Generated Narrative: Questionnaire questionnaire-sdc-profile-example-render

LinkID	Text	Cardinality	Type	Flags	Description & Constraints
SDCAdvancedRenderingExample			Questionnaire		http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-render#4.0.0-ballot
1	Text Appearance	0..1	group
1.1	Enter your First Name	0..1	string
1.2	Please answer Yes or No to each of the following questions:	0..1	display
1.3	ALL QUESTIONS CONTAINED IN THIS QUESTIONNAIRE ARE OPTIONAL AND WILL BE KEPT STRICTLY CONFIDENTIAL.	0..1	display
1.4	null	0..1	group
1.4.1	Form ID	0..1	string
1.4.2	Event ID	0..1	string
2	Control Appearance	0..1	group
2.1	If you have any other medical problems or serious injuries, please describe them here:	0..1	text
2.2	Gender:	0..1	choice		Options: 4 options
2.3	Rate your doctor:	0..1	integer		Initial Value: integer = 50
2.3.1	Completely dissatisfied	0..1	display
2.3.2	Completely satisfied	0..1	display
2.4	Medical History	0..1	group
2.4.1	Diabetes	0..1	choice		Options: 2 options
2.4.2	Other Information	0..1	choice		Options: 4 options
2.5	null	0..1	group
2.5.1	Relationship to patient	0..1	choice		Options: 3 options
2.5.2	Name	0..1	string
2.5.3	Gender	0..1	choice		Options: 4 options
2.6	Lifestyle Factors	0..1	group
2.6.1	Exercise Habits	0..1	choice		Options: 4 options
2.6.2	Smoking Frequency	0..1	choice		Options: 4 options
2.6.3	Alcohol Consumption	0..1	choice		Options: 4 options
3	Additional Display Content	0..1	group
3.1	Have you traveled outside the country within the last 14 days?	0..1	choice		Options: 2 options
3.2	Select Platelet:	0..1	choice		Value Set: http://loinc.org/vs/LL715-4
3.3	Gender:	0..1	choice		Options: 4 options
3.4	Enter timing of harm assessment:	0..1	choice		Value Set: Timing of harm assessment [AHRQ]
3.5	Birth Date	0..1	date
3.6	IMPORTANT: Please complete questionnaire.	0..1	display
3.7	Enter your Middle Name	0..1	string
3.8	During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits.	0..1	decimal
3.9	Which of the following time-slots are you available for?	0..1	string		Options: 6 options
Documentation for this format

Options Sets

Answer options for 2.2

• http://hl7.org/fhir/administrative-gender#female ("Female")
• http://hl7.org/fhir/administrative-gender#male ("Male")
• http://hl7.org/fhir/administrative-gender#other ("Other")
• http://hl7.org/fhir/administrative-gender#unknown ("Unknown")

Answer options for 2.4.1

• http://example.org/CodeSystem/conditions#diabetes-type1 ("Type 1")
• http://example.org/CodeSystem/conditions#diabetes-type2 ("Type 2")

Answer options for 2.4.2

• http://example.org/CodeSystem/conditions#diabetes-type1 ("Type 1")
• http://example.org/CodeSystem/conditions#diabetes-type2 ("Type 2")
• http://example.org/CodeSystem/conditions#otherinformation-hypertension ("Hypertension")
• http://example.org/CodeSystem/conditions#otherinformation-smoker ("Smoker")

Answer options for 2.5.1

• http://terminology.hl7.org/CodeSystem/v3-RoleCode#FTH ("Father")
• http://terminology.hl7.org/CodeSystem/v3-RoleCode#MTH ("Mother")
• http://terminology.hl7.org/CodeSystem/v3-RoleCode#SIB ("Sibling")

Answer options for 2.5.3

• http://hl7.org/fhir/administrative-gender#female ("Female")
• http://hl7.org/fhir/administrative-gender#male ("Male")
• http://hl7.org/fhir/administrative-gender#other ("Other")
• http://hl7.org/fhir/administrative-gender#unknown ("Unknown")

Answer options for 2.6.1

• http://example.org/CodeSystem/lifestyle#daily ("Daily")
• http://example.org/CodeSystem/lifestyle#weekly ("Weekly")
• http://example.org/CodeSystem/lifestyle#monthly ("Monthly")
• http://example.org/CodeSystem/lifestyle#never ("Never")

Answer options for 2.6.2

• http://example.org/CodeSystem/lifestyle#daily ("Daily")
• http://example.org/CodeSystem/lifestyle#weekly ("Weekly")
• http://example.org/CodeSystem/lifestyle#monthly ("Monthly")
• http://example.org/CodeSystem/lifestyle#never ("Never")

Answer options for 2.6.3

• http://example.org/CodeSystem/lifestyle#daily ("Daily")
• http://example.org/CodeSystem/lifestyle#weekly ("Weekly")
• http://example.org/CodeSystem/lifestyle#monthly ("Monthly")
• http://example.org/CodeSystem/lifestyle#never ("Never")

Answer options for 3.1

• http://terminology.hl7.org/CodeSystem/v2-0532#Y ("Yes")
• http://terminology.hl7.org/CodeSystem/v2-0532#N ("No")

Answer options for 3.3

• http://hl7.org/fhir/administrative-gender#female ("Female")
• http://hl7.org/fhir/administrative-gender#male ("Male")
• http://hl7.org/fhir/administrative-gender#other ("Other")
• http://hl7.org/fhir/administrative-gender#unknown ("Unknown")

Answer options for 3.9

• 9-10am
• 10-11am
• 11am-12pm
• 1-2pm
• 2-3pm
• 3-4pm

Contained Resources

ValueSet #LL2821-8

• Include these codes as defined in http://loinc.org

  Code	Display
  LA20752-4	Within 24 hours
  LA20753-2	After 24 hours but before 3 days
  LA20754-0	Three days or later
  LA4489-6	Unknown