<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="WHODASQuestionnaireExample"/>
  <meta>
    <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire WHODASQuestionnaireExample</b></p><a name="WHODASQuestionnaireExample"> </a><a name="hcWHODASQuestionnaireExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaireversion: null3.0.0)</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://example.org/Questionnaire/WHODASQuestionnaire#0.9.8</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Standing for long periods such as 30 minutes</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s1">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Taking care of household responsibilities</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s2">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Learning a new task, for example learning how to get to a new place</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s3">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s4">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much of a problem did you have with being emotionally affected by your health problems?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s5">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Concentrating on doing something for ten minutes?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s6">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking a long distance such as a kilometer [or equivalent]?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s7">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Washing your whole body?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s8">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Getting dressed?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s9">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dealing with people you do not know</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s10">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s11" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> whodas-s11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Maintaining a friendship</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s11">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-s12" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> whodas-s12</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Your day-to-day work</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.whodas-s12">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-h1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> whodas-h1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Overall, in the past 30 days, how many days were these difficulties present?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-h2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> whodas-h2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.whodas-h3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> whodas-h3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.total-score" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> total-score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">WHODAS total score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.whodas-s1"> </a><p><b>Answer options for whodas-s1 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s2"> </a><p><b>Answer options for whodas-s2 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s3"> </a><p><b>Answer options for whodas-s3 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s4"> </a><p><b>Answer options for whodas-s4 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s5"> </a><p><b>Answer options for whodas-s5 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s6"> </a><p><b>Answer options for whodas-s6 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s7"> </a><p><b>Answer options for whodas-s7 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s8"> </a><p><b>Answer options for whodas-s8 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s9"> </a><p><b>Answer options for whodas-s9 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s10"> </a><p><b>Answer options for whodas-s10 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s11"> </a><p><b>Answer options for whodas-s11 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul><a name="opt-item.whodas-s12"> </a><p><b>Answer options for whodas-s12 </b></p><ul><li style="font-size: 11px">null#null (&quot;None&quot;)</li><li style="font-size: 11px">null#null (&quot;Mild&quot;)</li><li style="font-size: 11px">null#null (&quot;Moderate&quot;)</li><li style="font-size: 11px">null#null (&quot;Severe&quot;)</li><li style="font-size: 11px">null#null (&quot;Extreme or cannot do&quot;)</li></ul></div>
  </text>
  <url value="http://example.org/Questionnaire/WHODASQuestionnaire"/>
  <version value="0.9.8"/>
  <status value="active"/>
  <subjectType value="Patient"/>
  <date value="2026-05-20T09:30:43-04:00"/>
  <publisher value="Global Alliant, Inc."/>
  <contact>
    <name value="Global Alliant, Inc."/>
    <telecom>
      <system value="url"/>
      <value value="https://globalalliantinc.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="david.h@globalalliantinc.org"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="whodas-s1"/>
    <text value="Standing for long periods such as 30 minutes"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s2"/>
    <text value="Taking care of household responsibilities"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s3"/>
    <text value="Learning a new task, for example learning how to get to a new place"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s4"/>
    <text value="How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s5"/>
    <text value="How much of a problem did you have with being emotionally affected by your health problems?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s6"/>
    <text value="Concentrating on doing something for ten minutes?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s7"/>
    <text value="Walking a long distance such as a kilometer [or equivalent]?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s8"/>
    <text value="Washing your whole body?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s9"/>
    <text value="Getting dressed?"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s10"/>
    <text value="Dealing with people you do not know"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s11"/>
    <text value="Maintaining a friendship"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-s12"/>
    <text value="Your day-to-day work"/>
    <type value="choice"/>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <display value="None"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <display value="Mild"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <display value="Moderate"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <display value="Severe"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="5"/>
      </extension>
      <valueCoding>
        <display value="Extreme or cannot do"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="whodas-h1"/>
    <text value="Overall, in the past 30 days, how many days were these difficulties present?"/>
    <type value="decimal"/>
  </item>
  <item>
    <linkId value="whodas-h2"/>
    <text value="In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?"/>
    <type value="decimal"/>
  </item>
  <item>
    <linkId value="whodas-h3"/>
    <text value="In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?"/>
    <type value="decimal"/>
  </item>
  <item>
    <linkId value="total-score"/>
    <text value="WHODAS total score"/>
    <type value="decimal"/>
  </item>
</Questionnaire>