{
"description": null,
"_filename": "examples/sleep_disorder_clini.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": null,
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ],
"security": [ {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"
} ]
},
"publisher": null,
"name": null,
"item": [ {
"item": [ {
"item": [ {
"text": "<b>* Indicates a required field</b>",
"type": "display",
"linkId": "item47143865"
}, {
"item": [ {
"text": "Preferred Language:",
"type": "choice",
"linkId": "PreferredLanguage",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptLanguage"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Language:"
}, {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "PreferredLanguage.r.includes('English') || PreferredLanguage.r.includes('French') == true"
}
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "eng"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "fre"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "Other"
}
} ]
}, {
"text": "Preferred Language",
"type": "string",
"linkId": "item55155068",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptLanguage"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Language:"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "PreferredLanguage",
"answerCoding": {
"code": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Translator Required",
"type": "boolean",
"linkId": "Translator",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Translator <b><u>NOT</u></b> needed"
}, {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "PreferredLanguage.r.includes('Other') == true"
}
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "PreferredLanguage",
"answerCoding": {
"code": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Best Method of Contact:",
"type": "choice",
"linkId": "BestContactMethod",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptPmoc"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Best Method of Contact:"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "OTHER"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "HOME"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "BUSINESS"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
} ],
"valueCoding": {
"code": "EMAIL"
}
} ]
}, {
"text": "Voicemails acceptable",
"type": "boolean",
"linkId": "item73068595",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Voicemail acceptable: No"
}, {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "BestContactMethod.r.includes('OTHER') || BestContactMethod.r.includes('HOME') || BestContactMethod.r.includes('BUSINESS')== true"
}
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "BestContactMethod",
"answerCoding": {
"code": "OTHER"
}
}, {
"operator": "=",
"question": "BestContactMethod",
"answerCoding": {
"code": "HOME"
}
}, {
"operator": "=",
"question": "BestContactMethod",
"answerCoding": {
"code": "BUSINESS"
}
} ],
"enableBehavior": "all"
}, {
"text": "Where appropriate, please provide:",
"type": "display",
"linkId": "item95810306"
}, {
"text": "Appointment booking contact (if not patient)",
"type": "boolean",
"linkId": "AlternateContact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "<u>Appointment booking contact</u>"
} ]
} ]
}, {
"text": "Contact Name:",
"type": "string",
"linkId": "item6554535",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptEmergencyContact"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Name:"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "AlternateContact",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Phone Number (if different than patient):",
"type": "string",
"linkId": "item80027355",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptEmergencyContactPhone"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item80027355"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item80027355').answer.all(value.matches('^(\\\\+\\\\d{1,2}\\\\s?)?\\\\(?\\\\d{3}\\\\)?[\\\\s.-]?\\\\d{3}[\\\\s.-]?\\\\d{4}$'))"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Phone Number:"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "AlternateContact",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Special considerations (3rd party insurance, accessibility, barriers, tips for care delivery)",
"type": "boolean",
"linkId": "SpecialConsiderations",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special Considerations:"
}, {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "Details of special considerations:",
"type": "text",
"linkId": "item38347402",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special Considerations: $$"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "SpecialConsiderations",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"type": "display",
"linkId": "item25397237",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "<b>Additional Patient Information</b>",
"type": "group",
"linkId": "AdditionalPatientInfo",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
} ]
} ]
}, {
"item": [ {
"text": "<i>Select all that apply</i>:",
"type": "display",
"linkId": "item10476570"
}, {
"item": [ {
"text": "Hamilton",
"type": "boolean",
"linkId": "item7852115",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "<b>Telephone:</b> 905 529 2259\n<b>Fax:</b> 905 529 2262",
"type": "display",
"linkId": "item42030680"
} ],
"type": "group",
"linkId": "section31627363",
"enableWhen": [ {
"operator": "=",
"question": "item7852115",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "St. Catharines",
"type": "boolean",
"linkId": "item59448874",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "<b>Telephone:</b> 905 529 2259\n<b>Fax:</b> 905 529 2262",
"type": "display",
"linkId": "item90358461"
} ],
"type": "group",
"linkId": "section55723098",
"enableWhen": [ {
"operator": "=",
"question": "item59448874",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Cambridge Memorial Hospital",
"type": "boolean",
"linkId": "item44065286",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "<b>Telephone:</b> 905 529 2259\n<b>Fax:</b> 905 529 2262",
"type": "display",
"linkId": "item8918930"
} ],
"type": "group",
"linkId": "section18070968",
"enableWhen": [ {
"operator": "=",
"question": "item44065286",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "section95718570",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"type": "display",
"linkId": "item74312441",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Preferred Location(s) *",
"type": "group",
"linkId": "PreferredLoc",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item10476570"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please obey rules specified in instructions"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "ScriptUtil.percentComplete( PreferredLoc) != 0"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Location(s)"
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"text": "<i>Select all that apply</i>:",
"type": "display",
"linkId": "item3508830"
}, {
"item": [ {
"text": "Sleep study; consult; treatment if required",
"type": "boolean",
"linkId": "item84731201",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "• Sleep study; consult; treatment if required"
} ]
} ],
"enableWhen": [ {
"operator": "exists",
"question": "item45390734",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Diagnostic sleep study only, no consult, no treatment",
"type": "boolean",
"linkId": "item45390734",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "• Diagnostic sleep study only, no consult, no treatment"
} ]
} ],
"enableWhen": [ {
"operator": "exists",
"question": "item84731201",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Consult; followed by diagnosis and treatment if required",
"type": "boolean",
