{
  "resourceType": "Questionnaire",
  "id": "sivz-qrns-questionnaire-hypofyse",
  "identifier": [
    {
      "value": "sivz-qrns-questionnaire-hypofyse"
    }
  ],
  "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": "4153",
      "text": "ASA Classificatie",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_asa"
      }
    },
    {
      "linkId": "4159",
      "text": "Bekend met oogheelkundige pathologie",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4162",
      "text": "Type oogpathologie",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4159",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "repeats": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4162"
      }
    },
    {
      "linkId": "7229",
      "text": "Indien anders: Beschrijf",
      "type": "text",
      "enableWhen": [
        {
          "question": "4162",
          "answerCoding": {
            "code": "6"
          }
        }
      ]
    },
    {
      "linkId": "4168",
      "text": "Eerder behandeld voor hypofysetumor?",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4171",
      "text": "Medicamenteus? (definitie: voorbehandeling (bv metyrapon) telt niet mee als eerdere behandeling)",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4168",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4174",
      "text": "Operatie?",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4168",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4177",
      "text": "Bestraling?",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4168",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4179",
      "text": "Jaartal van eerste behandeling",
      "type": "integer",
      "enableWhen": [
        {
          "question": "4168",
          "answerCoding": {
            "code": "1"
          }
        }
      ]
    },
    {
      "linkId": "4181",
      "text": "Diagnose",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4181"
      }
    },
    {
      "linkId": "4186",
      "text": "Indien anders: Beschrijf",
      "type": "text",
      "enableWhen": [
        {
          "question": "4181",
          "answerCoding": {
            "code": "6"
          }
        }
      ]
    },
    {
      "linkId": "4188",
      "text": "Hormonaal actieve tumor",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4181",
          "answerCoding": {
            "code": "310"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4191",
      "text": "Type hormonaal actieve tumor",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4188",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4191"
      }
    },
    {
      "linkId": "4198",
      "text": "grootte adenoom",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4181",
          "answerCoding": {
            "code": "310"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4198"
      }
    },
    {
      "linkId": "4203",
      "text": "sinus cavernosus invasie (definitie: Knosp 3B en 4)",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4198",
          "answerCoding": {
            "code": "322"
          }
        },
        {
          "question": "4198",
          "answerCoding": {
            "code": "323"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4206",
      "text": "apoplexie (definitie: acute hoofdpijn, eventueel met ophtalmoplegie)",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4181",
          "answerCoding": {
            "code": "310"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4209",
      "text": "Preoperatieve uitval van hypofysefunctie",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonzeker"
      }
    },
    {
      "linkId": "4213",
      "text": "Uitval van Gonadotrope as",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4209",
          "answerCoding": {
            "code": "1"
          }
        },
        {
          "question": "4209",
          "answerCoding": {
            "code": "12"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4217",
      "text": "Uitval van Corticotrope as",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4209",
          "answerCoding": {
            "code": "1"
          }
        },
        {
          "question": "4209",
          "answerCoding": {
            "code": "12"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4221",
      "text": "Stimulatietest gedaan?",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4217",
          "answerCoding": {
            "code": "8"
          }
        },
        {
          "question": "4217",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4225",
      "text": "Uitval van Somatotrope as",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4209",
          "answerCoding": {
            "code": "1"
          }
        },
        {
          "question": "4209",
          "answerCoding": {
            "code": "12"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4229",
      "text": "Stimulatietest gedaan?",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4225",
          "answerCoding": {
            "code": "8"
          }
        },
        {
          "question": "4225",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4233",
      "text": "Uitval van Hypofyse achterkwab",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4209",
          "answerCoding": {
            "code": "1"
          }
        },
        {
          "question": "4209",
          "answerCoding": {
            "code": "12"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4237",
      "text": "Uitval van Thyreotrope as",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4209",
          "answerCoding": {
            "code": "1"
          }
        },
        {
          "question": "4209",
          "answerCoding": {
            "code": "12"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4241",
      "text": "Gezichtsvelddefect(en) met GVO geobjectiveerde uitval en/of verminderde visus?",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
      }
    },
    {
      "linkId": "4244",
      "text": "Mate van hemi anopsie?",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4241",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4244"
      }
    },
    {
      "linkId": "4249",
      "text": "VOD",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4241",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_oogdef"
      }
    },
    {
      "linkId": "4262",
      "text": "VOS",
      "type": "choice",
      "enableWhen": [
        {
          "question": "4241",
          "answerCoding": {
            "code": "1"
          }
        }
      ],
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_oogdef"
      }
    },
    {
      "linkId": "4275",
      "text": "Andere hersenzenuwuitval (het betreft hier uitval van de III, IV en/of VI)",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4279",
      "text": "Besproken in Multidisciplinair Overleg?",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
      }
    },
    {
      "linkId": "4283",
      "text": "Belangrijkste indicatie voor operatie",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4283"
      }
    },
    {
      "linkId": "4289",
      "text": "Indien anders: Beschrijf",
      "type": "text",
      "enableWhen": [
        {
          "question": "4283",
          "answerCoding": {
            "code": "6"
          }
        }
      ]
    },
    {
      "linkId": "4290",
      "text": "Datum operatie",
