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EQ-5D | Digital Data Collection


Starting early April 2022, a new digital format will be made available. This new digital format can be used on any digital device and will be made available for all EQ-5D versions (3L, 5L, and Y) in all languages that are currently available digitally.


In early April 2022, we will roll out the EQ-5D Representation Library, which consists of EuroQol Office–approved EQ-5D screenshots of the new digital format in all available EQ-5D versions and languages.

To assist customers with the correct digital implementation of EQ-5D, we will supply them with the following for all requested EQ-5D versions and languages:

  • Excel sheet with the EQ-5D labels
  • Digital Representation Design Guidelines – detailed instructions on how to implement the EQ-5D on a digital platform. You can access the document here.
  • EuroQol Office Representations – example screenshots of digital EQ-5D reproductions for every requested language, which comply with the Digital Representation Design Guidelines. These will enable customers and vendors to compare their own digital EQ-5D implementations and check adherence to EuroQol’s standards. Click here to download an example.

For some languages, extra instructions will be provided.

In early April 2022, a table will be included on the website summarising all the EQ-5D versions and languages available in the new universal digital format.


Currently, EuroQol requires customers to comply with the screenshot review process for every digital EQ-5D version and language before EQ-5D can be used in a new study. Unlike paper EQ-5D versions, where the respondents are presented with a ready-to-use version, digital EQ-5D versions will have to be built by the user, or vendor, based on the provided source Excel file, Digital Representations Guidelines, and EuroQol Representation demos in which the standards are explained.

From early April 2022, screenshot review by the EuroQol Office team will no longer be mandatory. However, as a service, the Office team will continue to do screenshot review on request. From then onwards, the customer will be solely responsible for checking the correctness of all digital EQ-5D representations. As a service to commercial customers, the EuroQol Office team will request to see EQ-5D implementations selected at random, as a quality check. Feedback will then be provided to customers, and vendors if applicable, on the representation quality.

We will be providing customers with EQ Office Representations of all requested languages and EQ-5D versions. With these Representations, customers can verify the correct placement of all EQ-5D labels. This is of critical importance, as EQ-5D is primarily an instrument completed by patients/respondents themselves.

We are also providing customers with EuroQol’s Digital Representation Design Guidelines, which will enable customers and vendors to check their digital EQ-5D implementations for adherence to EuroQol’s Representation Standards.

Please find a document describing the Digital Representation Design Guidelines here.


Customers interested in digital EQ-5D data collection with the new digital format are strongly encouraged to ensure that a quality process is in place by end March 2022 to verify the correctness of all digital EQ-5D representations in all languages used in a study/project before data collection starts. As outlined above, besides the Digital Representation Design Guidelines, EuroQol will provide customers and vendors of all requested EQ-5D versions and languages with EuroQol Office Representations – which are examples of how every digital EQ-5D implementation should look. Before starting digital EQ-5D data collection, customers and vendors should verify whether their digital EQ-5D implementations exactly match the representations provided by the EuroQol Office.

While the customer is solely responsible for checking the correctness of all digital EQ-5D representations, the EuroQol Office team is available if required to help with screenshot review or digital representation issues.


The new User License Policy will come into effect in early April 2022. For commercial customers, a new license fee structure will be introduced. The new digital format, which allows data collection on any digital device, will be 50% more expensive than the paper version. As a consequence, digital EQ-5D data collection will become more expensive for some users, and cheaper for others.

Summary of new license fees structure

Fee for a 3-year license of EQ-5D-3L, EQ-5D-5L or EQ-5D-Y 1 Current New
Paper format, per language € 4000 € 4000
Paper format exception: same language, but different country € 2000 € 2000
PDA/smartphone, Tablet, or Laptop/Desktop format, per language 2 € 4000
New digital format, per language € 6000
New digital format exception: same language, but different country € 3000
Paper format, all available languages € 80,000 € 80,000
PDA/smartphone, Tablet, or Laptop/Desktop format, all available languages 2 € 80,000
New digital format, all available languages € 120,000

1 Licence fees are calculated separately per EQ-5D version.
2 Licence fees are calculated separately per digital device.


For non-commercial use the EuroQol Research Foundation will continue to make EQ-5D available for free, after registration. As screenshot review is no longer required, a screenshot review fee will no longer be charged to non-commercial customers who collect data on other digital platforms than REDCap, LimeSurvey, Qualtrics or Castor EDC.


Can I still use the already received device dependent EQ-5D versions in ongoing studies?

Yes, in ongoing studies the device dependent versions can continued to be used. The device depending versions will become legacy versions. These legacy versions will not be updated in the future and will be phased out. If new languages are added to an ongoing study, the new Digital version will be provided as these version are the most up-to-date versions. If for ongoing studies you would also like to receive the device dependent language versions for consistency reasons, please inform your EuroQol contact person. However, please note that the use of the device dependent versions will be at your own risk as the device dependent versions will become legacy versions and will not be maintained and updated anymore.

Can I use the (new) Digital version with my active device dependent License Agreement?

Yes, active device dependent License Agreements will include the right to use the new Digital version. However, Amendments to add languages to device dependent License Agreements will not be possible as the device dependent License Agreements will be phased out. To add languages, a new License Agreement will have to be signed.

I own a device dependent License Agreement and would like to use additional languages.

Please be advised that after the go-live date of the Digital version, we will only provide new license agreements for the Digital version (new license fee applies). Amendments to add languages to device dependent License Agreements will not be possible because the use of the device dependent versions will be phased out.

How will the new screenshots review process work?

Licensee and Vendor will be responsible for building correct digital representations based on the documentation provided by EuroQol. EuroQol will not be involved in the screenshot review for all reproductions anymore. Only as part of audits will request EuroQol screenshots for review. If screenshots are requested by EuroQol, the screenshots will be reviewed and the communicated comments will be an advice to Licensee/Vendor. Licensee/Vendor can decide if they will follow this advice. The main rule that every deviation of the Representation Design Guidelines and the Representations is at the own risk of the Licensee/Vendor will apply at all time.

Is paid screenshots review possible?

No, EuroQol will not offer paid screenshot review services after the go-live date of the new process. Please be advised that there are commercial parties offering review services (such as TransPerfect and RWS). If you are interested in these services, please contact these parties.

(Version 7JAN2022)

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