WellData Implementation Guide - Local Development build (v0.1.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Questionnaire: Gezondheidscheck Vragenlijst
| Official URL: https://gidsopenstandaarden.github.io/welldata-implementation-guide/Questionnaire/questionnaire-health-check | Version: 0.1.2 | |||
| Draft as of 2025-06-10 | Computable Name: GezondheidsCheckVragenlijst1_0 | |||
| Other Identifiers: https://well-data.example.org/fhir/Questionnaire#health-check-1-0 | ||||
Profile: WellData Questionnaire Profile
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  GezondheidsCheckVragenlijst1_0 | Questionnaire | https://gidsopenstandaarden.github.io/welldata-implementation-guide/Questionnaire/questionnaire-health-check#0.1.2 | ||
  section-vitals | Lichamelijke metingen | 0..1 | group | |
  body-weight | Wat is uw lichaamsgewicht? (in kg) | 0..1 | decimal | |
| body-height | Wat is uw lichaamslengte? (in cm) | 0..1 | decimal | |
| waist-circumference | Wat is uw tailleomvang? (in cm) | 0..1 | decimal | |
  systolic-bp | Wat is uw bovendruk (systolische bloeddruk)? (in mmHg) | 0..1 | integer | |
| section-lab | Laboratoriumwaarden | 0..1 | group | |
| cholesterol-total | Wat is uw totaal cholesterolgehalte? (in mg/dL) | 0..1 | decimal | |
| cholesterol-hdl | Wat is uw HDL cholesterolgehalte? (in mg/dL) | 0..1 | decimal | |
| section-wellbeing | Welzijn | 0..1 | group | |
 mood | Hoe zou u uw stemming omschrijven? | 0..1 | choice | Options: 4 options |
| stress | Hoe ervaart u stress? | 0..1 | choice | Options: 4 options |
| daily-life | Hoe functioneert u in het dagelijks leven? | 0..1 | choice | Options: 4 options |
| social-contact | Hoe tevreden bent u met uw sociale contacten? | 0..1 | choice | Options: 4 options |
| physical-limitation | Heeft u een fysieke beperking? | 0..1 | choice | Options: 2 options |
| section-smoking | Roken | 0..1 | group | |
| smoking-status | Rookt u? | 0..1 | choice | Options: 3 options |
| cigarettes-per-day | Hoeveel sigaretten rookt u per dag? | 0..1 | integer | Enable When: smoking-status = |
| section-alcohol | Alcoholgebruik (AUDIT-C) | 0..1 | group | |
| alcohol-status | Drinkt u alcohol? | 0..1 | choice | Options: 3 options |
| alcohol-frequency | Hoe vaak drinkt u een drankje met alcohol? | 0..1 | choice | Options: 5 options |
| alcohol-normal-consumption | Hoeveel glazen alcohol drinkt u op een typische dag? | 0..1 | choice | Options: 5 options |
| alcohol-excessive-consumption | Hoe vaak drinkt u 6 of meer glazen bij één gelegenheid? | 0..1 | choice | Options: 5 options |
| section-activity | Lichamelijke activiteit | 0..1 | group | |
 physical-exercise | Hoeveel minuten per week sport of beweegt u matig tot intensief? | 0..1 | integer | |
| Documentation for this format | ||||
Options Sets
Answer options for mood
- http://snomed.info/sct#32504001 ("Gelukkig (Happy)")
- http://snomed.info/sct#130987000 ("Neutraal (Neutral)")
- http://snomed.info/sct#366979004 ("Verdrietig (Sad)")
- http://snomed.info/sct#48694002 ("Angstig (Anxious)")
Answer options for stress
- http://loinc.org#LA6568-5 ("Geen (None)")
- http://loinc.org#LA6751-7 ("Mild (Mild)")
- http://loinc.org#LA13909-9 ("Matig (Moderate)")
- http://loinc.org#LA6752-5 ("Ernstig (Severe)")
Answer options for daily-life
- http://loinc.org#LA9207-7 ("Uitstekend (Excellent)")
- http://loinc.org#LA9206-9 ("Goed (Good)")
- http://loinc.org#LA9205-1 ("Matig (Fair)")
- http://loinc.org#LA9208-5 ("Slecht (Poor)")
Answer options for social-contact
- http://loinc.org#LA9207-7 ("Uitstekend (Excellent)")
- http://loinc.org#LA9206-9 ("Goed (Good)")
- http://loinc.org#LA9205-1 ("Matig (Fair)")
- http://loinc.org#LA9208-5 ("Slecht (Poor)")
Answer options for physical-limitation
- http://snomed.info/sct#373066001 ("Ja (Yes)")
- http://snomed.info/sct#373067005 ("Nee (No)")
Answer options for smoking-status
- http://snomed.info/sct#77176002 ("Roker (Smoker)")
- http://snomed.info/sct#8517006 ("Ex-roker (Ex-smoker)")
- http://snomed.info/sct#266919005 ("Nooit gerookt (Never smoked)")
Answer options for alcohol-status
- http://snomed.info/sct#219006 ("Huidige drinker (Current drinker)")
- http://snomed.info/sct#105542008 ("Ex-drinker (Ex-drinker)")
- http://snomed.info/sct#105542003 ("Drinkt niet (Non-drinker)")
Answer options for alcohol-frequency
- http://loinc.org#LA6270-8 ("Nooit (Never)")
- http://loinc.org#LA18926-8 ("Maandelijks of minder (Monthly or less)")
- http://loinc.org#LA18927-6 ("2-4 keer per maand (2-4 times a month)")
- http://loinc.org#LA18930-0 ("2-3 keer per week (2-3 times a week)")
- http://loinc.org#LA18929-2 ("4 of meer keer per week (4+ times a week)")
Answer options for alcohol-normal-consumption
- http://loinc.org#LA15694-5 ("1 of 2")
- http://loinc.org#LA15695-2 ("3 of 4")
- http://loinc.org#LA15696-0 ("5 of 6")
- http://loinc.org#LA15697-8 ("7 tot 9")
- http://loinc.org#LA15698-6 ("10 of meer")
Answer options for alcohol-excessive-consumption
- http://loinc.org#LA6270-8 ("Nooit (Never)")
- http://loinc.org#LA18933-4 ("Minder dan maandelijks (Less than monthly)")
- http://loinc.org#LA18934-2 ("Maandelijks (Monthly)")
- http://loinc.org#LA18935-9 ("Wekelijks (Weekly)")
- http://loinc.org#LA18936-7 ("Dagelijks of bijna dagelijks (Daily or almost daily)")