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