall, how burdened do you feel in caring for your relative?",
                "type" : "choice",
                "required" : true,
                "repeats" : false,
                "readOnly" : false,
                "answerOption" : [
                  {
                    "valueCoding" : {
                      "code" : "0",
                      "display" : "Not at all"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "1",
                      "display" : "A little bit"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "2",
                      "display" : "Moderately"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "3",
                      "display" : "Quite a bit"
                    }
                  },
                  {
                    "valueCoding" : {
                      "code" : "4",
                      "display" : "Extremely"
                    }
                  }
                ]
              }
            ]
          },
          "search" : {
            "mode" : "match"
          }
        }
      ]
    }