{
  "resourceType": "Questionnaire",
  "id": "SIVZ.QRNS.questionnaire.glioom",
  "identifier": [
    {
      "value": "SIVZ.QRNS.questionnaire.glioom"
    }
  ],
  "version": "1",
  "status": "draft",
  "date": "2018-01-30",
  "publisher": "SIVZ",
  "subjectType": [
    "Patient"
  ],
  "item": [
    {
      "linkId": "1",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_diagnose"
      }
    },
    {
      "linkId": "2",
      "text": "Behandeldatum",
      "type": "date"
    },
    {
      "linkId": "4613",
      "text": "Datum eerste MRI preoperatief",
      "type": "date"
    },
    {
      "linkId": "4615",
      "text": "Pathologische diagnose",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_glioom_4615"
      }
    },
    {
      "linkId": "4618",
      "text": "Datum diagnose (1e contact nech voor deze registratie)",
      "type": "date"
    },
    {
      "linkId": "4620",
      "text": "Is patiënt besproken in Multidisciplinair Overleg?",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4624",
      "text": "Karnofsky score preoperatief?",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_karnofsky"
      }
    },
    {
      "linkId": "4636",
      "text": "Datum operatie",
      "type": "date",
      "required": true
    },
    {
      "linkId": "4638",
      "text": "Ziekenhuis waar de operatie heeft plaatsgevonden",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_ziekenhuis"
      }
    },
    {
      "linkId": "4657",
      "text": "Type operatie",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_glioom_4657"
      }
    },
    {
      "linkId": "4660",
      "text": "ASA classificatie",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_asa"
      }
    },
    {
      "linkId": "4667",
      "text": "Complicatie gradering volgens Clavien-Dindo",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_clavien_vol"
      }
    },
    {
      "linkId": "4678",
      "text": "Nabehandeling",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_glioom_4678"
      }
    },
    {
      "linkId": "4682",
      "text": "Startdatum radiotherapie",
      "type": "date",
      "enableWhen": [
        {
          "question": "4678",
          "answerCoding": {
            "code": "460"
          }
        },
        {
          "question": "4678",
          "answerCoding": {
            "code": "461"
          }
        }
      ]
    },
    {
      "linkId": "4684",
      "text": "Karnofsky score bij ontslag",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_karnofsky"
      }
    },
    {
      "linkId": "4697",
      "text": "Karnofsky score 6-8 weken postoperatief",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_karnofsky"
      }
    },
    {
      "linkId": "4709",
      "text": "Health related qualilty of life: QLQ-C30",
      "type": "integer"
    },
    {
      "linkId": "4710",
      "text": "Health related quality of life: QLQ-BN20",
      "type": "integer"
    },
    {
      "linkId": "4711",
      "text": "Datum vervolgbehandeling",
      "type": "date"
    },
    {
      "linkId": "4712",
      "text": "Overlijdensdatum",
      "type": "date"
    },
    {
      "linkId": "3",
      "text": "Follow-up",
      "type": "group",
      "item": [
        {
          "linkId": "4",
          "text": "Follow-up datum",
          "type": "date"
        },
        {
          "linkId": "4714",
          "text": "Is er na de eerste behandeling progressie vastgesteld waarna vervolgbehandeling of palliatieve zorg startte?",
          "type": "choice",
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnlost"
          }
        },
        {
          "linkId": "4717",
          "text": "Wat is de datum van start vervolgbehandeling/palliatieve zorg?",
          "type": "date",
          "enableWhen": [
            {
              "question": "4714",
              "answerCoding": {
                "code": "1"
              }
            }
          ]
        },
        {
          "linkId": "4718",
          "text": "Wat is de laatste datum waarop bekend is dat nog geen progressie was vastgesteld?",
          "type": "date",
          "enableWhen": [
            {
              "question": "4714",
              "answerCoding": {
                "code": "9"
              }
            },
            {
              "question": "4714",
              "answerCoding": {
                "code": "0"
              }
            }
          ]
        },
        {
          "linkId": "4720",
          "text": "Is de patient overleden?",
          "type": "choice",
          "required": true,
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnlost"
          }
        },
        {
          "linkId": "4723",
          "text": "Wat is de overlijdensdatum?",
          "type": "date",
          "enableWhen": [
            {
              "question": "4720",
              "answerCoding": {
                "code": "1"
              }
            }
          ]
        },
        {
          "linkId": "4724",
          "text": "Wat is de laatste datum waarop bekend is dat de patient in leven is?",
          "type": "date",
          "enableWhen": [
            {
              "question": "4720",
              "answerCoding": {
                "code": "0"
              }
            },
            {
              "question": "4720",
              "answerCoding": {
                "code": "9"
              }
            }
          ],
          "required": true
        }
      ]
    }
  ]
}