@prefix fhir: . @prefix loinc: . @prefix owl: . @prefix rdf: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:_Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "questionnaire-sdc-profile-example-form-behavior"] ; # fhir:meta [ fhir:profile ( [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-behave"^^xsd:anyURI ; fhir:l ] ) ] ; # fhir:language [ fhir:v "en"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div [ fhir:v "

Generated Narrative: Questionnaire questionnaire-sdc-profile-example-form-behavior

Structure#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n
LinkIDTextCardinalityTypeFlagsDescription & Constraints\"doco\"
\".\"\".\" SDCAdvancedRenderingExampleQuestionnairehttp://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-form-behavior#4.0.0
\".\"\".\"\".\" 1Value constraints0..1group
\".\"\".\"\".\"\".\" 1.1First Name0..1stringMax Length: 50
\".\"\".\"\".\"\".\" 1.2Last Name0..1string
\".\"\".\"\".\"\".\" 1.3Postal Code (A1A 1A1)0..1string
\".\"\".\"\".\"\".\" 1.4Enter your weight in kg0..1decimal
\".\"\".\"\".\"\".\" 1.5Body Weight0..1quantity
\".\"\".\"\".\"\".\" 1.6Attach Proof of Citizenship0..1attachment
\".\"\".\"\".\" 2Value constraints0..1group
\".\"\".\"\".\"\".\" 2.1(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.0..1choiceOptions: 4 options
\".\"\".\"\".\"\".\" 2.3Activity Level0..1choiceValue Set: LOINC Answer Codes for LL4882-8
\".\"\".\"\".\"\".\" 2.5Applicable health conditions0..*choiceValue Set: Questionnaire Form Behavior Conditions
\".\"\".\"\".\"\".\" 2.6Email*1..1string
\".\"\".\"\".\"\".\" 2.7Current Date:0..1date\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" 2.7.1null0..1display
\".\"\".\"\".\"\".\" 2.8Heart History (check all that applies)0..*open-choiceOptions: 5 options
\".\"\".\"\".\"\".\" 2.9Heart History (check at least 2):1..*choiceOptions: 5 options
\".\"\".\"\".\"\".\" 2.10Heart History (check no more than 3):1..*choiceOptions: 5 options
\".\"\".\"\".\"\".\" 2.11What treatments do you now have for heart disease? (select all that applies)0..*choiceOptions: 6 options
\".\"\".\"\".\"\".\" 2.12Dosage0..1quantity
\".\"\".\"\".\"\".\" 2.13Specify age:0..1quantity
\".\"\".\"\".\"\".\" 2.14Select your preferred practitioner:0..1reference
\".\"\".\"\".\" 3Calculation0..1group
\".\"\".\"\".\"\".\" 3.1Deadline for submission (7 days from now)0..1date\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" 3.2null0..1group
\".\"\".\"\".\"\".\"\".\" 3.2.1Last Name:0..1string\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\"\".\" 3.2.2First Name:0..1string\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\"\".\" 3.2.3Gender:0..1string\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" 3.3Calculated Expression0..1group
\".\"\".\"\".\"\".\"\".\" 3.3.1Weight (kg)0..1decimal
\".\"\".\"\".\"\".\"\".\" 3.3.2Body Height (inches)0..1decimal
\".\"\".\"\".\"\".\"\".\" 3.3.3Your Body Mass Index (BMI)0..1decimal\"icon\"/\"icon\"/
\".\"\".\"\".\"\".\" 3.4CQF-related Example0..1group
\".\"\".\"\".\"\".\"\".\" 3.4.1Enter weight in kg0..1decimal
\".\"\".\"\".\"\".\"\".\" 3.4.2Enter email address0..1string
\".\"\".\"\".\"\".\" 3.5null0..1display
\".\"\".\"\".\" 4Other Controls0..1group
\".\"\".\"\".\"\".\" 4.1Marital Status0..1choiceValue Set: MaritalStatus
Initial Value: Coding = MaritalStatus#D \"Divorced\"
\".\"\".\"\".\"\".\" 4.2null0..1group
\".\"\".\"\".\"\".\"\".\" 4.2.1Choose Gender0..1choiceValue Set: AdministrativeGender
\".\"\".\"\".\"\".\"\".\" 4.2.2Are you pregnant? (enableWhen = gender is Female, disableDisplay=protected)0..1choiceEnable When: 4.2.1 = Female (AdministrativeGender#female)
Value Set: Yes/No/Don't Know
\".\"\".\"\".\"\".\"\".\" 4.2.3Are you diabetic? (enableWhen = gender is Female, disableDisplay=hidden)0..1choiceEnable When: 4.2.1 = Female (AdministrativeGender#female)
Value Set: Yes/No/Don't Know
\".\"\".\"\".\"\".\"\".\" 4.2.4Have you been diagnosed with Gestational Diabetes? (enableBehavior = only when pregnant and diabetic, disableDisplay=protected)0..1choiceEnable When:
  • 4.2.2 = Yes (v2 Y/N Indicator#Y)
  • 4.2.3 = Yes (v2 Y/N Indicator#Y)

