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| 1 | +{ |
| 2 | + "type": "batch", |
| 3 | + "entry": [ |
| 4 | + { |
| 5 | + "resource": { |
| 6 | + "resourceType": "Questionnaire", |
| 7 | + "title": "CVD Reference Form", |
| 8 | + "id": "cvd-reference-form", |
| 9 | + "status": "draft", |
| 10 | + "url": "http://forms.aidbox.io/questionnaire/cvd-form", |
| 11 | + "item": [ |
| 12 | + { |
| 13 | + "item": [ |
| 14 | + { |
| 15 | + "text": "Given", |
| 16 | + "type": "string", |
| 17 | + "linkId": "kG70nh3M", |
| 18 | + "extension": [ |
| 19 | + { |
| 20 | + "url": "http://aidbox.io/questionnaire-itemColumnSize", |
| 21 | + "valueInteger": 4 |
| 22 | + } |
| 23 | + ] |
| 24 | + }, |
| 25 | + { |
| 26 | + "text": "Family", |
| 27 | + "type": "string", |
| 28 | + "linkId": "kpiXBdPU", |
| 29 | + "extension": [ |
| 30 | + { |
| 31 | + "url": "http://aidbox.io/questionnaire-itemColumnSize", |
| 32 | + "valueInteger": 4 |
| 33 | + } |
| 34 | + ] |
| 35 | + }, |
| 36 | + { |
| 37 | + "text": "Gender", |
| 38 | + "type": "choice", |
| 39 | + "linkId": "Jw_kMVir", |
| 40 | + "extension": [ |
| 41 | + { |
| 42 | + "url": "http://aidbox.io/questionnaire-itemColumnSize", |
| 43 | + "valueInteger": 4 |
| 44 | + } |
| 45 | + ], |
| 46 | + "answerOption": [ |
| 47 | + { |
| 48 | + "valueCoding": { |
| 49 | + "code": "male", |
| 50 | + "display": "Male" |
| 51 | + } |
| 52 | + }, |
| 53 | + { |
| 54 | + "valueCoding": { |
| 55 | + "code": "female", |
| 56 | + "display": "Female" |
| 57 | + } |
| 58 | + } |
| 59 | + ] |
| 60 | + } |
| 61 | + ], |
| 62 | + "text": "Patient", |
| 63 | + "type": "group", |
| 64 | + "linkId": "Zicv0gIs" |
| 65 | + }, |
| 66 | + { |
| 67 | + "item": [ |
| 68 | + { |
| 69 | + "text": "Height", |
| 70 | + "type": "quantity", |
| 71 | + "linkId": "height", |
| 72 | + "extension": [ |
| 73 | + { |
| 74 | + "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption", |
| 75 | + "valueCoding": { |
| 76 | + "display": "cm" |
| 77 | + } |
| 78 | + } |
| 79 | + ] |
| 80 | + }, |
| 81 | + { |
| 82 | + "text": "Weight", |
| 83 | + "type": "quantity", |
| 84 | + "linkId": "weight", |
| 85 | + "extension": [ |
| 86 | + { |
| 87 | + "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption", |
| 88 | + "valueCoding": { |
| 89 | + "display": "kg" |
| 90 | + } |
| 91 | + } |
| 92 | + ] |
| 93 | + }, |
| 94 | + { |
| 95 | + "code": [ |
| 96 | + { |
| 97 | + "code": "60621009", |
| 98 | + "system": "http://snomed.info/sct", |
| 99 | + "display": "Body Mass Index " |
| 100 | + } |
| 101 | + ], |
| 102 | + "item": [ |
| 103 | + { |
| 104 | + "text": "BMI=[Wt(kg) / Ht(cm) / Ht(cm)] * 10000", |
| 105 | + "type": "display", |
| 106 | + "linkId": "S1FZst5d", |
| 107 | + "extension": [ |
| 108 | + { |
| 109 | + "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", |
| 110 | + "valueCodeableConcept": { |
| 111 | + "coding": [ |
| 112 | + { |
| 113 | + "code": "help" |
| 114 | + } |
| 115 | + ] |
| 116 | + } |
| 117 | + } |
| 118 | + ] |
| 119 | + } |
| 120 | + ], |
| 121 | + "text": "BMI", |
| 122 | + "type": "decimal", |
| 123 | + "linkId": "Bx4DZWYr", |
| 124 | + "readOnly": true, |
| 125 | + "extension": [ |
