{
  "resourceType": "QuestionnaireResponse",
  "id": "s4h-back-pain-prevention-with-pain-response-example",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:uuid:d4879af2-9925-4224-b972-3cbf3fff2124"
  },
  "language": "en",
  "questionnaire": "http://fhir.smart4health.eu/Questionnaire/back-pain-prevention|1.0.0",
  "status": "completed",
  "authored": "2020-05-04T19:15:00+00:00",
  "subject": {
    "display": "Marie Lux-Brennard"
  },
  "item": [
    {
      "linkId": "questionnaire_timing",
      "text": "When is this questionnaire being administered?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-questionnaire-timing",
            "code": "pre",
            "display": "Before session begin"
          }
        }
      ]
    },
    {
      "linkId": "back_pain_frequency",
      "text": "How often do you suffer from back pain?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "freq1wk",
            "display": "Frequently (at least once a week)"
          }
        }
      ]
    },
    {
      "linkId": "back_pain_duration",
      "text": "How long has this pain been occurring?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-duration",
            "code": "ov3mon",
            "display": "More than 3 months"
          }
        }
      ]
    },
    {
      "linkId": "back_pain_location",
      "text": "In which body part does the pain appear?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "122495006",
            "display": "Thoracic spine (TS)"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "122496007",
            "display": "Lumbar spine (LS)"
          }
        }
      ]
    },
    {
      "linkId": "back_pain_impact",
      "text": "What are the consequences of your back pain and how does it impact your life situation?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-pain-impact",
            "code": "leisure",
            "display": "Limitations during leisure time"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-pain-impact",
            "code": "absence",
            "display": "Periods of absence at work"
          }
        }
      ]
    },
    {
      "linkId": "influence_on_health",
      "text": "To what extent do you think you can influence your state of health?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-influence-degree",
            "code": "str",
            "display": "Strongly"
          }
        }
      ]
    },
    {
      "linkId": "state_of_health",
      "text": "How do you assess your state of health?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-health-state",
            "code": "goo",
            "display": "Good"
          }
        }
      ]
    },
    {
      "linkId": "physical_activity_freq",
      "text": "How often are you physically active in your free time?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "1xwk",
            "display": "1x per week"
          }
        }
      ]
    },
    {
      "linkId": "workout_reason",
      "text": "What are the reasons you work out?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-activity-reason",
            "code": "fun",
            "display": "Fun"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-activity-reason",
            "code": "hea",
            "display": "Health promotion"
          }
        }
      ]
    },
    {
      "linkId": "physical_burden_tense_posture",
      "text": "Physical burden at your workplace: Unilateral/tense posture",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "freq",
            "display": "Frequently"
          }
        }
      ]
    },
    {
      "linkId": "physical_burden_standing",
      "text": "Physical burden at your workplace: Primarily in standing position",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "occ",
            "display": "Occasionally"
          }
        }
      ]
    },
    {
      "linkId": "physical_burden_sitting",
      "text": "Physical burden at your workplace: Primarily in sitting position",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "vfreq",
            "display": "Very frequently"
          }
        }
      ]
    },
    {
      "linkId": "physical_burden_leaning",
      "text": "Physical burden at your workplace: Upper body leans forward",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "occ",
            "display": "Occasionally"
          }
        }
      ]
    },
    {
      "linkId": "physical_burden_lifting",
      "text": "Physical burden at your workplace: Heavy lifting",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-event-frequency",
            "code": "nev",
            "display": "Never"
          }
        }
      ]
    },
    {
      "linkId": "ergonomic_advice_impact",
      "text": "Do you think ergonomic advice can reduce your physical stress at your workplace?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-perceived-likelihood",
            "code": "img",
            "display": "Yes, I could imagine it"
          }
        }
      ]
    },
    {
      "linkId": "training_goals",
      "text": "What are your goals in participating in the training?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-back-pain-prevention-goal",
            "code": "pmd",
            "display": "Prevention of muscular and skeletal disorders"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.smart4health.eu/CodeSystem/s4h-back-pain-prevention-goal",
            "code": "sth",
            "display": "Stabilize health"
          }
        }
      ]
    }
  ]
}