{
  "resourceType": "Questionnaire",
  "language": "en",
  "url": "http://fhir.smart4health.eu/Questionnaire/back-pain-prevention",
  "version": "1.0.0",
  "name": "Smart4Health_back_pain_prevention_questionnaire",
  "title": "Back pain prevention questionnaire",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "date": "2022-03-10",
  "publisher": "D4L data4life gGmbH",
  "contact": [
    {
      "name": "ITTM Solutions",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ittm-solutions.com/"
        }
      ]
    },
    {
      "name": "D4L data4life gGmbH",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.data4life.care"
        }
      ]
    }
  ],
  "description": "Back pain prevention questionnaire",
  "item": [
    {
      "linkId": "questionnaire_timing",
      "text": "When is this questionnaire being administered?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-questionnaire-timing"
    },
    {
      "linkId": "back_pain_frequency",
      "text": "How often do you suffer from back pain?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-back-pain-frequency"
    },
    {
      "linkId": "back_pain_duration",
      "text": "How long has this pain been occurring?",
      "type": "choice",
      "required": true,
      "enableWhen": [
        {
          "question": "back_pain_frequency",
          "operator": "!=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev"
          }
        }
      ],
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-back-pain-duration"
    },
    {
      "linkId": "back_pain_location",
      "text": "In which body part does the pain appear?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "enableWhen": [
        {
          "question": "back_pain_frequency",
          "operator": "!=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev"
          }
        }
      ],
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-back-pain-location"
    },
    {
      "linkId": "back_pain_impact",
      "text": "What are the consequences of your back pain and how does it impact your life situation?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "enableWhen": [
        {
          "question": "back_pain_frequency",
          "operator": "!=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev"
          }
        }
      ],
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-pain-impact"
    },
    {
      "linkId": "influence_on_health",
      "text": "To what extent do you think you can influence your state of health?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-influence-degree"
    },
    {
      "linkId": "state_of_health",
      "text": "How do you assess your state of health?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-health-state"
    },
    {
      "linkId": "physical_activity_freq",
      "text": "How often are you physically active in your free time?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-activity-frequency"
    },
    {
      "linkId": "workout_reason",
      "text": "What are the reasons you work out?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "enableWhen": [
        {
          "question": "physical_activity_freq",
          "operator": "!=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev"
          }
        }
      ],
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-activity-reason"
    },
    {
      "linkId": "workout_hindrance",
      "text": "What hinders you from taking part in sports activities?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "enableWhen": [
        {
          "question": "physical_activity_freq",
          "operator": "=",
          "answerCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev"
          }
        }
      ],
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-activity-hindrance"
    },
    {
      "linkId": "physical_burden_tense_posture",
      "text": "Physical burden at your workplace: Unilateral/tense posture",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-burden-frequency"
    },
    {
      "linkId": "physical_burden_standing",
      "text": "Physical burden at your workplace: Primarily in standing position",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-burden-frequency"
    },
    {
      "linkId": "physical_burden_sitting",
      "text": "Physical burden at your workplace: Primarily in sitting position",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-burden-frequency"
    },
    {
      "linkId": "physical_burden_leaning",
      "text": "Physical burden at your workplace: Upper body leans forward",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-burden-frequency"
    },
    {
      "linkId": "physical_burden_lifting",
      "text": "Physical burden at your workplace: Heavy lifting",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-physical-burden-frequency"
    },
    {
      "linkId": "ergonomic_advice_impact",
      "text": "Do you think ergonomic advice can reduce your physical stress at your workplace?",
      "type": "choice",
      "required": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-perceived-likelihood"
    },
    {
      "linkId": "training_goals",
      "text": "What are your goals in participating in the training?",
      "type": "choice",
      "required": true,
      "repeats": true,
      "answerValueSet": "http://fhir.smart4health.eu/ValueSet/s4h-back-pain-prevention-goal"
    }
  ]
}