Value Set: Yes/No/Don't Know
\".\"\".\"\".\"\".\"\".\" 4.2.5Enter your birthdate (MM/DD/YYYY)0..1dateValue Set: AdministrativeGender
\".\"\".\"\".\"\".\"\".\" 4.2.6Have you had mammogram before?(enableWhenExpression = only when gender is female and age > 40, disableDisplay=protected)0..1choiceValue Set: Yes/No/Don't Know
\".\"\".\"\".\"\".\" 4.4Signature of Patient1..1attachment
\".\"\".\"\".\"\".\" 4.5All the practitioners below can speak the patient's language. Choose all preferred practioners:0..*reference
\".\"\".\"\".\"\".\" 4.6null0..1group
\".\"\".\"\".\"\".\"\".\" 4.6.1Home Address0..1display
\".\"\".\"\".\"\".\"\".\" 4.6.2Address0..1stringDefinition: Patient.address.line
\".\"\".\"\".\"\".\"\".\" 4.6.3City0..1stringDefinition: Patient.address.city
\".\"\".\"\".\"\".\"\".\" 4.6.4Province0..1choiceDefinition: Patient.address.state
Options: 10 options
\".\"\".\"\".\"\".\"\".\" 4.6.5Postal Code0..1stringDefinition: Patient.address.postalCode

\"doco\" Documentation for this format

Options Sets

Answer options for 2.1

  • http://loinc.org#LA28397-0 (\"Often true\")
  • http://loinc.org#LA6729-3 (\"Sometimes true\")
  • http://loinc.org#LA28398-8 (\"Never true\")
  • http://loinc.org#LA15775-2 (\"Don't know/refused\")

Answer options for 2.8

  • http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")
  • http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")
  • http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")
  • http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")
  • http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")

Answer options for 2.9

  • http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")
  • http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")
  • http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")
  • http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")
  • http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")

Answer options for 2.10

  • http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")
  • http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")
  • http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")
  • http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")
  • http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")

Answer options for 2.11

  • http://example.org/CodeSystem/treatments#noTreatment (\"NoTreatment\")
  • http://example.org/CodeSystem/treatments#aspirin (\"Aspirin\")
  • http://example.org/CodeSystem/treatments#otherMeds (\"Other medicines, tablets, or pills\")
  • http://example.org/CodeSystem/treatments#diet (\"Diet\")
  • http://example.org/CodeSystem/treatments#exercise (\"Exercise\")
  • http://example.org/CodeSystem/treatments#none (\"None of the above\")

Answer options for 4.6.4

  • http://example.org/CodeSystem/provinces#Alberta (\"Alberta\")
  • http://example.org/CodeSystem/provinces#BritishColumbia (\"British Columbia\")
  • http://example.org/CodeSystem/provinces#Manitoba (\"Manitoba\")
  • http://example.org/CodeSystem/provinces#NewBrunswick (\"New Brunswick\")
  • http://example.org/CodeSystem/provinces#NewfoundlandAndLabrador (\"Newfoundland and Labrador\")
  • http://example.org/CodeSystem/provinces#NovaScotia (\"Nova Scotia\")
  • http://example.org/CodeSystem/provinces#Ontario (\"Ontario\")
  • http://example.org/CodeSystem/provinces#PrinceEdwardIsland (\"Prince Edward Island\")
  • http://example.org/CodeSystem/provinces#Quebec (\"Quebec\")
  • http://example.org/CodeSystem/provinces#Saskatchewan (\"Saskatchewan\")

