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
<Questionnaire xmlns="http://hl7.org/fhir"> <id value="questionnaire-sdc-profile-example-cap"/> <text> <status value="generated"/> <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> </text> <url value="http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap"/> <version value="2.5.0"/> <title value="(Ask Richard)"/> <status value="active"/> <date value="2018-08-31T16:04:55+10:00"/> <item> <linkId value="1"/> <text value="MARGINS"/> <type value="group"/> <required value="true"/> <item> <linkId value="1.1"/> <text value="Status of surgical margin involvement by tumor (observable entity)"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="M1"/> <display value="Margins univolved by tumor"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="M2"/> <display value="Margin(s) involved by tumor"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="M3"/> <display value="Cannot be determined"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="M4"/> <display value="Not applicable"/> </valueCoding> </answerOption> <item> <linkId value="1.1.1"/> <type value="group"/> <enableWhen> <question value="1.1"/> <operator value="="/> <answerCoding> <code value="M1"/> </answerCoding> </enableWhen> <required value="true"/> <item> <linkId value="1.1.1.1"/> <text value="Distance from Closest Margin"/> <type value="choice"/> <answerOption> <valueCoding> <code value="D1"/> <display value="Specify (mm)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="D2"/> <display value="Cannot be assessed (explain)"/> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/StructureDefinition/minValue"> <valueDecimal value="0.01"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxValue"> <valueDecimal value="1000"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"> <valueInteger value="2"/> </extension> <linkId value="1.1.1.1.1.1"/> <text value="Specify (mm)"/> <type value="decimal"/> <required value="true"/> </item> <item> <linkId value="1.1.1.1.2.1"/> <text value="Cannot be assessed (explain)"/> <type value="string"/> <required value="true"/> </item> </item> <item> <linkId value="1.1.1.2"/> <text value="Specify Margin, if possible"/> <type value="choice"/> <answerOption> <valueCoding> <code value="W1"/> <display value="Specify margin"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="W2"/> <display value="Cannot be determined (explain)"/> </valueCoding> </answerOption> <item> <linkId value="1.1.1.2.1.1"/> <text value="Specify margin"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="1.1.1.2.2.1"/> <text value="Cannot be determined (explain)"/> <type value="string"/> <required value="true"/> </item> </item> </item> <item> <linkId value="1.1.2.1"/> <text value="Specify Margin(s), if possible"/> <type value="choice"/> <required value="true"/> <answerOption> <valueCoding> <code value="I1"/> <display value="Specify margin(s)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="I2"/> <display value="Cannot be determined (explain)"/> </valueCoding> </answerOption> <item> <linkId value="1.1.2.1.1.1"/> <text value="Specify margin(s)"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="1.1.2.1.2.1"/> <text value="Cannot be determined (explain)"/> <type value="string"/> <required value="true"/> </item> </item> <item> <linkId value="1.1.3.1"/> <text value="Cannot be determined"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="1.1.4.1"/> <text value="Not Applicable"/> <type value="string"/> <required value="true"/> </item> </item> </item> <item> <linkId value="2"/> <text value="ACCESSORY FINDINGS"/> <type value="group"/> <required value="true"/> <item> <linkId value="2.1"/> <text value="Treatment Effect (applicable to carcinomas treated with neoadjuvant therapy)"/> <type value="choice"/> <answerOption> <valueCoding> <code value="E1"/> <display value="Not identified"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="E2"/> <display value="Present (specify)"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="E3"/> <display value="Indeterminate"/> </valueCoding> </answerOption> <item> <linkId value="2.1.1.1"/> <text value="Not identified"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="2.1.2.1"/> <text value="Present (specify)"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="2.1.3.1"/> <text value="Indeterminate"/> <type value="string"/> <required value="true"/> </item> </item> <item> <linkId value="2.2"/> <text value="Tumor Description"/> <type value="choice"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="U1"/> <display value="Hemorrhagic"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="U2"/> <display value="Necrotic"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="U3"/> <display value="Invasion"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="U4"/> <display value="Other (specify)"/> </valueCoding> </answerOption> <item> <linkId value="2.2.1.1"/> <text value="??"/> <type value="choice"/> <repeats value="true"/> <answerOption> <valueCoding> <code value="V1"/> <display value="Capsule"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="V2"/> <display value="Vessels"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <code value="V3"/> <display value="Extra-adrenal (specify)"/> </valueCoding> </answerOption> <item> <linkId value="2.2.1.1.1.1"/> <text value="Extra-adrenal (specify)"/> <type value="string"/> <required value="true"/> </item> </item> <item> <linkId value="2.2.2.1"/> <text value="Other (specify)"/> <type value="string"/> <required value="true"/> </item> </item> </item> </Questionnaire>