{
"description": null,
"_filename": "Questionnaire-questionnaire-sdc-profile-example-loinc.json",
"package_name": "hl7.fhir.uv.sdc",
"subjectType": [ "Patient" ],
"date": "2012-04-01",
"publisher": "Agency for Healthcare Research and Quality (AHRQ)",
"name": null,
"item": [ {
"item": [ {
"text": "Form ID:",
"type": "string",
"linkId": "0",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
}, {
"text": "Event ID:",
"type": "string",
"linkId": "74080-3/74081-1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 3
} ]
}, {
"text": "Initial Report Date (HERF Q1)",
"type": "string",
"linkId": "74080-3/30947-6",
"required": true
} ],
"type": "group",
"linkId": "Medication/header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "header",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe medication despite known drug-drug interaction). If the event involves a device, please also complete the Device or Medical/Surgical Supply including Health Information Technology (HIT) form. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF).",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe medication despite known drug-drug interaction). If the event involves a device, please also complete the Device or Medical/Surgical Supply including Health Information Technology (HIT) form. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF)."
} ]
},
"linkId": "Medication/SEC00.0"
}, {
"item": [ {
"item": [ {
"item": [ {
"text": "Please list all ingredients:",
"type": "string",
"linkId": "74080-3/74077-9-q",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ],
"definition": "http://loinc.org/74077-9"
} ],
"text": "What type of medication?",
"type": "choice",
"linkId": "74080-3/74075-3",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 7
} ],
"definition": "http://loinc.org/vs/74075-3",
"answerValueSet": "#ll2655-0"
}, {
"item": [ {
"text": "What was the lot number of the vaccine?",
"type": "string",
"linkId": "74080-3/30959-1",
"required": true
} ],
"text": "What type of biological product?",
"type": "open-choice",
"linkId": "74080-3/74074-6",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 8
} ],
"answerValueSet": "#ll2657-6"
}, {
"item": [ {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74073-8/Other/Specify",
"required": true
} ],
"text": "What type of nutritional product?",
"type": "open-choice",
"linkId": "74080-3/74073-8",
"required": true,
"answerValueSet": "#ll2659-2"
}, {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74076-1/Other/Specify",
"required": true
} ],
"text": "What type of medication/substance was involved?",
"type": "open-choice",
"linkId": "74080-3/74076-1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 1
} ],
"definition": "http://loinc.org/74076-1",
"answerValueSet": "#ll2654-3"
}, {
"text": "Which of the following best characterizes the event?",
"type": "open-choice",
"linkId": "74080-3/74072-0",
"required": true,
"answerValueSet": "#ll2660-0"
}, {
"item": [ {
"text": "Which best describes the incorrect dose(s)?",
"type": "open-choice",
"linkId": "74080-3/74070-4",
"required": true,
"answerValueSet": "#ll2662-6"
}, {
"text": "Which best describes the incorrect timing?",
"type": "open-choice",
"linkId": "Medication/74069-6",
"required": true,
"answerValueSet": "#ll2663-4"
}, {
"text": "Which best describes the incorrect rate?",
"type": "open-choice",
"linkId": "74080-3/74068-8",
"required": true,
"answerValueSet": "#ll2664-2"
}, {
"text": "Which best describes the incorrect strength or concentration?",
"type": "open-choice",
"linkId": "Medication/74067-0",
"required": true,
"answerValueSet": "#ll2665-9"
}, {
"text": "What was the expiration date?",
"type": "string",
"linkId": "Medication/74066-2",
"required": true
}, {
"text": "Was there a documented history of allergies or sensitivities to the medication/substance administered?",
"type": "open-choice",
"linkId": "Medication/74065-4",
"required": true,
"answerValueSet": "#ll2817-6"
}, {
"item": [ {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "Medication/74064-7/Other/Specify",
"required": true
} ],
"text": "What was the contraindication (potential or actual interaction)?",
"type": "open-choice",
"linkId": "Medication/74064-7",
"required": true,
"answerValueSet": "#ll2668-3"
}, {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74071-2/Other/Specify",
"required": true
} ],
"text": "What was the incorrect action?",
"type": "choice",
"linkId": "74080-3/74071-2",
"answerValueSet": "#ll2661-8"
}, {
"item": [ {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74063-9/Other/Specify",
"required": true
} ],
"text": "At what stage in the process did the event originate, regardless of the stage at which it was discovered?",
"type": "open-choice",
"linkId": "74080-3/74063-9",
"required": true,
"answerValueSet": "#ll2669-1"
} ],
"type": "group",
"linkId": "Medication/SEC01/74080-3",
"required": true
}, {
"item": [ {
"text": "Please provide the following medication details for any medications or other substances directly involved in the event.",
"type": "display",
"linkId": "74080-3/74078-7.0"
}, {
"text": "Generic name or investigational drug name",
"type": "string",