Contained Resources

ValueSet #WeightUnits

Profile: SDC Value Set

This value set includes codes based on the following rules:

"^^rdf:XMLLiteral ] ] ; # fhir:contained ( [ a fhir:ValueSet ; fhir:id [ fhir:v "WeightUnits" ] ; fhir:meta [ fhir:profile ( [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset"^^xsd:anyURI ; fhir:l ] ) ] ; fhir:name [ fhir:v "WeightUnits" ] ; fhir:status [ fhir:v "active" ] ; fhir:description [ fhir:v "Adds 'unknown' to the ucum body weight value set" ] ; fhir:immutable [ fhir:v false ] ; fhir:compose [ fhir:include ( [ fhir:valueSet ( [ fhir:v "http://hl7.org/fhir/ValueSet/ucum-bodyweight"^^xsd:anyURI ; fhir:l ] ) ] [ fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/data-absent-reason"^^xsd:anyURI ; fhir:l ] ; fhir:version [ fhir:v "1.0.0" ] ; fhir:concept ( [ fhir:code [ fhir:v "unknown" ] ; fhir:display [ fhir:v "Unknown" ] ] ) ] ) ] ] ) ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/version-algorithm"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "semver" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/variable"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:name [ fhir:v "weight" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%resource.repeat(item).where(linkId='3.3.1').item.answer.value" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/variable"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:name [ fhir:v "height" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%resource.repeat(item).where(linkId='3.3.2').item.answer.value*0.0254" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-library"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://example.org/Library/MeasurementLimits"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "name"^^xsd:anyURI ; fhir:l fhir:name ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "patient" ] ; fhir:display [ fhir:v "Patient" ] ] ] [ fhir:url [ fhir:v "type"^^xsd:anyURI ; fhir:l fhir:type ] ; fhir:value [ a fhir:Code ; fhir:v "Patient" ] ] [ fhir:url [ fhir:v "description"^^xsd:anyURI ; fhir:l fhir:description ] ; fhir:value [ a fhir:String ; fhir:v "The patient that is to be used to pre-populate the form" ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext"^^xsd:anyURI ; fhir:l ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-endpoint"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Uri ; fhir:v "http://example.org/QuestionnaireResponse/create"^^xsd:anyURI ; fhir:l ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "sequential" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleDefinitionRoot"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Uri ; fhir:v "http://example.org/StructureDefinition/myElementLibrary"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:modifierExtension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode"^^xsd:anyURI ; fhir:l ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression"^^xsd:anyURI ; fhir:l ] ] ) ; # fhir:url [ fhir:v "http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-form-behavior"^^xsd:anyURI ; fhir:l ] ; # fhir:identifier ( [ fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ; fhir:l ] ; fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.17.35.9" ] ] ) ; # fhir:version [ fhir:v "4.0.0"] ; # fhir:name [ fhir:v "SDCAdvancedRenderingExample"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2026-03-24T16:16:08+11:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / FHIR Infrastructure"] ; # fhir:contact ( [ fhir:name [ fhir:v "HL7 International / FHIR Infrastructure" ] ; fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ] ] ) ] [ fhir:telecom ( [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ] ] ) ] ) ; # fhir:jurisdiction ( [ fhir:coding ( [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:item ( [ fhir:linkId [ fhir:v "1" ] ; fhir:text [ fhir:v "Value constraints" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "1.1" ] ; fhir:text [ fhir:v "First Name" ] ; fhir:type [ fhir:v "string" ] ; fhir:maxLength [ fhir:v 50 ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/minLength"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Integer ; fhir:v 2 ] ] ) ; fhir:linkId [ fhir:v "1.2" ] ; fhir:text [ fhir:v "Last Name" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "key"^^xsd:anyURI ; fhir:l fhir:key ] ; fhir:value [ a fhir:Id ; fhir:v "contraint-regex1" ] ] [ fhir:url [ fhir:v "severity"^^xsd:anyURI ; fhir:l fhir:severity ] ; fhir:value [ a fhir:Code ; fhir:v "error" ] ] [ fhir:url [ fhir:v "expression"^^xsd:anyURI ; fhir:l fhir:expression ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%resource.repeat(item).where(linkId='1.3').answer.all(value.matches('[A-Z][0-9][A-Z] [0-9][A-Z][0-9]'))" ] ] ] [ fhir:url [ fhir:v "human"^^xsd:anyURI ; fhir:l fhir:human ] ; fhir:value [ a fhir:String ; fhir:v "Postal code must match syntax A1A 1A1." ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/targetConstraint"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "1.3" ] ; fhir:text [ fhir:v "Postal Code (A1A 1A1)" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/minValue"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "1"^^xsd:decimal ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/maxValue"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "100"^^xsd:decimal ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Integer ; fhir:v 2 ] ] ) ; fhir:linkId [ fhir:v "1.4" ] ; fhir:text [ fhir:v "Enter your weight in kg" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "#WeightUnits"^^xsd:anyURI ; fhir:l <#WeightUnits> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-minQuantity"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "10"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "kg" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-maxQuantity"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "100"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "kg" ] ] ] ) ; fhir:linkId [ fhir:v "1.5" ] ; fhir:text [ fhir:v "Body Weight" ] ; fhir:type [ fhir:v "quantity" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/mimeType"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "image/jpeg" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/mimeType"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "application/pdf" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/maxSize"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "1048576"^^xsd:decimal ] ] ) ; fhir:linkId [ fhir:v "1.6" ] ; fhir:text [ fhir:v "Attach Proof of Citizenship" ] ; fhir:type [ fhir:v "attachment" ] ] ) ] [ fhir:linkId [ fhir:v "2" ] ; fhir:text [ fhir:v "Value constraints" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "2.1" ] ; fhir:text [ fhir:v "(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more." ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding, loinc:LA28397-0 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LA28397-0" ] ; fhir:display [ fhir:v "Often true" ] ] ] [ fhir:value [ a fhir:Coding, loinc:LA6729-3 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LA6729-3" ] ; fhir:display [ fhir:v "Sometimes true" ] ] ] [ fhir:value [ a fhir:Coding, loinc:LA28398-8 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LA28398-8" ] ; fhir:display [ fhir:v "Never true" ] ] ] [ fhir:value [ a fhir:Coding, loinc:LA15775-2 ; fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "LA15775-2" ] ; fhir:display [ fhir:v "Don't know/refused" ] ] ] ) ] [ fhir:linkId [ fhir:v "2.3" ] ; fhir:text [ fhir:v "Activity Level" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerValueSet [ fhir:v "http://loinc.org/vs/LL4882-8"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:extension ( [ fhir:url [ fhir:v "option"^^xsd:anyURI ; fhir:l fhir:option ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/conditions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "3" ] ] ] [ fhir:url [ fhir:v "expression"^^xsd:anyURI ; fhir:l fhir:expression ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.gender!='male'" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "option"^^xsd:anyURI ; fhir:l fhir:option ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/conditions"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "4" ] ] ] [ fhir:url [ fhir:v "expression"^^xsd:anyURI ; fhir:l fhir:expression ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.gender!='female'" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "2.5" ] ; fhir:text [ fhir:v "Applicable health conditions" ] ; fhir:type [ fhir:v "choice" ] ; fhir:repeats [ fhir:v true ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/uv/sdc/ValueSet/formBehaviorConditions"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-keyboard"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/keyboardType"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "email" ] ; fhir:display [ fhir:v "email" ] ] ] ) ; fhir:linkId [ fhir:v "2.6" ] ; fhir:text [ fhir:v "Email*" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v true ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "current date" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "today()" ] ] ] ) ; fhir:linkId [ fhir:v "2.7" ] ; fhir:text [ fhir:v "Current Date:" ] ; fhir:type [ fhir:v "date" ] ; fhir:readOnly [ fhir:v true ] ] [ fhir:linkId [ fhir:v "2.7.1" ] ; fhir:text [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "Substitute in current date" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "'Please only enter data that has been validated as of ' + today()" ] ] ] ) ] ; fhir:type [ fhir:v "display" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-openLabel"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "Other event (specify)" ] ] ) ; fhir:linkId [ fhir:v "2.8" ] ; fhir:text [ fhir:v "Heart History (check all that applies)" ] ; fhir:type [ fhir:v "open-choice" ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U1" ] ; fhir:display [ fhir:v "Heart attack" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U2" ] ; fhir:display [ fhir:v "Heart surgery" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U3" ] ; fhir:display [ fhir:v "Cardiac catheterization" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U4" ] ; fhir:display [ fhir:v "Coronary angioplasty (PTCA)" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U5" ] ; fhir:display [ fhir:v "Cardiac pacemaker" ] ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Integer ; fhir:v 2 ] ] ) ; fhir:linkId [ fhir:v "2.9" ] ; fhir:text [ fhir:v "Heart History (check at least 2):" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U1" ] ; fhir:display [ fhir:v "Heart attack" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U2" ] ; fhir:display [ fhir:v "Heart surgery" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U3" ] ; fhir:display [ fhir:v "Cardiac catheterization" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U4" ] ; fhir:display [ fhir:v "Coronary angioplasty (PTCA)" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U5" ] ; fhir:display [ fhir:v "Cardiac pacemaker" ] ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Integer ; fhir:v 3 ] ] ) ; fhir:linkId [ fhir:v "2.10" ] ; fhir:text [ fhir:v "Heart History (check no more than 3):" ] ; fhir:type [ fhir:v "choice" ] ; fhir:required [ fhir:v true ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U1" ] ; fhir:display [ fhir:v "Heart attack" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U2" ] ; fhir:display [ fhir:v "Heart surgery" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U3" ] ; fhir:display [ fhir:v "Cardiac catheterization" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U4" ] ; fhir:display [ fhir:v "Coronary angioplasty (PTCA)" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/procedures"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "U5" ] ; fhir:display [ fhir:v "Cardiac pacemaker" ] ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "check-box" ] ; fhir:display [ fhir:v "Check-box" ] ] ) ] ] ) ; fhir:linkId [ fhir:v "2.11" ] ; fhir:text [ fhir:v "What treatments do you now have for heart disease? (select all that applies)" ] ; fhir:type [ fhir:v "choice" ] ; fhir:repeats [ fhir:v true ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "noTreatment" ] ; fhir:display [ fhir:v "NoTreatment" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "aspirin" ] ; fhir:display [ fhir:v "Aspirin" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "otherMeds" ] ; fhir:display [ fhir:v "Other medicines, tablets, or pills" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "diet" ] ; fhir:display [ fhir:v "Diet" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "exercise" ] ; fhir:display [ fhir:v "Exercise" ] ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/treatments"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "none" ] ; fhir:display [ fhir:v "None of the above" ] ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mL" ] ; fhir:display [ fhir:v "mL" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "L" ] ; fhir:display [ fhir:v "L" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "g" ] ; fhir:display [ fhir:v "g" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "mg" ] ; fhir:display [ fhir:v "mg" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-unitOpen"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "optionsOrType" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-unitSupplementalSystem"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://example.org/SomeUnitCodeSystem"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "2.12" ] ; fhir:text [ fhir:v "Dosage" ] ; fhir:type [ fhir:v "quantity" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://hl7.org/fhir/ValueSet/age-units"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "2.13" ] ; fhir:text [ fhir:v "Specify age:" ] ; fhir:type [ fhir:v "quantity" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "Practitioner" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://example.org/fhir/StructureDefinition/my-practitioner"^^xsd:anyURI ; fhir:l ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-lookupQuestionnaire"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Canonical ; fhir:v "http://example.org/Questionnaire/1234"^^xsd:anyURI ; fhir:l ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "all active practitioners" ] ; fhir:language [ fhir:v "application/x-fhir-query" ] ; fhir:expression [ fhir:v "Practitioner?active=true&_sort=family,given" ] ] ] [ fhir:extension ( [ fhir:url [ fhir:v "path"^^xsd:anyURI ; fhir:l fhir:path ] ; fhir:value [ a fhir:String ; fhir:v "name.where(use='official').family + ', ' + name.where(use='official').given.first()" ] ] [ fhir:url [ fhir:v "forDisplay"^^xsd:anyURI ; fhir:l fhir:forDisplay ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "2.14" ] ; fhir:text [ fhir:v "Select your preferred practitioner:" ] ; fhir:type [ fhir:v "reference" ] ] ) ] [ fhir:linkId [ fhir:v "3" ] ; fhir:text [ fhir:v "Calculation" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "deadline for submission" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "today() + 7 days" ] ] ] ) ; fhir:linkId [ fhir:v "3.1" ] ; fhir:text [ fhir:v "Deadline for submission (7 days from now)" ] ; fhir:type [ fhir:v "date" ] ; fhir:readOnly [ fhir:v true ] ] [ fhir:linkId [ fhir:v "3.2" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "patient's last name" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.name.where(use='official').given.first()" ] ] ] ) ; fhir:linkId [ fhir:v "3.2.1" ] ; fhir:text [ fhir:v "Last Name:" ] ; fhir:type [ fhir:v "string" ] ; fhir:readOnly [ fhir:v true ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "patient's first name" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.name.where(use='official').family" ] ] ] ) ; fhir:linkId [ fhir:v "3.2.2" ] ; fhir:text [ fhir:v "First Name:" ] ; fhir:type [ fhir:v "string" ] ; fhir:readOnly [ fhir:v true ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "patient's gender" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.gender" ] ] ] ) ; fhir:linkId [ fhir:v "3.2.3" ] ; fhir:text [ fhir:v "Gender:" ] ; fhir:type [ fhir:v "string" ] ; fhir:readOnly [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "3.3" ] ; fhir:text [ fhir:v "Calculated Expression" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unit"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "kg" ] ] ] ) ; fhir:linkId [ fhir:v "3.3.1" ] ; fhir:text [ fhir:v "Weight (kg)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-unit"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "[in_i]" ] ] ] ) ; fhir:linkId [ fhir:v "3.3.2" ] ; fhir:text [ fhir:v "Body Height (inches)" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "BMI Calculation" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "(%weight/(%height.power(2))).round(1)" ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleDefinitionRoot"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Boolean ; fhir:v false ] ] ) ; fhir:linkId [ fhir:v "3.3.3" ] ; fhir:text [ fhir:v "Your Body Mass Index (BMI)" ] ; fhir:type [ fhir:v "decimal" ] ; fhir:readOnly [ fhir:v true ] ] ) ] [ fhir:linkId [ fhir:v "3.4" ] ; fhir:text [ fhir:v "CQF-related Example" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/minValue"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "1"^^xsd:decimal ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "min_weight" ] ] ] ) ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/maxValue"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Decimal ; fhir:v "100"^^xsd:decimal ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "max_weight" ] ] ] ) ] ] ) ; fhir:linkId [ fhir:v "3.4.1" ] ; fhir:text [ fhir:v "Enter weight in kg" ] ; fhir:type [ fhir:v "decimal" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-keyboard"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/keyboardType"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "email" ] ; fhir:display [ fhir:v "email" ] ] ] ) ; fhir:linkId [ fhir:v "3.4.2" ] ; fhir:text [ fhir:v "Enter email address" ] ; fhir:type [ fhir:v "string" ] ; fhir:required [ fhir:v false ; fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "current date" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.active" ] ] ] ) ] ] ) ] [ fhir:linkId [ fhir:v "3.5" ] ; fhir:text [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "last immunization date" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "'Your last immunization was on '+ %Immunization.occurrenceDateTime.substring(0,10) + '.'" ] ] ] ) ] ; fhir:type [ fhir:v "display" ] ] ) ] [ fhir:linkId [ fhir:v "4" ] ; fhir:text [ fhir:v "Other Controls" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "4.1" ] ; fhir:text [ fhir:v "Marital