{
  "resourceType": "QuestionnaireResponse",
  "id": "60de4d54-86a6-42c2-a393-e792900dc24a",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2019-05-17T10:15:33.94+00:00",
    "profile": [
      "http://phr.kanta.fi/StructureDefinition/fiphr-sd-questionnaireresponse-stu3"
    ],
    "security": [
      {
        "system": "http://hl7.org/fhir/v3/Confidentiality",
        "code": "R",
        "display": "Restricted"
      }
    ]
  },
  "language": "fi",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Kysely<b>Boldattuu </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>Patient/36749a02-1710-44e7-aa76-0e934eb7860a</td></tr></tbody></table></div>"
  },
  "extension": [
    {
      "url": "http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication",
      "extension": [
        {
          "url": "name",
          "valueString": "WebClient for Soap test"
        },
        {
          "url": "applicationId",
          "valueString": "TIMISSL"
        }
      ]
    }
  ],
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:187e0c12-8dd2-67e2-99b2-bf273a9549222"
  },
  "questionnaire": {
    "reference": "http://phr.kanta.fi/Questionnaire/fiphr-qu-DANPSS1-stu3-v0",
    "display": "DANPSS1"
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/36749a02-1710-44e7-aa76-0e934eb7860a"
  },
  "authored": "2019-03-06",
  "source": {
    "reference": "Patient/36749a02-1710-44e7-aa76-0e934eb7860a"
  },
  "item": [
    {
      "linkId": "introduction",
      "item": [
        {
          "linkId": "1",
          "text": "Sukupuoli",
          "answer": [
            {
              "valueCoding": {
                "code": "male",
                "display": "Mies"
              }
            }
          ]
        },
        {
          "linkId": "2",
          "text": "Tämä kysely koskee eturauhasen liikakasvua ja on tarkoitettu vain miehille."
        },
        {
          "linkId": "3",
          "text": "Ikä",
          "answer": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                  "valueInteger": 15
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                  "valueInteger": 100
                }
              ],
              "valueInteger": 45
            }
          ]
        },
        {
          "linkId": "4",
          "text": "Tämä oirearviokysely on tarkoitettu 15-100 -vuotiaille miehille."
        },
        {
          "linkId": "5",
          "text": "Onko lähisukusi miehillä (esimerkiksi isällä tai veljellä) todettu eturauhassyöpää?",
          "answer": [
            {
              "valueCoding": {
                "system": "http://phr.kanta.fi/CodeSystem/fiphr-cs-yesnodontknow",
                "code": "N",
                "display": "Ei"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "DAN-PSS-1",
      "item": [
        {
          "linkId": "Part1",
          "text": "Tyhjenemisoireet",
          "item": [
            {
              "linkId": "QuestionPair1",
              "item": [
                {
                  "linkId": "1A",
                  "text": "Täytyykö virtsaamisen alkamista odottaa?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "1B",
                  "text": "Mikäli joudutte odottamaan virtsaamisen alkamista, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair1Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair2",
              "item": [
                {
                  "linkId": "2A",
                  "text": "Tuleeko virtsa omasta mielestänne:",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1295",
                        "display": "Normaalisti"
                      }
                    }
                  ]
                },
                {
                  "linkId": "2B",
                  "text": "Mikäli virtsa tulee heikosti, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair2Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair3",
              "item": [
                {
                  "linkId": "3A",
                  "text": "Tuntuuko, että virtsatessanne rakko tyhjenee täysin?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1290",
                        "display": "Aina"
                      }
                    }
                  ]
                },
                {
                  "linkId": "3B",
                  "text": "Mikäli tuntuu, ettei rakko tyhjene täysin, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair3Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair4",
              "item": [
                {
                  "linkId": "4A",
                  "text": "Joudutteko ponnistamaan virtsaamisen aloittamiseksi ja/tai jatkamiseksi?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "4B",
                  "text": "Mikäli joudutte ponnistelemaan, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair4Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair5",
              "item": [
                {
                  "linkId": "5A",
                  "text": "Tippuuko virtsaa vielä, vaikka luulitte virtsaamisen loppuneen (jälkitippuminen)?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "5B",
                  "text": "Mikäli jälkitippumista esiintyy, vaikka luulitte virtsaamisen loppuneen, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair5Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "Part1Points",
              "text": "Tyhjenemisoireet yhteensä:",
              "answer": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                      "valueBoolean": true
                    }
                  ],
                  "modifierExtension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                      "valueCode": "display"
                    }
                  ],
                  "valueInteger": 10
                }
              ]
            }
          ]
        },
        {
          "linkId": "Part2",
          "text": "Kertymisoireet",
          "item": [
            {
              "linkId": "QuestionPair6",
              "item": [
                {
                  "linkId": "6A",