"linkId": "74080-3/74078-7/74062-1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Ingredient RXCUI (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74061-3",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Brand name (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74060-5",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Brand name RXCUI (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74059-7",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Manufacturer (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74058-9",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Strength or concentration of product",
"type": "string",
"linkId": "74080-3/74078-7/74057-1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Clinical drug component RXCUI (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74056-3",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Dosage form of Product",
"type": "string",
"linkId": "74080-3/74078-7/74055-5",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Dose form RXCUI (if known)",
"type": "string",
"linkId": "74080-3/74078-7/74054-8",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 0
} ]
}, {
"text": "Was this medication/substance prescribed for this patient?",
"type": "choice",
"linkId": "74080-3/74078-7/74053-0",
"required": true,
"answerValueSet": "#ll2828-3"
}, {
"text": "Was this medication/substance given to this patient?",
"type": "choice",
"linkId": "Medication/74052-2",
"required": true,
"answerValueSet": "#ll2828-3"
} ],
"type": "group",
"linkId": "74080-3/74078-7",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
"valueInteger": 5
} ]
}, {
"item": [ {
"item": [ {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74051-4/Other/Specify",
"required": true
} ],
"text": "What was the intended route of administration?",
"type": "open-choice",
"linkId": "74080-3/74051-4",
"required": true,
"answerValueSet": "#ll2682-4"
}, {
"item": [ {
"text": "PLEASE SPECIFY",
"type": "string",
"linkId": "74080-3/74050-6/Other/Specify",
"required": true
} ],
"text": "What was the actual route of administration (attempted or completed)?",
"type": "open-choice",
"linkId": "74080-3/74050-6",
"required": true,
"answerValueSet": "#ll2682-4"
} ],
"type": "group",
"linkId": "Medication/SEC03"
}, {
"item": [ {
"text": "OMB No. 0935-0143 Exp. Date 10/31/2014 Public reporting burden for the collection of information is estimated to average 10 minutes per response. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer, Attention: PRA, Paperwork Reduction Project (0935-0143), AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850.",
"type": "display",
"linkId": "Medication/SEC04.0"
} ],
"text": "Thank you for completing these questions.",
"type": "group",
"linkId": "Medication/SEC04"
} ],
"text": "Medication or Other Substance",
"type": "group",
"linkId": "Medication/SEC00"
}, {
"item": [ {
"text": "Reported by:",
"type": "string",
"linkId": "Reporting/who"
}, {
"text": "Reported date:",
"type": "date",
"linkId": "Reporting/when"
} ],
"text": "Reporting information",
"type": "group",
"linkId": "Reporting",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
}, {
"item": [ {
"text": "AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other Substance",
"type": "display",
"linkId": "Medication/footer.0"
} ],
"type": "group",
"linkId": "Medication/footer",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "footer",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Medication or Other Substance",
"package_version": "2.5.0",
"contained": [ {
"id": "ll2654-3",
"name": "AHRQ_Medication_Q1",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org",
"concept": [ {
"code": "LA20271-5",
"display": "Medications",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 1
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "a."
} ]
}, {
"code": "LA20335-8",
"display": "Biological products",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "b."
} ]
}, {
"code": "LA20336-6",
"display": "Nutritional products",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 3
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "c."
} ]
}, {
"code": "LA20337-4",
"display": "Expressed human breast milk",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 4
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "d."
} ]
}, {
"code": "LA20338-2",
"display": "Medical gases (e.g., oxygen, nitrogen, nitrous oxide)",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 5
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "e."
} ]
}, {
"code": "LA20339-0",
"display": "Contrast media",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 6
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "f."
} ]
}, {
"code": "LA20340-8",
"display": "Radiopharmaceuticals",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 7
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "g."
} ]
}, {
"code": "LA20341-6",
"display": "Patient food (not suspected in drug-food interactions)",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 8
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "h."
} ]
}, {
"code": "LA20342-4",
"display": "Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 9
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "i."