Status" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/marital-status"^^xsd:anyURI ; fhir:l ] ; fhir:initial ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "D" ] ; fhir:display [ fhir:v "Divorced" ] ] ] ) ] [ fhir:linkId [ fhir:v "4.2" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "4.2.1" ] ; fhir:text [ fhir:v "Choose Gender" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/administrative-gender"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "protected" ] ] ) ; fhir:linkId [ fhir:v "4.2.2" ] ; fhir:text [ fhir:v "Are you pregnant? (enableWhen = gender is Female, disableDisplay=protected)" ] ; fhir:type [ fhir:v "choice" ] ; fhir:enableWhen ( [ fhir:question [ fhir:v "4.2.1" ] ; fhir:operator [ fhir:v "=" ] ; fhir:answer [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "female" ] ] ] ) ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/yesnodontknow"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "hidden" ] ] ) ; fhir:linkId [ fhir:v "4.2.3" ] ; fhir:text [ fhir:v "Are you diabetic? (enableWhen = gender is Female, disableDisplay=hidden)" ] ; fhir:type [ fhir:v "choice" ] ; fhir:enableWhen ( [ fhir:question [ fhir:v "4.2.1" ] ; fhir:operator [ fhir:v "=" ] ; fhir:answer [ a fhir:Coding ; fhir:system [ fhir:v "http://hl7.org/fhir/administrative-gender"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "female" ] ] ] ) ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/yesnodontknow"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "protected" ] ] ) ; fhir:linkId [ fhir:v "4.2.4" ] ; fhir:text [ fhir:v "Have you been diagnosed with Gestational Diabetes? (enableBehavior = only when pregnant and diabetic, disableDisplay=protected)" ] ; fhir:type [ fhir:v "choice" ] ; fhir:enableWhen ( [ fhir:question [ fhir:v "4.2.2" ] ; fhir:operator [ fhir:v "=" ] ; fhir:answer [ a fhir:Coding ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Y" ] ] ] [ fhir:question [ fhir:v "4.2.3" ] ; fhir:operator [ fhir:v "=" ] ; fhir:answer [ a fhir:Coding ; fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0136"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Y" ] ] ] ) ; fhir:enableBehavior [ fhir:v "all" ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/yesnodontknow"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/entryFormat"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:String ; fhir:v "MM/DD/YYYY" ] ] ) ; fhir:linkId [ fhir:v "4.2.5" ] ; fhir:text [ fhir:v "Enter your birthdate (MM/DD/YYYY)" ] ; fhir:type [ fhir:v "date" ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/administrative-gender"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "protected" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "if last 2 questions were answered" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%resource.repeat(item).where(linkId='4.2.b.1').answer.value.code ='female' and today().toString().substring(0, 4).toInteger() - %resource.repeat(item).where(linkId='4.2.b.5').answer.value.toString().substring(0, 4).toInteger() >= 40" ] ] ] ) ; fhir:linkId [ fhir:v "4.2.6" ] ; fhir:text [ fhir:v "Have you had mammogram before?(enableWhenExpression = only when gender is female and age > 40, disableDisplay=protected)" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerValueSet [ fhir:v "http://hl7.org/fhir/ValueSet/yesnodontknow"^^xsd:anyURI ; fhir:l ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:CodeableConcept ; fhir:coding ( [ fhir:system [ fhir:v "urn:iso-astm:E1762-95:2013"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "1.2.840.10065.1.12.1.8" ] ; fhir:display [ fhir:v "Signature Witness Signature" ] ] ) ; fhir:text [ fhir:v "the signature of a witness to any other signature." ] ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Code ; fhir:v "capture" ] ] ) ; fhir:linkId [ fhir:v "4.4" ] ; fhir:text [ fhir:v "Signature of Patient" ] ; fhir:type [ fhir:v "attachment" ] ; fhir:required [ fhir:v true ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-candidateExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "active practitioners that speak at least one of the patient's language" ] ; fhir:language [ fhir:v "application/x-fhir-query" ] ; fhir:expression [ fhir:v "Practitioner?communication=&active=true" ] ] ] [ fhir:extension ( [ fhir:url [ fhir:v "path"^^xsd:anyURI ; fhir:l fhir:path ] ; fhir:value [ a fhir:String ; fhir:v "name.first().family" ] ] [ fhir:url [ fhir:v "label"^^xsd:anyURI ; fhir:l fhir:label ] ; fhir:value [ a fhir:String ; fhir:v "LAST NAME" ] ] [ fhir:url [ fhir:v "width"^^xsd:anyURI ; fhir:l fhir:width ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "40"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "%" ] ] ] [ fhir:url [ fhir:v "forDisplay"^^xsd:anyURI ; fhir:l fhir:forDisplay ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "path"^^xsd:anyURI ; fhir:l fhir:path ] ; fhir:value [ a fhir:String ; fhir:v "name.first().given.first()" ] ] [ fhir:url [ fhir:v "label"^^xsd:anyURI ; fhir:l fhir:label ] ; fhir:value [ a fhir:String ; fhir:v "FIRST NAME" ] ] [ fhir:url [ fhir:v "width"^^xsd:anyURI ; fhir:l fhir:width ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "40"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "%" ] ] ] [ fhir:url [ fhir:v "forDisplay"^^xsd:anyURI ; fhir:l fhir:forDisplay ] ; fhir:value [ a fhir:Boolean ; fhir:v true ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"^^xsd:anyURI ; fhir:l ] ] [ fhir:extension ( [ fhir:url [ fhir:v "path"^^xsd:anyURI ; fhir:l fhir:path ] ; fhir:value [ a fhir:String ; fhir:v "gender" ] ] [ fhir:url [ fhir:v "label"^^xsd:anyURI ; fhir:l fhir:label ] ; fhir:value [ a fhir:String ; fhir:v "GENDER" ] ] [ fhir:url [ fhir:v "width"^^xsd:anyURI ; fhir:l fhir:width ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "20"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "%" ] ] ] [ fhir:url [ fhir:v "forDisplay"^^xsd:anyURI ; fhir:l fhir:forDisplay ] ; fhir:value [ a fhir:Boolean ; fhir:v false ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn"^^xsd:anyURI ; fhir:l ] ] ) ; fhir:linkId [ fhir:v "4.5" ] ; fhir:text [ fhir:v "All the practitioners below can speak the patient's language. Choose all preferred practioners:" ] ; fhir:type [ fhir:v "reference" ] ; fhir:repeats [ fhir:v true ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "Home address of the patient" ] ; fhir:name [ fhir:v "homeAddress" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%patient.address.where(use='home').first()" ] ] ] ) ; fhir:linkId [ fhir:v "4.6" ] ; fhir:type [ fhir:v "group" ] ; fhir:item ( [ fhir:linkId [ fhir:v "4.6.1" ] ; fhir:text [ fhir:v "Home Address" ] ; fhir:type [ fhir:v "display" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "Address Line 1" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%homeAddress.line.first()" ] ] ] ) ; fhir:linkId [ fhir:v "4.6.2" ] ; fhir:definition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.line"^^xsd:anyURI ; fhir:l ] ; fhir:text [ fhir:v "Address" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "City" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%homeAddress.city" ] ] ] ) ; fhir:linkId [ fhir:v "4.6.3" ] ; fhir:definition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.city"^^xsd:anyURI ; fhir:l ] ; fhir:text [ fhir:v "City" ] ; fhir:type [ fhir:v "string" ] ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "State" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%homeAddress.state" ] ] ] ) ; fhir:linkId [ fhir:v "4.6.4" ] ; fhir:definition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.state"^^xsd:anyURI ; fhir:l ] ; fhir:text [ fhir:v "Province" ] ; fhir:type [ fhir:v "choice" ] ; fhir:answerOption ( [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Alberta" ] ; fhir:display [ fhir:v "Alberta" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "BritishColumbia" ] ; fhir:display [ fhir:v "British Columbia" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Manitoba" ] ; fhir:display [ fhir:v "Manitoba" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "NewBrunswick" ] ; fhir:display [ fhir:v "New Brunswick" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "NewfoundlandAndLabrador" ] ; fhir:display [ fhir:v "Newfoundland and Labrador" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "NovaScotia" ] ; fhir:display [ fhir:v "Nova Scotia" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Ontario" ] ; fhir:display [ fhir:v "Ontario" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "PrinceEdwardIsland" ] ; fhir:display [ fhir:v "Prince Edward Island" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Quebec" ] ; fhir:display [ fhir:v "Quebec" ] ] ] [ fhir:value [ a fhir:Coding ; fhir:system [ fhir:v "http://example.org/CodeSystem/provinces"^^xsd:anyURI ; fhir:l ] ; fhir:code [ fhir:v "Saskatchewan" ] ; fhir:display [ fhir:v "Saskatchewan" ] ] ] ) ] [ fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"^^xsd:anyURI ; fhir:l ] ; fhir:value [ a fhir:Expression ; fhir:description [ fhir:v "Postal Code" ] ; fhir:language [ fhir:v "text/fhirpath" ] ; fhir:expression [ fhir:v "%homeAddress.postalCode" ] ] ] ) ; fhir:linkId [ fhir:v "4.6.5" ] ; fhir:definition [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode"^^xsd:anyURI ; fhir:l ] ; fhir:text [ fhir:v "Postal Code" ] ; fhir:type [ fhir:v "string" ] ] ) ] ) ] ) . # # -------------------------------------------------------------------------------------