| 126 | + { |
| 127 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", |
| 128 | + "valueExpression": { |
| 129 | + "language": "text/fhirpath", |
| 130 | + "expression": "(%resource.repeat(item).where(linkId='weight').answer.value.value / \n%resource.repeat(item).where(linkId='height').answer.value.value.power(2)) * 10000" |
| 131 | + } |
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| 135 | + "valueDecimal": 4 |
| 136 | + }, |
| 137 | + { |
| 138 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", |
| 139 | + "valueBoolean": true |
| 140 | + }, |
| 141 | + { |
| 142 | + "url": "http://aidbox.io/questionnaire-itemColumnSize", |
| 143 | + "valueInteger": 10 |
| 144 | + } |
| 145 | + ] |
| 146 | + }, |
| 147 | + { |
| 148 | + "text": "Obesity", |
| 149 | + "type": "boolean", |
| 150 | + "linkId": "zZvgjBlR", |
| 151 | + "readOnly": true, |
| 152 | + "extension": [ |
| 153 | + { |
| 154 | + "url": "http://aidbox.io/questionnaire-itemColumnSize", |
| 155 | + "valueInteger": 2 |
| 156 | + }, |
| 157 | + { |
| 158 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression", |
| 159 | + "valueExpression": { |
| 160 | + "language": "text/fhirpath", |
| 161 | + "expression": "%resource.repeat(item).where(linkId='Bx4DZWYr').answer.value > 25.0" |
| 162 | + } |
| 163 | + } |
| 164 | + ] |
| 165 | + } |
| 166 | + ], |
| 167 | + "text": "Obesity", |
| 168 | + "type": "group", |
| 169 | + "linkId": "N6IfpJcM" |
| 170 | + }, |
| 171 | + { |
| 172 | + "code": [ |
| 173 | + { |
| 174 | + "code": "365981007", |
| 175 | + "system": "http://snomed.info/sct", |
| 176 | + "display": "Tobacco smoking behavior - finding" |
| 177 | + } |
| 178 | + ], |
| 179 | + "text": "Smoking Status", |
| 180 | + "type": "choice", |
| 181 | + "linkId": "m17jd1Yn", |
| 182 | + "extension": [ |
| 183 | + { |
| 184 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", |
| 185 | + "valueBoolean": true |
| 186 | + } |
| 187 | + ], |
| 188 | + "answerOption": [ |
| 189 | + { |
| 190 | + "valueCoding": { |
| 191 | + "code": "266919005", |
| 192 | + "system": "http://snomed.info/sct", |
| 193 | + "display": "Never smoked tobacco" |
| 194 | + } |
| 195 | + }, |
| 196 | + { |
| 197 | + "valueCoding": { |
| 198 | + "code": "77176002", |
| 199 | + "system": "http://snomed.info/sct", |
| 200 | + "display": "Smoker" |
| 201 | + } |
| 202 | + }, |
| 203 | + { |
| 204 | + "valueCoding": { |
| 205 | + "code": "43381005", |
| 206 | + "system": "http://snomed.info/sct", |
| 207 | + "display": "Passive smoker" |
| 208 | + } |
| 209 | + }, |
| 210 | + { |
| 211 | + "valueCoding": { |
| 212 | + "code": "160617001", |
| 213 | + "system": "http://snomed.info/sct", |
| 214 | + "display": "Stopped smoking" |
| 215 | + } |
| 216 | + } |
| 217 | + ] |
| 218 | + }, |
| 219 | + { |
| 220 | + "text": "Alcohol Intake", |
| 221 | + "type": "choice", |
| 222 | + "linkId": "mBMblYF9", |
| 223 | + "answerOption": [ |
| 224 | + { |
| 225 | + "valueCoding": { |
| 226 | + "code": "never-consumed", |
| 227 | + "display": "Never Consumed" |
| 228 | + } |
| 229 | + }, |
| 230 | + { |
| 231 | + "valueCoding": { |
| 232 | + "code": "yes", |
| 233 | + "display": "Yes" |
