{
  "description": "Screening tizimida ko‘krak bezi saratoni xavfini baholash uchun so‘rovnoma.",
  "_filename": "Questionnaire-screening-breast-risk.json",
  "package_name": "uz.dhp.integrations",
  "subjectType": [ "Patient" ],
  "date": "2026-10-14T13:31:48+05:00",
  "meta": {
    "profile": [ "https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire|0.11.1" ]
  },
  "publisher": "Uzinfocom LLC",
  "jurisdiction": [ {
    "coding": [ {
      "code": "UZ",
      "system": "urn:iso:std:iso:3166",
      "display": "Uzbekistan"
    } ]
  } ],
  "name": "ScreeningBreastRiskQuestionnaire",
  "item": [ {
    "text": "Sizda ilgari onkologik kasalliklar aniqlanganmi? (masalan, tuxumdon o‘smalari, limfomalar)",
    "type": "boolean",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Были ли у вас ранее диагностированы онкологические болезни? (например, опухоли, яичников, лимфомы)"
        } ]
      } ]
    },
    "linkId": "118",
    "repeats": false,
    "required": true
  }, {
    "text": "Birinchi hayz ko‘rish necha yoshda bo‘lgan?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "В каком возрасте была первая менструация?"
        } ]
      } ]
    },
    "linkId": "119",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-menarche-age-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Ko‘krak bezi zichligini qanday baholaysiz?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Как вы оцениваете плотность своей груди?"
        } ]
      } ]
    },
    "linkId": "34",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-self-assessed-density-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Birinchi darajali qarindoshlarda (ona, opa-singil, qiz) ko‘krak bezi saratoni bilan kasallanish holatlari bormi?",
    "type": "boolean",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Есть ли случаи рака молочной железы у родственников первой линии (мать, сестра, дочь)?"
        } ]
      } ]
    },
    "linkId": "117",
    "repeats": false,
    "required": true
  }, {
    "text": "Oxirgi marta necha yoshda hayz ko‘rgan?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "В каком возрасте была последняя менструация?"
        } ]
      } ]
    },
    "linkId": "120",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-menopause-age-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Birinchi tug‘ruq necha yoshda bo‘lgan?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "В каком возрасте были первые роды?"
        } ]
      } ]
    },
    "linkId": "121",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-first-birth-age-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Oxirgi bolangizni qancha vaqt emizgansiz?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Сколько времени вы кормили грудью последнего ребенка?"
        } ]
      } ]
    },
    "linkId": "122",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-breastfeeding-duration-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Oxirgi 3 oyda ko‘krak bezi yoki qo‘ltiq osti sohasida qattiqlashishni sezganmisiz?",
    "type": "boolean",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Замечали ли вы уплотнения в груди или подмышечной области в последние 3 месяца?"
        } ]
      } ]
    },
    "linkId": "123",
    "repeats": false,
    "required": true
  }, {
    "text": "Sizda emizish bilan bog‘liq bo‘lmagan so‘rg‘ichdan ajralma kelganmi?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Были ли у вас выделения из соска, не связанные с кормлением?"
        } ]
      } ]
    },
    "linkId": "124",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-nipple-discharge-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Ko‘krak bezining ko‘rinishi (shakli, o‘lchami, terisining qattiqlashishi va qizarishi, so‘rg‘ichning ichiga tortilishi) o‘zgarganmi?",
    "type": "coding",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Изменился ли внешний вид груди (форма, размер,  уплотнение и покраснение кожи, втяжение соска)?"
