| LinkId | Text | Cardinality | Type | Description & Constraints |
|---|
  PatientReportedNinetyDays | | | Questionnaire | https://m-caretech.com.br/interopera/stroke-fhirig/Questionnaire/PatientReportedNinetyDays#0.0.0 |
  General-Information-Clinical | General information. | 1..1 | group | |
  Patient-ID | What is the patient's identification? | 1..1 | string | |
 FullName-Clinical | What is the patient's full name? | 1..1 | string | |
| Demographic-Factors | Demographic Factors. | 1..1 | group | |
 LivingLocPost | Where are you living now? | 1..1 | coding | Value Set: Patient's Residence Prior to a Stroke |
| LiveAlonePost | Do you live alone now? | 0..1 | coding | Value Set: Live Alone Pre-Stroke |
| Survival-Disease-Control | Patient-Reported Health Status | 1..1 | group | |
| SmokeCess-Stroke | Since your hospitalization for stroke, have you smoked tobacco or cigarettes? | 0..1 | coding | Value Set: Yes, No and Unknown |
| Patient-Reported-Health-Status | Patient-Reported Health Status | 1..1 | group | |
| PostStrokeAmb | Are you able to walk? | 1..1 | coding | Value Set: Prestroke and Poststroke Functional Status: Ambulation |
| PostStrokeToileting | Do you need help from anybody to go to the toilet? | 1..1 | coding | Value Set: Prestroke and Poststroke Functional Status: Toileting |
| PostStrokeDress | Did you need help with dressing/undressing prior to your stroke or transient ischaemic attack (TIA)? | 1..1 | coding | Value Set: Prestroke and Poststroke Functional Status: Dressing |
| Feeding | Do you need a tube for feeding? For example: a nasogastric tube or a gastrostomy tube. | 1..1 | coding | Value Set: Yes, No and Unknown |
| Communic | Do you have problems with communication or understanding? | 1..1 | coding | Value Set: Yes, No and Unknown |
| PROMIS-10 | In general, would you say your health is: | 0..1 | group | |
 PROMIS-10_Q01 | In general, would you say your health is: | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q02 | In general, would you say your quality of life is: | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q03 | In general, how would you rate your physical health? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q04 | In general, how would you rate your mental health, including your mood and your ability to think? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q05 | In general, how would you rate your satisfaction with your social activities and relationships? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q09r | In general, rate how well you carry out your usual social activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc. | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q06 | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Q10r | In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Qo8r | In the past 7 days, how would you rate your fatigue on average? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
| PROMIS-10_Qo7r | In the past 7 days, how would you rate your pain on average? | 0..1 | coding | Value Set: PROMIS-10 Response Questionnaire |
Documentation for this format |