| 234 | + } |
| 235 | + } |
| 236 | + ] |
| 237 | + }, |
| 238 | + { |
| 239 | + "item": [ |
| 240 | + { |
| 241 | + "code": [ |
| 242 | + { |
| 243 | + "code": "719848005", |
| 244 | + "system": "http://snomed.info/sct", |
| 245 | + "display": "Disorder caused by alcohol" |
| 246 | + } |
| 247 | + ], |
| 248 | + "text": "In the past 6 months had 5 drinks in a row", |
| 249 | + "type": "choice", |
| 250 | + "linkId": "Ua0r9Pmh", |
| 251 | + "extension": [ |
| 252 | + { |
| 253 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", |
| 254 | + "valueBoolean": true |
| 255 | + } |
| 256 | + ], |
| 257 | + "enableWhen": [ |
| 258 | + { |
| 259 | + "answerCoding": { |
| 260 | + "code": "male", |
| 261 | + "display": "Male" |
| 262 | + }, |
| 263 | + "operator": "=", |
| 264 | + "question": "Jw_kMVir" |
| 265 | + } |
| 266 | + ], |
| 267 | + "answerOption": [ |
| 268 | + { |
| 269 | + "valueCoding": { |
| 270 | + "code": "373066001", |
| 271 | + "system": "http://snomed.info/sct", |
| 272 | + "display": "Yes" |
| 273 | + } |
| 274 | + }, |
| 275 | + { |
| 276 | + "valueCoding": { |
| 277 | + "code": "373067005", |
| 278 | + "system": "http://snomed.info/sct", |
| 279 | + "display": "No" |
| 280 | + } |
| 281 | + } |
| 282 | + ], |
| 283 | + "enableBehavior": "all" |
| 284 | + }, |
| 285 | + { |
| 286 | + "code": [ |
| 287 | + { |
| 288 | + "code": "719848005", |
| 289 | + "system": "http://snomed.info/sct", |
| 290 | + "display": "Disorder caused by alcohol" |
| 291 | + } |
| 292 | + ], |
| 293 | + "text": "In the past 6 months had 4 drinks in a row", |
| 294 | + "type": "choice", |
| 295 | + "linkId": "8nvUb8xC", |
| 296 | + "extension": [ |
| 297 | + { |
| 298 | + "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", |
| 299 | + "valueBoolean": true |
| 300 | + } |
| 301 | + ], |
| 302 | + "enableWhen": [ |
| 303 | + { |
| 304 | + "answerCoding": { |
| 305 | + "code": "female", |
| 306 | + "display": "Female" |
| 307 | + }, |
| 308 | + "operator": "=", |
| 309 | + "question": "Jw_kMVir" |
| 310 | + } |
| 311 | + ], |
| 312 | + "answerOption": [ |
| 313 | + { |
| 314 | + "valueCoding": { |
| 315 | + "code": "373066001", |
| 316 | + "system": "http://snomed.info/sct", |
| 317 | + "display": "Yes" |
| 318 | + } |
| 319 | + }, |
| 320 | + { |
| 321 | + "valueCoding": { |
| 322 | + "code": "373067005", |
| 323 | + "system": "http://snomed.info/sct", |
| 324 | + "display": "No" |
| 325 | + } |
| 326 | + } |
| 327 | + ], |
| 328 | + "enableBehavior": "all" |
| 329 | + } |
| 330 | + ], |
| 331 | + "text": "Excessive Alcohol Intake", |
| 332 | + "type": "group", |
| 333 | + "linkId": "qyIwVBRd", |
| 334 | + "enableWhen": [ |
| 335 | + { |
| 336 | + "answerCoding": { |
| 337 | + "code": "yes", |
| 338 | + "display": "Yes" |
| 339 | + }, |
| 340 | + "operator": "=", |
| 341 | + "question": "mBMblYF9" |
| 342 | + } |
| 343 | + ], |
| 344 | + "enableBehavior": "all" |
| 345 | + } |
| 346 | + ] |
| 347 | + }, |
| 348 | + "request": { |
| 349 | + "method": "PUT", |
| 350 | + "url": "/Questionnaire/cvd-reference-form" |
| 351 | + } |
| 352 | + } |
| 353 | + ] |
| 354 | +} |
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