        } ]
      } ]
    },
    "linkId": "125",
    "repeats": false,
    "required": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-breast-appearance-change-vs|0.11.1",
    "answerConstraint": "optionsOnly"
  }, {
    "text": "Gormonal dorilar (homiladorlikka qarshi, klimaks paytida gormonal tabletkalar) qabul qilganmisiz?",
    "type": "boolean",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Принимали ли вы гормональные препараты  (противозачаточные, гормональные таблетки во время климакса)"
        } ]
      } ]
    },
    "linkId": "126",
    "repeats": false,
    "required": true
  }, {
    "linkId": "statusRisk",
    "repeats": false,
    "answerConstraint": "optionsOnly",
    "type": "coding",
    "readOnly": true,
    "answerValueSet": "https://terminology.dhp.uz/fhir/integrations/ValueSet/screening-risk-level-vs|0.11.1",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "ru"
        }, {
          "url": "content",
          "valueString": "Рассчитанный риск рака молочной железы"
        } ]
      } ]
    },
    "required": true,
    "text": "Hisoblangan ko‘krak bezi saratoni xavfi"
  }, {
    "text": "Umumiy xavf balli",
    "type": "integer",
    "linkId": "totalScore",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%totalScore"
      }
    } ]
  } ],
  "useContext": [ {
    "code": {
      "code": "program",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "screening",
        "system": "https://terminology.dhp.uz/fhir/integrations/CodeSystem/integration-area-cs"
      } ]
    }
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Ko'krak bezi so'rovnomasi",
  "package_version": "0.11.1",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ118",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='118').answer.value.ofType(Boolean).single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ119",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='119').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ34",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='34').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ117",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='117').answer.value.ofType(Boolean).single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ120",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='120').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ121",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='121').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ122",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='122').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ123",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='123').answer.value.ofType(Boolean).single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ124",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='124').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ125",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='125').answer.value.ofType(Coding).code.single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "riskQ126",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId='126').answer.value.ofType(Boolean).single()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "rawScore",
      "language": "text/fhirpath",
      "expression": "iif(%riskQ118 = true, 5, iif(%riskQ118 = false, 0, {})) + iif(%riskQ119 = 'scrn-0070-00001', 3, iif(%riskQ119 = 'scrn-0070-00002', 0, iif(%riskQ119 = 'scrn-0070-00003', 2, {}))) + iif(%riskQ34 = 'scrn-0070-00004', 0, iif(%riskQ34 = 'scrn-0070-00005', 1, iif(%riskQ34 = 'scrn-0070-00006', 3, {}))) + iif(%riskQ117 = true, 5, iif(%riskQ117 = false, 0, {})) + iif(%riskQ120 = 'scrn-0070-00009', 3, iif(%riskQ120 = 'scrn-0070-00010', 4, iif(%riskQ120 = 'scrn-0070-00007', 0, iif(%riskQ120 = 'scrn-0070-00008', 2, {})))) + iif(%riskQ121 = 'scrn-0070-00013', 4, iif(%riskQ121 = 'scrn-0070-00011', 0, iif(%riskQ121 = 'scrn-0070-00012', 2, {}))) + iif(%riskQ122 = 'scrn-0070-00014', 0, iif(%riskQ122 = 'scrn-0070-00015', 2, iif(%riskQ122 = 'scrn-0070-00016', 3, {}))) + iif(%riskQ123 = true, 6, iif(%riskQ123 = false, 0, {})) + iif(%riskQ124 = 'scrn-0070-00017', 0, iif(%riskQ124 = 'scrn-0070-00018', 4, iif(%riskQ124 = 'scrn-0070-00019', 6, {}))) + iif(%riskQ125 = 'scrn-0070-00020', 0, iif(%riskQ125 = 'scrn-0070-00021', 5, iif(%riskQ125 = 'scrn-0070-00022', 2, {}))) + iif(%riskQ126 = true, 3, iif(%riskQ126 = false, 0, {}))"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "totalScore",
      "language": "text/fhirpath",
      "expression": "iif(%rawScore < 0, 0, %rawScore)"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "expectedRiskCode",
      "language": "text/fhirpath",
      "expression": "iif(%totalScore.exists(), iif(%totalScore <= 5, 'scrn-0081-00001', iif(%totalScore <= 12, 'scrn-0081-00002', iif(%totalScore <= 19, 'scrn-0081-00003', 'scrn-0081-00004'))), {})"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
    "extension": [ {
      "url": "key",
      "valueId": "screening-risk-match"
    }, {
      "url": "severity",
      "valueCode": "error"
    }, {
      "url": "expression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%expectedRiskCode.exists() and %resource.item.where(linkId='statusRisk').count() = 1 and %resource.item.where(linkId='statusRisk').answer.count() = 1 and %resource.item.where(linkId='statusRisk').answer.value.ofType(Coding).system.single() = 'https://terminology.dhp.uz/fhir/integrations/CodeSystem/screening-risk-level-cs' and %resource.item.where(linkId='statusRisk').answer.value.ofType(Coding).code.single() = %expectedRiskCode"
      }
    }, {
      "url": "human",
      "valueString": "Submitted statusRisk must equal the risk recalculated from all answers."
    } ]
  } ],
  "status": "active",
  "language": "uz",
  "id": "885b9f20-1816-49b2-abdc-c701aa06ac09",
  "kind": null,
  "url": "https://dhp.uz/fhir/integrations/Questionnaire/screening-breast-risk",
  "identifier": [ {
    "value": "1",
    "system": "https://dhp.uz/fhir/integrations/sid/screening/questionnaire-id"
  }, {
    "value": "RMJ",
    "system": "https://dhp.uz/fhir/integrations/sid/screening/questionnaire-code"
  }, {
    "value": "268547008",
    "system": "https://dhp.uz/fhir/core/sid/prg/uz/program"
  } ],
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "ru"
      }, {
        "url": "content",
        "valueString": "Опросник по молочной железе"
      } ]
    } ]
  },
  "version": "1.1.0",
  "contact": [ {
    "name": "Uzinfocom LLC",
    "telecom": [ {
      "value": "https://uzinfocom.uz",
      "system": "url"
    }, {
      "value": "info@uzinfocom.uz",
      "system": "email"
    } ]
  } ]
}