                  "text": "Mikä on pisin aika kahden virtsaamisen välillä noustuanne aamulla ylös ja ennen kuin menette illalla nukkumaan?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1327",
                        "display": "Yli 3 tuntia"
                      }
                    }
                  ]
                },
                {
                  "linkId": "6B",
                  "text": "Mikäli joudutte virtsaamaan usein, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair6Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair7",
              "item": [
                {
                  "linkId": "7A",
                  "text": "Kuinka monta kertaa joudutte virtsaamaan yön aikana?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1335",
                        "display": "0 kertaa"
                      }
                    }
                  ]
                },
                {
                  "linkId": "7B",
                  "text": "Mikäli joudutte virtsaamaan yön aikana, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair7Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair8",
              "item": [
                {
                  "linkId": "8A",
                  "text": "Tuleeko Teille äkillinen virtsaamistarve?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "8B",
                  "text": "Mikäli Teille tulee äkillinen virtsaamistarve, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair8Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair9",
              "item": [
                {
                  "linkId": "9A",
                  "text": "Tuleeko virtsaamisen tarve niin voimakkaana, että virtsa karkaa ennen kuin ehditte WC:hen?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "9B",
                  "text": "Mikäli ette pysty pidättelemään virtsaa kunnes ehditte WC:hen, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair9Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair10",
              "item": [
                {
                  "linkId": "10A",
                  "text": "Tuntuuko virtsatessa kipua tai poltetta?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "10B",
                  "text": "Mikäli virtsatessa tuntuu kipua tai poltetta, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair10Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair11",
              "item": [
                {
                  "linkId": "11",
                  "text": "Seuraavat kysymykset eivät koske jälkitippumista",
                  "answer": [
                    {
                      "valueString": "Seuraavat kysymykset eivät koske jälkitippumista"
                    }
                  ]
                },
                {
                  "linkId": "11A",
                  "text": "Karkaako virtsaa fyysisen ponnistuksen aikana (esim. yskiessä, aivastaessa, nostaessanne jotain?)",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "11B",
                  "text": "Mikäli virtsa karkaa fyysisen ponnistuksen aikana, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair11Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "QuestionPair12",
              "item": [
                {
                  "linkId": "12",
                  "text": "Seuraavat kysymykset eivät koske jälkitippumista",
                  "answer": [
                    {
                      "valueString": "Seuraavat kysymykset eivät koske jälkitippumista"
                    }
                  ]
                },
                {
                  "linkId": "12A",
                  "text": "Karkaako virtsaa ilman fyysistä ponnistusta ja ilman virtsaustarvetta?",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                          "valueDecimal": 1
                        }
                      ],
                      "valueCoding": {
                        "code": "1287",
                        "display": "Ei koskaan"
                      }
                    }
                  ]
                },
                {
                  "linkId": "12B",
                  "text": "Mikäli virtsaa karkaa ilman virtsaustarvetta ja fyysistä ponnistusta, kuinka paljon siitä on Teille haittaa?"
                },
                {
                  "linkId": "QuestionPair12Points",
                  "answer": [
                    {
                      "extension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                          "valueBoolean": true
                        }
                      ],
                      "modifierExtension": [
                        {
                          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                          "valueCode": "display"
                        }
                      ],
                      "valueInteger": 2
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "Part2Points",
              "text": "Kertymisoireet yhteensä:",
              "answer": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                      "valueBoolean": true
                    }
                  ],
                  "modifierExtension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                      "valueCode": "display"
                    }
                  ],
                  "valueInteger": 14
                }
              ]
            }
          ]
        },
        {
          "linkId": "totalScore",
          "answer": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                  "valueBoolean": true
                }
              ],
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                  "valueCode": "display"
                }
              ],
              "valueInteger": 24
            }
          ]
        },
        {
          "linkId": "textualFeedback",
          "answer": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
                  "valueBoolean": true
                }
              ],
              "modifierExtension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
                  "valueCode": "display"
                }
              ],
              "valueString": "Paras ottaa yhteyttä specialistiin"
            }
          ]
        }
      ]
    }
  ]
}