{
"description": null,
"_filename": "examples/Universal_Questionnaire.json.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": "2026-01-08T15:58:16.445-05:00",
"publisher": "Ontario Health & Amplify Care",
"jurisdiction": [ {
"text": "Ontario",
"coding": [ {
"code": "CA-ON",
"system": "urn:iso:std:iso:3166:-2"
} ]
} ],
"name": null,
"item": [ {
"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"
}
} ]
}, {
"enableBehavior": "any",
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_bestmethodofcontact",
"answerCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Mobile"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": " Voicemails acceptable"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"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/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"text": "Voicemails acceptable"
}, {
"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": "Send copies of reports to additional providers",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "additionalinfo_sendcopiestoadditionalproviders",
"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": "
Send copies of reports to additional providers"
}, {
"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": "Send copies of reports to additional providers"
}
} ]
}, {
"text": "Name(s):",
"type": "string",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_names",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Name(s)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_sendcopiestoadditionalproviders",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
} ],
"enableBehavior": "all"
}, {
"text": "Contact information:",
"type": "string",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_contactinfo",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Contact information"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_sendcopiestoadditionalproviders",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_ispcp",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_sendcopiestoadditionalproviders",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "This is the Primary Care Provider"
}
} ],
"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": "This is the Primary Care Provider",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "This is the Primary Care Provider"
} ]
}
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"text": "This is the Primary Care Provider"
} ],
"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://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": [ {
"item": [ {
"text": "Requested Priority:",
"type": "choice",
"linkId": "referral_requestedpriority",
"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",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "routine",
"system": "http://hl7.org/fhir/request-priority",
"display": "Routine"
},
"initialSelected": true
}, {
"valueCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ]
}, {
"text": "Reason for urgent triage:",
"type": "string",
"linkId": "referral_requestedpriority_urgentreason",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for urgent triage"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "referral_requestedpriority",
"answerCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ]
}, {
"text": "Second Opinion",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "referral_secondopinion",
"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": "Second Opinion"
}, {
"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"
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"valueCoding": {
"code": "77406008",
"system": "http://snomed.info/sct",
"display": "Second Opinion"
}
} ]
}, {
"text": "Reason for second opinion:",
"type": "text",
"linkId": "referral_secondopinion_reason",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for second opinion"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "referral_secondopinion",
"answerCoding": {
"code": "77406008",
"system": "http://snomed.info/sct",
"display": "Second Opinion"
}
} ]
} ],
"text": "Triage Considerations",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Triage Considerations
"
} ]
},
"linkId": "836886186557",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Triage Considerations"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"text": "Name of the suspected diagnosis/problem triggering referral:",
"type": "text",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Name of the suspected diagnosis/problem triggering referral :"
} ]
},
"linkId": "200848944281",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "
Name of the suspected diagnosis/problem triggering referral"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Brief Description of Referral, History, Management, and Investigations",
"type": "text",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Brief Description of Referral, History, Management, and Investigations"
} ]
},
"linkId": "602158378622",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "
Brief Description of Referral, History, Management, and Investigations"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Referral Details",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Referral Details
"
} ]
},
"linkId": "274716928898",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 3
}, {
"url": "text",
"valueString": "Referral Details"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "CPP attached separately (if not entered below)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "cpp_separate",
"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": "CPP attached separately"
}, {
"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": "CPP attached separately (if not entered below)"
}
} ]
}, {
"code": [ {
"code": "55607006",
"system": "http://snomed.info/sct",
"display": "Problem"
} ],
"text": "Current Problem List:",
"type": "text",
"linkId": "cpp_currentprob",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Problem List"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "417662000",
"system": "http://snomed.info/sct",
"display": "History of clinical finding in subject"
} ],
"text": "Past Medical History:",
"type": "text",
"linkId": "cpp_pastmedicalhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Past Medical History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "129019007",
"system": "http://snomed.info/sct",
"display": "Taking medication"
} ],
"text": "Current Medications:",
"type": "text",
"linkId": "cpp_currentmedications",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Medication"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "57177007",
"system": "http://snomed.info/sct",
"display": "Family history with explicit context"
} ],
"text": "Family History:",
"type": "text",
"linkId": "cpp_familyhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Family History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "609328004",
"system": "http://snomed.info/sct",
"display": "Allergic disposition"
} ],
"text": "Allergies:",
"type": "text",
"linkId": "cpp_allergies",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Allergies"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
} ],
"text": "Cumulative Patient Profile",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cumulative Patient Profile
\nPlease delete any sensitive information you do not intend to share from the CPP"
} ]
},
"linkId": "cpp_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 4
}, {
"url": "text",
"valueString": "Cumulative Patient Profile"
}, {
"url": "listSeparator",
"valueString": "
"
}, {
"url": "lastSeparator",
"valueString": "
"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Preferred consultant or location",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "preferredconsultlocation_selector",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred consultant or location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
}, {
"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": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"item": [ {
"text": "Consultant:",
"type": "string",
"linkId": "preferredconsultlocation_consultant",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Consultant"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Location:",
"type": "string",
"linkId": "preferredconsultlocation_location",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Please specify either a preferred consultant or location",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a preferred consultant or location"
} ]
},
"linkId": "preferredconsultlocation_specify",
"enableWhen": [ {
"operator": "=",
"question": "preferredconsultlocation_selector",
"answerCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"text": "Patient willing to travel for shorter wait time",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": ""
} ]
},
"linkId": "preferredconsultlocation_willingtotravel",
"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": "Patient willing to travel for shorter wait time"
}, {
"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": "Patient willing to travel for shorter wait time"
}
} ]
}, {
"text": "Other considerations:",
"type": "string",
"linkId": "preferredconsultlocation_otherconsiderations",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other"
}, {
"url": "sameLine",
"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": 5
}, {
"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-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": "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": 6
}, {
"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": 7
}, {
"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": "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": "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": 9
}, {
"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": "Universal - Standardized Provincial Form Template - Clinical Summary Note Sample",
"_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": "<div>
