{
"description": null,
"_filename": "examples/MI_SplittingExample.json.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": "2026-01-28T16:19:05.195-05:00",
"publisher": "Ontario Health & Amplify Care",
"jurisdiction": [ {
"text": "Ontario",
"coding": [ {
"code": "CA-ON",
"system": "urn:iso:std:iso:3166:-2"
} ]
} ],
"name": null,
"item": [ {
"text": "Notes",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please note that screening programs such the Ontario Breast Screening Program (OBSP) and Ontario Lung Screening Program (OLSP) have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms."
} ]
},
"linkId": "283714301370"
}, {
"item": [ {
"text": "Surname:",
"type": "string",
"linkId": "patient_surname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Surname"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "First Name:",
"type": "string",
"linkId": "patient_firstname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "First Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "DOB:",
"type": "date",
"linkId": "patient_date_of_birth",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "yyyy/MM/dd"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "DOB"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Gender:",
"type": "choice",
"linkId": "patient_gender",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Gender"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "male",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Male"
}
}, {
"valueCoding": {
"code": "female",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Female"
}
}, {
"valueCoding": {
"code": "other",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Other"
}
} ]
}, {
"text": "HN PC:",
"type": "string",
"linkId": "patient_hc_pc",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN PC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "HN:",
"type": "string",
"linkId": "patient_hc_number",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 10
}, {
"text": "HN VC:",
"type": "string",
"linkId": "patient_hc_vc",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 10
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN VC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "patient_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "patient_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address Line 2"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "patient_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "patient_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "patient_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid Canadian postal code in the format A1A 1A1."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Mobile #:",
"type": "string",
"linkId": "patient_phone_mobile",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Mobile #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Home #:",
"type": "string",
"linkId": "patient_phone_home",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Home #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Business #:",
"type": "string",
"linkId": "patient_phone_business",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone3"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Business #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Email:",
"type": "string",
"linkId": "patient_email",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "email1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\\\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\\\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid email address."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Email"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Patient Information"
} ]
},
"linkId": "patient_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 1
}, {
"url": "text",
"valueString": "Patient Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Sex assigned at birth:",
"type": "choice",
"linkId": "additionalinfo_sexassignedatbirth",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Sex assigned at birth"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA3-6",
"system": "http://loinc.org",
"display": "Female"
}
}, {
"valueCoding": {
"code": "LA2-8",
"system": "http://loinc.org",
"display": "Male"
}
}, {
"valueCoding": {
"display": "Intersex"
}
}, {
"valueCoding": {
"code": "LA4489-6",
"system": "http://loinc.org",
"display": "Unknown"
}
} ]
}, {
"text": "Pronouns:",
"type": "choice",
"linkId": "additionalinfo_pronouns",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "She/Her"
}
}, {
"valueCoding": {
"code": "LA29518-0",
"system": "http://loinc.org",
"display": "He/Him"
}
}, {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "They/Them"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other pronouns:",
"type": "string",
"linkId": "additionalinfo_pronouns_other",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_pronouns",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Preferred language:",
"type": "choice",
"linkId": "additionalinfo_preferredlanguage",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred language"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "en",
"system": "urn:ietf:bcp:47",
"display": "English"
}
}, {
"valueCoding": {
"code": "fr",
"system": "urn:ietf:bcp:47",
"display": "French"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Specify:",
"type": "string",
"linkId": "additionalinfo_preferredlanguage_specify",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specify"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Translator required",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Translator required"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Translator Required"
}
} ]
}, {
"text": "Preferred name",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_preferredname_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred Name"
}
} ]
}, {
"text": "Prefered name String",
"type": "string",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_preferredname",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Name:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredname_select",
"answerCoding": {
"display": "Preferred Name"
}
} ],
"enableBehavior": "all"
}, {
"text": "Best method of contact:",
"type": "choice",
"linkId": "additionalinfo_bestmethodofcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Best method of contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Mobile"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Home"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Business"
}
}, {
"valueCoding": {
"code": "email",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Email"
}
} ]
}, {
"text": "Voicemails acceptable",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Voicemails acceptable"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.descendants() .where(linkId = 'additionalinfo_bestmethodofcontact') .answer.valueCoding .where(display.lower() = 'home' or display.lower() = 'mobile' or display.lower() = 'business') .exists()"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": " Voicemails acceptable"
}
} ],
"enableBehavior": "any"
}, {
"text": "Alternate contact",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_alternatecontact_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Alternate contact"
}
} ]
}, {
"text": "Name:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_name",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Alternate contact phone #:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone4"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Relationship:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_relationship",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Relationship"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Is Alternate contact the appointment booking contact?"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"answerOption": [ {
"valueCoding": {
"display": "Yes"
}
}, {
"valueCoding": {
"display": "No"
}
} ],
"enableBehavior": "all"
}, {
"text": "Unsafe contact persons (do not speak with)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_unsafecontacts_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Unsafe contact persons (do not speak with)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ]
}, {
"enableBehavior": "all",
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"valueCoding": {
"display": "Only speak with patient directly"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Only speak with patient directly"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"text": "Only speak with patient directly"
}, {
"text": "Do not speak with:",
"type": "string",
"linkId": "additionalinfo_unsafecontacts_donotspeakwith",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Do not speak with:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"enableBehavior": "all"
}, {
"text": "Accessibility concerns or disability",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Accessibility concerns or disability"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Accessibility concerns or disability"
}
} ]
}, {
