Stream: implementers
Topic: Instructional text in questionnaires
Robinette Renner (Dec 28 2017 at 10:25):
In a Questionnaire, I need to have instructional texts at the questionnaire, group, question, and option levels. For questionnaires, groups and questions, I am using an item with a type of "display." However, based on the UML diagram for the Questionnaire resource, it does not appear that this approach will work with options. What is the best approach for capturing instructional text for options?
Grahame Grieve (Dec 28 2017 at 10:33):
if they are codes, you can use a reference to a value set, which comes with displays for each code. But it sounds like you want more.... mostly (and this is what we expect) you explain the question, an the choices fall out of the question, so no explanation for each
Robinette Renner (Dec 28 2017 at 12:30):
I need to create Questionnaires that match PDF version of the forms. Often the option in a standardized value set does not match the form PDF and an instructional text with the form text is then used. This text can vary between forms and a value set only allows for only 1 display text. Also, sometimes there are form instructions stating that a particular option is only valid when a form is being submitted during a particular time period post therapy or that if an option is selected another form needs to be completed. What is the best way to capture that type of information?
Lloyd McKenzie (Dec 28 2017 at 14:33):
There are two possibilities. One is to move the option-specific instructions up to the question level (so rather than having text on option B that says "this option can only be chosen during regular business hours", you'd have text at the question level that says "Note that option B can only be chosen during regular business hours"). The other possibility is to define an extension for the "option" element. If you wish, you can submit a change request for HL7 to consider defining it as a standard extension.
Brian Postlethwaite (Dec 28 2017 at 22:08):
Sounds like your questionnaire needs it's own valueset, and if ypu want to convert it to a fhir valueset, use a concept map to the core valueset.
Robinette Renner (Dec 29 2017 at 12:17):
Thanks. To maintain consistency with the form PDFs, I will create an extension. If the extension is useful to a wider audience, I will submit a change request.
Brian Postlethwaite (Dec 30 2017 at 23:10):
Please do share an example instance of what you come up with so we can see what you ended up with.
Vadim Peretokin (Jan 03 2018 at 14:07):
Put it up on https://registry.fhir.org if you can
Last updated: Apr 12 2022 at 19:14 UTC
