Structured Data Capture 2.5.0 - Edition 3(STU), For Comment 2018Sep Ballot
This page is part of the Structured Data Capture FHIR IG (v2.5.0: STU 3 Ballot 1) based on FHIR v3.5.0. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Questionnaire",
"id" : "questionnaire-sdc-profile-example-cap",
"text" : {
"status" : "generated",
"div" : "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <b>http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap</b></p><p><b>version</b>: 2.5.0</p><p><b>title</b>: (Ask Richard)</p><p><b>status</b>: ACTIVE</p><p><b>date</b>: 31/08/2018 4:04:55 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><p><b>text</b>: MARGINS</p><p><b>type</b>: GROUP</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>text</b>: ACCESSORY FINDINGS</p><p><b>type</b>: GROUP</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></div>"
},
"url" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap",
"version" : "2.5.0",
"title" : "(Ask Richard)",
"status" : "active",
"date" : "2018-08-31T16:04:55+10:00",
"item" : [
{
"linkId" : "1",
"text" : "MARGINS",
"type" : "group",
"required" : true,
"item" : [
{
"linkId" : "1.1",
"text" : "Status of surgical margin involvement by tumor (observable entity)",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "M1",
"display" : "Margins univolved by tumor"
}
},
{
"valueCoding" : {
"code" : "M2",
"display" : "Margin(s) involved by tumor"
}
},
{
"valueCoding" : {
"code" : "M3",
"display" : "Cannot be determined"
}
},
{
"valueCoding" : {
"code" : "M4",
"display" : "Not applicable"
}
}
],
"item" : [
{
"linkId" : "1.1.1",
"type" : "group",
"enableWhen" : [
{
"question" : "1.1",
"operator" : "=",
"answerCoding" : {
"code" : "M1"
}
}
],
"required" : true,
"item" : [
{
"linkId" : "1.1.1.1",
"text" : "Distance from Closest Margin",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"code" : "D1",
"display" : "Specify (mm)"
}
},
{
"valueCoding" : {
"code" : "D2",
"display" : "Cannot be assessed (explain)"
}
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal" : 0.01
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal" : 1000
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces",
"valueInteger" : 2
}
],
"linkId" : "1.1.1.1.1.1",
"text" : "Specify (mm)",
"type" : "decimal",
"required" : true
},
{
"linkId" : "1.1.1.1.2.1",
"text" : "Cannot be assessed (explain)",
"type" : "string",
"required" : true
}
]
},
{
"linkId" : "1.1.1.2",
"text" : "Specify Margin, if possible",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"code" : "W1",
"display" : "Specify margin"
}
},
{
"valueCoding" : {
"code" : "W2",
"display" : "Cannot be determined (explain)"
}
}
],
"item" : [
{
"linkId" : "1.1.1.2.1.1",
"text" : "Specify margin",
"type" : "string",
"required" : true
},
{
"linkId" : "1.1.1.2.2.1",
"text" : "Cannot be determined (explain)",
"type" : "string",
"required" : true
}
]
}
]
},
{
"linkId" : "1.1.2.1",
"text" : "Specify Margin(s), if possible",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "I1",
"display" : "Specify margin(s)"
}
},
{
"valueCoding" : {
"code" : "I2",
"display" : "Cannot be determined (explain)"
}
}
],
"item" : [
{
"linkId" : "1.1.2.1.1.1",
"text" : "Specify margin(s)",
"type" : "string",
"required" : true
},
{
"linkId" : "1.1.2.1.2.1",
"text" : "Cannot be determined (explain)",
"type" : "string",
"required" : true
}
]
},
{
"linkId" : "1.1.3.1",
"text" : "Cannot be determined",
"type" : "string",
"required" : true
},
{
"linkId" : "1.1.4.1",
"text" : "Not Applicable",
"type" : "string",
"required" : true
}
]
}
]
},
{
"linkId" : "2",
"text" : "ACCESSORY FINDINGS",
"type" : "group",
"required" : true,
"item" : [
{
"linkId" : "2.1",
"text" : "Treatment Effect (applicable to carcinomas treated with neoadjuvant therapy)",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"code" : "E1",
"display" : "Not identified"
}
},
{
"valueCoding" : {
"code" : "E2",
"display" : "Present (specify)"
}
},
{
"valueCoding" : {
"code" : "E3",
"display" : "Indeterminate"
}
}
],
"item" : [
{
"linkId" : "2.1.1.1",
"text" : "Not identified",
"type" : "string",
"required" : true
},
{
"linkId" : "2.1.2.1",
"text" : "Present (specify)",
"type" : "string",
"required" : true
},
{
"linkId" : "2.1.3.1",
"text" : "Indeterminate",
"type" : "string",
"required" : true
}
]
},
{
"linkId" : "2.2",
"text" : "Tumor Description",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "U1",
"display" : "Hemorrhagic"
}
},
{
"valueCoding" : {
"code" : "U2",
"display" : "Necrotic"
}
},
{
"valueCoding" : {
"code" : "U3",
"display" : "Invasion"
}
},
{
"valueCoding" : {
"code" : "U4",
"display" : "Other (specify)"
}
}
],
"item" : [
{
"linkId" : "2.2.1.1",
"text" : "??",
"type" : "choice",
"repeats" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "V1",
"display" : "Capsule"
}
},
{
"valueCoding" : {
"code" : "V2",
"display" : "Vessels"
}
},
{
"valueCoding" : {
"code" : "V3",
"display" : "Extra-adrenal (specify)"
}
}
],
"item" : [
{
"linkId" : "2.2.1.1.1.1",
"text" : "Extra-adrenal (specify)",
"type" : "string",
"required" : true
}
]
},
{
"linkId" : "2.2.2.1",
"text" : "Other (specify)",
"type" : "string",
"required" : true
}
]
}
]
}
]
}
© 2015+ HL7 International (OO work group). Based on FHIR version (3.5.0-14923). IG generated on Fri, Aug 31, 2018 16:04+1000.
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