"text": "Accessibility concerns Options",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specific"
}, {
"url": "listSeparator",
"valueString": ";"
}, {
"url": "lastSeparator",
"valueString": "and"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_accessibilityconcernsordisability_selectt",
"answerCoding": {
"display": "Accessibility concerns or disability"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "129839007",
"system": "http://snomed.info/sct",
"display": "Falls risk"
}
}, {
"valueCoding": {
"code": "301621006",
"system": "http://snomed.info/sct",
"display": "Patient requires lift"
}
}, {
"valueCoding": {
"code": "105503008",
"system": "http://snomed.info/sct",
"display": "Wheelchair"
}
}, {
"valueCoding": {
"code": "15188001",
"system": "http://snomed.info/sct",
"display": "Hearing impaired"
}
} ]
}, {
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_specialconsiderations_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Details of special considerations:",
"type": "text",
"linkId": "additionalinfo_specialconsiderations",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": " Details of special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_specialconsiderations_select",
"answerCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Payer Type",
"type": "choice",
"linkId": "780152781664",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Payer Type"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "OHIP"
},
"initialSelected": true
}, {
"valueCoding": {
"display": "WSIB Case"
}
}, {
"valueCoding": {
"display": "DND"
}
}, {
"valueCoding": {
"display": "IFH"
}
}, {
"valueCoding": {
"display": "RAMQ"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other",
"type": "string",
"linkId": "273459321091",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other payer"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "780152781664",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
} ],
"text": "[Optional] Additional Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "[Optional] Additional Patient Information
"
} ]
},
"linkId": "additionalinfo_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 2
}, {
"url": "text",
"valueString": "[Optional] Additional Patient Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Radiology modality selection",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "966479448516",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
}, {
"valueCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
}, {
"valueCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
}, {
"valueCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasound Requisition"
}
}, {
"valueCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ]
} ],
"text": "Select Exam Request(s)",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ", 250, 253); color: rgb(32, 32, 53);\">Select Exam Request(s)
"
} ]
},
"linkId": "274716928898",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 3
}, {
"url": "text",
"valueString": "Select Exam Request(s)"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Requested Priority:",
"type": "choice",
"linkId": "649843000897",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Requested Priority",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "Requested Priority"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
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"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Preferred Consultant or Location",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Preferred Consultant or Location
\nAll patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
} ]
},
"linkId": "preferredconsultlocation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 12
}, {
"url": "text",
"valueString": "Preferred Consultant or Location"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "supportingdocumentation_details",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
}
} ]
} ],
"text": "Supporting Documentation Header",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Supporting Documentation
Please attach all relevant laboratory and diagnostic investigations.
"
} ]
},
"linkId": "supportingdocumentation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 13
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"text": "Add Attachments",
"type": "attachment",
"linkId": "supportingdocumentation_attachment",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/gif"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/bmp"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "video/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/csv"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/jpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/png"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/plain"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/tiff"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 1024000
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 14
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Feedback Survey: Universal",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Click here to provide feedback on this form
"
} ]
},
"linkId": "feedbacksurvey_universal"
}, {
"item": [ {
"text": "Site Name:",
"type": "string",
"linkId": "referrer_sitename",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Site Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "referrer_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 1)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "referrer_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 2)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "referrer_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "referrer_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "referrer_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Must be a valid Canadian postal code"
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Phone #:",
"type": "string",
"linkId": "referrer_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone5"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Fax #:",
"type": "string",
"linkId": "referrer_fax",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone6"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Fax #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Billing Number:",
"type": "integer",
"linkId": "referrer_billing",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Billing Number"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Professional ID:",
"type": "integer",
"linkId": "referrer_professionalid",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Professional ID"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Signed:",
"type": "text",
"linkId": "referrer_signature",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Signed"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Role:",
"type": "choice",
"linkId": "referrer_role",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Role"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "309398001",
"system": "http://snomed.info/sct",
"display": "Allied Health Professional"
}
}, {
"valueCoding": {
"code": "62247001",
"system": "http://snomed.info/sct",
"display": "Family Physician"
}
}, {
"valueCoding": {
"code": "449161006",
"system": "http://snomed.info/sct",
"display": "Physician Assistant"
}
}, {
"valueCoding": {
"code": "398130009",
"system": "http://snomed.info/sct",
"display": "Medical Student"
}
}, {
"valueCoding": {
"code": "106292003",
"system": "http://snomed.info/sct",
"display": "Nurse"
}
}, {
"valueCoding": {
"code": "224571005",
"system": "http://snomed.info/sct",
"display": "Nurse Practitioner"
}
}, {
"valueCoding": {
"code": "405277009",
"system": "http://snomed.info/sct",
"display": "Resident"
}
}, {
"valueCoding": {
"code": "69280009",
"system": "http://snomed.info/sct",
"display": "Specialist"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
} ],
"text": "Referrer's Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Referrer's Information"
} ]
},
"linkId": "referrer_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 15
}, {
"url": "text",
"valueString": "Referrer's Information"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Medical Imaging - Standardized Provincial Form Template - Splitting Example",
"_description": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test description"
} ]
},
"package_version": "1.0.0-interim4",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
} ],
"contained": [ {
"id": "liquid",
"type": {
"coding": [ {
"code": "qr-narrative-liquid",
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types"
} ]
},
"status": "active",
"content": [ {
"data": 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"contentType": "text/html"
} ],
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"resourceType": "Library"
} ],
"status": "active",
"language": "en",
"id": "3fd1f9b8-85c0-4f8d-8a82-a7755fc0caa5",
"kind": null,
"url": "urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f",
"_title": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
} ]
},
"version": "0.0.1",
"effectivePeriod": {
"start": "2025-07-29"
}
}