} ]
}, {
"code": "LA20343-2",
"display": "Other",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 10
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "j."
} ]
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 1 on the AHRQ \"Medication or Other Substance\" form",
"resourceType": "ValueSet"
}, {
"id": "ll2655-0",
"name": "AHRQ_Medication_Q2",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2655-0",
"concept": [ {
"code": "LA20278-0",
"display": "Prescription or over-the-counter (including herbal supplements)",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 1
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "a."
} ]
}, {
"code": "LA20298-8",
"display": "Compounded preparations",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "b."
} ]
}, {
"code": "LA20299-6",
"display": "Investigational drugs",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 3
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "c."
} ]
}, {
"code": "LA4489-6",
"display": "Unknown",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 4
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "d."
} ]
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 2 on the AHRQ \"Medication or Other Substance\" form",
"resourceType": "ValueSet"
}, {
"id": "ll2657-6",
"name": "AHRQ_Medication_Q4",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2657-6",
"concept": [ {
"code": "LA20283-0",
"display": "Vaccines"
}, {
"code": "LA20287-1",
"display": "Other biological products (e.g., thrombolytic)"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 4 on the AHRQ \"Medication or Other Substance\" form",
"resourceType": "ValueSet"
}, {
"id": "ll2659-2",
"name": "AHRQ_Medication_Q6",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org",
"concept": [ {
"code": "LA20273-1",
"display": "Dietary supplements (other than vitamins or minerals)",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 1
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "a."
} ]
}, {
"code": "LA16117-6",
"display": "Vitamins or minerals",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "b."
} ]
}, {
"code": "LA20320-0",
"display": "Enteral nutritional products, including infant formula",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 3
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "c."
} ]
}, {
"code": "LA20321-8",
"display": "Parenteral nutritional products",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 4
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "d."
} ]
}, {
"code": "LA20318-4",
"display": "Other",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
"valueInteger": 5
}, {
"url": "http://hl7.org/fhir/StructureDefinition/valueset-label",
"valueString": "e."
} ]
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 6 on the AHRQ \"Medication or Other Substance\" form",
"resourceType": "ValueSet"
}, {
"id": "ll2660-0",
"name": "AHRQ_Medication_Q7",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org",
"concept": [ {
"code": "LA20275-6",
"display": "Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)"
} ]
}
}, {
"code": "LA20314-3",
"display": "Unsafe condition",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:green"
} ]
}
}, {
"code": "LA20315-0",
"display": "Adverse reaction in patient to the administered substance without any apparent incorrect action"
}, {
"code": "LA4489-6",
"display": "Unknown"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 7 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2661-8",
"name": "AHRQ_Medication_Q8",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org",
"concept": [ {
"code": "LA20276-4",
"display": "Incorrect patient"
}, {
"code": "LA20302-8",
"display": "Incorrect medication/substance"
}, {
"code": "LA20303-6",
"display": "Incorrect dose(s)"
}, {
"code": "LA20304-4",
"display": "Incorrect route of administration"
}, {
"code": "LA20305-1",
"display": "Incorrect timing"
}, {
"code": "LA20306-9",
"display": "Incorrect rate"
}, {
"code": "LA20307-7",
"display": "Incorrect duration of administration or course of therapy"
}, {
"code": "LA20308-5",
"display": "Incorrect dosage form (e.g., sustained release instead of immediate release)"
}, {
"code": "LA20309-3",
"display": "Incorrect strength or concentration"
}, {
"code": "LA20310-1",
"display": "Incorrect preparation, including inappropriate cutting of tablets, error in compounding, mixing, etc."