{% for currentItem in QuestionnaireResponse.item.where(linkId='patient_header') %}  <span style="font-weight:bold;">&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='patient_surname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Surname&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_firstname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;First Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_date_of_birth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;DOB&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_gender') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Gender&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_pc') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;HN PC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_number') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_vc') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN VC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line1') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Address&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address Line 2&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_mobile') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Mobile #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_home') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Home #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_business') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Business #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_email') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Email&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='additionalinfo_header') %}  <span style="font-weight:bold;">&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;[Optional] Additional Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='additionalinfo_sexassignedatbirth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Sex assigned at birth&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.display = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_other') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred language&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_specify') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Specify&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_translatorrequired') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Translator required&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname_select') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred name&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred Name:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Best method of contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'phone' %}Mobile{% endif %}{% if answer.value.code = 'phone' %}Home{% endif %}{% if answer.value.code = 'phone' %}Business{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_voicemails') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Voicemails acceptable&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_select') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Alternate contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_name') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Alternate contact phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_relationship') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Relationship&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_bookingcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Is Alternate contact the appointment booking contact?&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_select') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Unsafe contact persons (do not speak with)&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Unsafe contact persons (do not speak with)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_speakwithpatientdirectly') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Only speak with patient directly&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Only speak with patient directly' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_donotspeakwith') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Do not speak with:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability_selectt') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Accessibility concerns or disability&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Accessibility concerns or disability' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Specific&lt;/strong&gt;</span>
{% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt; Details of special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders') %}{% if currentItem.answer.exists() %}&lt;br&gt;&lt;strong&gt;Send copies of reports to additional providers&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Send copies of reports to additional providers' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_names') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Name(s)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_contactinfo') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Contact information&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_ispcp') %}{% if currentItem.answer.exists() %}This is the Primary Care Provider{% for answer in currentItem.answer %}{% if answer.value.display = 'This is the Primary Care Provider' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='274716928898') %}  <span style="font-weight:bold;">&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Referral Details&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='836886186557') %}&lt;strong&gt;Triage Considerations&lt;/strong&gt;  <br/>
{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">Requested Priority</span>
{% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority_urgentreason') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Reason for urgent triage&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_secondopinion') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Second Opinion&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = '77406008' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_secondopinion_reason') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Reason for second opinion&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='200848944281') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;br&gt;&lt;strong&gt;Name of the suspected diagnosis/problem triggering referral&lt;/strong&gt;</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='602158378622') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;br&gt;&lt;strong&gt;Brief Description of Referral, History, Management, and Investigations&lt;/strong&gt;</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='cpp_header') %}  <span style="font-weight:bold;">&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Cumulative Patient Profile&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='cpp_separate') %}{% if currentItem.answer.exists() %}&lt;strong&gt;CPP attached separately&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'CPP attached separately (if not entered below)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentprob') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Problem List&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_pastmedicalhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Past Medical History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentmedications') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Medication&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_familyhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Family History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_allergies') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Allergies&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='preferredconsultlocation_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Preferred Consultant or Location&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_selector') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred consultant or location&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred consultant or location' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_specify') %}Please specify either a   <b>preferred</b>
 consultant or location  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_consultant') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Consultant&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_location') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Location&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_willingtotravel') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Patient willing to travel for shorter wait time&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Patient willing to travel for shorter wait time' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_otherconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_header') %}  <span style="font-weight:bold;">
    <p>
      <strong>Supporting Documentation</strong>
    </p>
    <p>
Please attach all       <strong>
<span style="text-decoration: underline">relevant</span>      </strong>
 laboratory and diagnostic investigations.
    </p>
  </span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='supportingdocumentation_details') %}{% if currentItem.answer.exists() %}  <p style="display:none;"/>
{% for answer in currentItem.answer %}{% if answer.value.display = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_attachment') %}{% if currentItem.answer.exists() %}Add Attachments{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='referrer_header') %}  <span style="font-weight:bold;">&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Referrer's Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='referrer_sitename') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Site Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line1') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 1)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 2)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_fax') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Fax #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_billing') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Billing Number&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_professionalid') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Professional ID&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_signature') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Signed&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_role') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Role&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}
</div>
",
"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": "84d57429-5381-40ad-af66-90d477571aa1",
"kind": null,
"url": "urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe70",
"_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"
}
}