      "type": "date",
      "required": true
    },
    {
      "linkId": "4292",
      "text": "Ziekenhuis waar de operatie heeft plaatsgevonden",
      "type": "choice",
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_ziekenhuis"
      }
    },
    {
      "linkId": "4311",
      "text": "Operatietechniek?",
      "type": "choice",
      "required": true,
      "options": {
        "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4311"
      }
    },
    {
      "linkId": "3",
      "text": "Follow-up",
      "type": "group",
      "item": [
        {
          "linkId": "4",
          "text": "Follow-up datum",
          "type": "date"
        },
        {
          "linkId": "4317",
          "text": "Opgetreden complicatie?",
          "type": "choice",
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
          }
        },
        {
          "linkId": "4321",
          "text": "Gradering volgens Clavien-Dindo classificatie",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4317",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_clavien_hoofd"
          }
        },
        {
          "linkId": "7246",
          "text": "Gradering volgens Clavien-Dindo classificatie: Grade III Sub",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4321",
              "answerCoding": {
                "code": "353"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_clavien_sub_3"
          }
        },
        {
          "linkId": "7247",
          "text": "Gradering volgens Clavien-Dindo classificatie: Grade IV Sub",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4321",
              "answerCoding": {
                "code": "356"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_clavien_sub_4"
          }
        },
        {
          "linkId": "4331",
          "text": "Complicaties",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4317",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "repeats": true,
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4331"
          }
        },
        {
          "linkId": "4342",
          "text": "Indien anders: Beschrijf",
          "type": "text",
          "enableWhen": [
            {
              "question": "4331",
              "answerCoding": {
                "code": "6"
              }
            }
          ]
        },
        {
          "linkId": "4344",
          "text": "Residu tumor op MRI? (Definitie: MRI 3-6 mnd na operatie)",
          "type": "choice",
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4344"
          }
        },
        {
          "linkId": "4348",
          "text": "Herstel hypersecretie na 6 maanden?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4188",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4348"
          }
        },
        {
          "linkId": "4353",
          "text": "Bij Acromegalie, Postoperatief normalisatie IGF-I:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "315"
              }
            },
            {
              "question": "4191",
              "answerCoding": {
                "code": "318"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4353"
          }
        },
        {
          "linkId": "4358",
          "text": "Bij Acromegalie, Postoperatief normalisatie GTT:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "315"
              }
            },
            {
              "question": "4191",
              "answerCoding": {
                "code": "318"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4358"
          }
        },
        {
          "linkId": "4362",
          "text": "Bij Cushing, Postoperatief hydrocortison afhankelijk:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "314"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonbonz"
          }
        },
        {
          "linkId": "4367",
          "text": "Bij Cushing, Postoperatief normalisatie dexamethasone suppressie test:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "314"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonbonz"
          }
        },
        {
          "linkId": "4372",
          "text": "Bij Cushing, Postoperatief normalisatie 24 uursurine cortisol secretie:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "314"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonbonz"
          }
        },
        {
          "linkId": "4377",
          "text": "Bij Prolactinoom, Postoperatief normalisatie prolactine:",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4191",
              "answerCoding": {
                "code": "316"
              }
            },
            {
              "question": "4191",
              "answerCoding": {
                "code": "318"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonbonz"
          }
        },
        {
          "linkId": "4382",
          "text": "Herstel pre-operatief uitgevallen hypofysefunctie na 6 maanden?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4209",
              "answerCoding": {
                "code": "1"
              }
            },
            {
              "question": "4209",
              "answerCoding": {
                "code": "12"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4382"
          }
        },
        {
          "linkId": "4387",
          "text": "Herstel gezichtsvelddefect(en) na 3-6 maanden?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4241",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_hypofyse_4387"
          }
        },
        {
          "linkId": "4393",
          "text": "Herstel visusdaling na 6 maanden?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4241",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnnvt"
          }
        },
        {
          "linkId": "4397",
          "text": "Herstel hersenzenuw uitval na 6 maanden?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4275",
              "answerCoding": {
                "code": "8"
              }
            },
            {
              "question": "4275",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnnvt"
          }
        },
        {
          "linkId": "4401",
          "text": "Heeft patient postoperatieve adjuvante therapie gehad?",
          "type": "choice",
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
          }
        },
        {
          "linkId": "4404",
          "text": "Medicamenteus?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4401",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
          }
        },
        {
          "linkId": "4407",
          "text": "Operatie? (definitie: operatie voor residu/recidief binnen 1 jaar na initiele operatie)",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4401",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
          }
        },
        {
          "linkId": "4410",
          "text": "Bestraling?",
          "type": "choice",
          "enableWhen": [
            {
              "question": "4401",
              "answerCoding": {
                "code": "1"
              }
            }
          ],
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jn"
          }
        },
        {
          "linkId": "4413",
          "text": "Is patiënt overleden (binnen 30 dagen na operatie)?",
          "type": "choice",
          "required": true,
          "options": {
            "reference": "http://hl7.org/fhir/ValueSet/qrns_basis_jnonb"
          }
        }
      ]
    }
  ]
}