}, {
"code": "LA20311-9",
"display": "Expired or deteriorated medication/substance"
}, {
"code": "LA20312-7",
"display": "Medication/substance that is known to be an allergen to the patient"
}, {
"code": "LA20345-7",
"display": "Medication/substance that is known to be contraindicated for the patient"
}, {
"code": "LA20313-5",
"display": "Incorrect patient/family action (e.g., self-administration error)"
}, {
"code": "LA20318-4",
"display": "Other"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 8 on the AHRQ 'Medication or Other Substance' form",
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}, {
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"code": "LA20277-2",
"display": "Overdose"
}, {
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}, {
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}, {
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}, {
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} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 9 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2663-4",
"name": "AHRQ_Medication_Q10",
"status": "active",
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"include": [ {
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"code": "LA20280-6",
"display": "Too early"
}, {
"code": "LA20290-5",
"display": "Too late"
}, {
"code": "LA4489-6",
"display": "Unknown"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 10 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2664-2",
"name": "AHRQ_Medication_Q11",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2664-2",
"concept": [ {
"code": "LA20282-2",
"display": "Too quickly"
}, {
"code": "LA20288-",
"display": "Too slowly"
}, {
"code": "LA4489-6",
"display": "Unknown"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 11 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2665-9",
"name": "AHRQ_Medication_Q12",
"status": "active",
"compose": {
"include": [ {
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"concept": [ {
"code": "LA20281-4",
"display": "Too high"
}, {
"code": "LA20289-7",
"display": "Too low"
}, {
"code": "LA4489-6",
"display": "Unknown"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 12 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2817-6",
"name": "AHRQ_Y/N/UNK",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2817-6",
"concept": [ {
"code": "LA33-6",
"display": "Yes"
}, {
"code": "LA32-8",
"display": "No"
}, {
"code": "LA4489-6",
"display": "Unkown"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "AHRQ Common Format Answer list for Yes (A15), No (A18), Unknown (UNK)",
"resourceType": "ValueSet"
}, {
"id": "ll2668-3",
"name": "AHRQ_Medication_Q15",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2668-3",
"concept": [ {
"code": "LA20274-9",
"display": "Drug-drug"
}, {
"code": "LA20316-8",
"display": "Drug-food"
}, {
"code": "LA20317-6",
"display": "Drug-disease"
}, {
"code": "LA20318-4",
"display": "Other"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 15 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2669-1",
"name": "AHRQ_Medication_Q16",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2669-1",
"concept": [ {
"code": "LA20279-8",
"display": "Purchasing"
}, {
"code": "LA20291-3",
"display": "Storing"
}, {
"code": "LA20292-1",
"display": "Prescribing/ordering"
}, {
"code": "LA20293-9",
"display": "Transcribing"
}, {
"code": "LA20294-7",
"display": "Preparing"
}, {
"code": "LA20295-4",
"display": "Dispensing"
}, {
"code": "LA20296-2",
"display": "Administering"
}, {
"code": "LA20297-0",
"display": "Monitoring"
}, {
"code": "LA4489-6",
"display": "Unknown"
}, {
"code": "LA20318-4",
"display": "Other"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for question 16 on the AHRQ 'Medication or Other Substance' form",
"resourceType": "ValueSet"
}, {
"id": "ll2828-3",
"name": "AHRQ_Y/N",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org/vs/LL2828-3",
"concept": [ {
"code": "LA33-6",
"display": "Yes"
}, {
"code": "LA32-8",
"display": "No"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "AHRQ Common Format Answer list for Yes (A15) and No (A18)",
"resourceType": "ValueSet"
}, {
"id": "ll2682-4",
"name": "AHRQ_Medication_Q28_Q29",
"status": "active",
"compose": {
"include": [ {
"system": "http://loinc.org",
"concept": [ {
"code": "LA20272-3",
"display": "Cutaneous, topical application, including ointment, spray, patch"
}, {
"code": "LA9451-1",
"display": "Subcutaneous"
}, {
"code": "LA9444-6",
"display": "Ophthalmic"
}, {
"code": "LA20324-2",
"display": "Oral, including sublingual or buccal"
}, {
"code": "LA9445-",
"display": "Otic"
}, {
"code": "LA9263-0",
"display": "Nasal"
}, {
"code": "LA9427-1",
"display": "Inhalation"
}, {
"code": "LA9437-0",
"display": "Intravenous"
}, {
"code": "LA9429-7",
"display": "Intramuscular"
}, {
"code": "LA9435-4",
"display": "Intrathecal"
}, {
"code": "LA9418-0",
"display": "Epidural"
}, {
"code": "LA20332-5",
"display": "Gastric"
}, {
"code": "LA9369-5",
"display": "Rectal"
}, {
"code": "LA9459-4",
"display": "Vaginal"
}, {
"code": "LA4489-6",
"display": "Unknown"
}, {
"code": "LA20318-4",
"display": "Other"
} ]
} ]
},
"copyright": "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
"description": "The answer list for questions 28 and 29 on the AHRQ 'Medication or Other Substance' form",
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} ],
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"system": "http://loinc.org/vs"
} ],
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