"linkId": "item46379923",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "• Consult; followed by diagnosis and treatment if required"
} ]
} ]
} ],
"type": "group",
"linkId": "section68958263",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"type": "display",
"linkId": "item53780705",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Service Request(s) *",
"type": "group",
"linkId": "section9816307",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item3508830"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please obey rules specified in instructions"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "ScriptUtil.percentComplete( section9816307) != 0"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Service Request(s)"
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"text": "Urgency:",
"type": "choice",
"linkId": "Urgency",
"repeats": false,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Urgency:"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "style",
"valueString": "color:green;"
} ]
} ],
"valueCoding": {
"code": "Routine"
},
"initialSelected": true
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "style",
"valueString": "color:orange;"
} ]
} ],
"valueCoding": {
"code": "High Priority"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "style",
"valueString": "color:red;"
} ]
} ],
"valueCoding": {
"code": "Urgent"
}
} ]
}, {
"text": "Rationale for Urgent Referral:",
"type": "string",
"linkId": "item40810108",
"required": true,
"enableWhen": [ {
"operator": "=",
"question": "Urgency",
"answerCoding": {
"code": "Urgent"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "<i> Select all that apply:</i>",
"type": "display",
"linkId": "item54277157"
}, {
"item": [ {
"text": "Snoring",
"type": "boolean",
"linkId": "item72495479",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 11
} ]
} ]
}, {
"text": "Snoring with apnea",
"type": "boolean",
"linkId": "item83826274",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 12
} ]
} ]
}, {
"text": "Obesity",
"type": "boolean",
"linkId": "item3849613",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 13
} ]
} ]
}, {
"item": [ {
"text": "Height:",
"type": "choice",
"linkId": "item86156137",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "cm"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "ft"
}
} ]
}, {
"text": "Feet:",
"type": "choice",
"linkId": "htFeet",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item86156137.p=='2'"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "1'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "2'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "3'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "4'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "5'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 6
} ],
"valueCoding": {
"code": "6'"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 7
} ],
"valueCoding": {
"code": "7'"
}
} ]
}, {
"text": "Inches:",
"type": "choice",
"linkId": "htInches",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item86156137.p=='2'"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
} ],
"valueCoding": {
"code": "0\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "1\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "2\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "3\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "4\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "5\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 6
} ],
"valueCoding": {
"code": "6\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 7
} ],
"valueCoding": {
"code": "7\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 8
} ],
"valueCoding": {
"code": "8\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 9
} ],
"valueCoding": {
"code": "9\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 10
} ],
"valueCoding": {
"code": "10\""
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 11
} ],
"valueCoding": {
"code": "11\""
}
} ]
}, {
"text": "Height (cm):",
"type": "decimal",
"linkId": "htCm",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item86156137.p=='1'"
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptLatestVal.ht"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Height: $$ cm"
} ]
} ]
}, {
"text": "Weight:",
"type": "choice",
"linkId": "item41557024",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "kg"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "lb"
}
} ]
}, {
"text": "Weight (kg):",
"type": "decimal",
"linkId": "wtKgs",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item41557024.p=='1'"
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptLatestVal.wt"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Weight: $$ kg"
} ]
} ]
}, {
"text": "Weight (lb):",
"type": "decimal",
"linkId": "wtLbs",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item41557024.p=='2'"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Weight: $$ lb"
} ]
} ]
}, {
"text": "BMI: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() { var ht = 0; var wt = 0; var BMI = 0; if (htCm.p != 0) { ht = htCm.p / 100; } else if (htFeet.p != 0 && htInches.p != '') { ht = (0.3048*htFeet.p) + (0.0254*htInches.p); } if (wtLbs.p && wtLbs.p != 0) { wt = wtLbs.p * 0.453592; } else { wt = wtKgs.p; } BMI = wt / (ht * ht); return Math.round(BMI*10/10); })();"
}
} ]
},
"linkId": "item45612156",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(htCm.p!='' || (htFeet.p!='' && htInches.p!='')) && (wtLbs.p!='' || wtKgs.p!='')"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item41557024.p!='' && item86156137.p!=''"
}
} ]
} ]
} ],
"type": "group",
"linkId": "section27575149",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Obesity Details"
}, {
"url": "style",
"valueString": "text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
}, {
"url": "sortIndex",
"valuePositiveInt": 24
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "item3849613",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Unrefreshing sleep",
"type": "boolean",
"linkId": "item97391358",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 14
} ]
} ]
}, {
"text": "Excessive daytime sleepiness",
"type": "boolean",
"linkId": "item49869991",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 15
} ]
} ]
}, {
"text": "Frequent awakenings",
"type": "boolean",
"linkId": "item74170896",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 16
} ]
} ]
}, {
"text": "Difficulty initiating or maintaining sleep",
"type": "boolean",
"linkId": "item9633588",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 17
} ]
} ]
}, {
"text": "Restless legs",
"type": "boolean",
"linkId": "item92573517",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 18
} ]
} ]
}, {
"text": "Unusual movement during sleep",
"type": "boolean",
"linkId": "item55426052",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 19
} ]
} ]
}, {
"text": "Abnormal behaviour during sleep",
"type": "boolean",
"linkId": "item22456535",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 20
} ]
} ]
}, {
"text": "Oxygen",
"type": "boolean",
"linkId": "item65409751",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "item65409751.r=='Y' && item24344238.r==''"
}
}, {
"url": "sortIndex",
"valuePositiveInt": 21
} ]
} ]
}, {
"text": "Oxygen (L/min):",
"type": "string",
"linkId": "item24344238",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Oxygen ($$ L/min)"
}, {
"url": "sortIndex",
"valuePositiveInt": 22
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "item65409751",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"text": "Other",
"type": "boolean",
"linkId": "item12442891",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"item": [ {
"text": "Specify:",
"type": "text",
"linkId": "item50097539",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other: $$"
} ]
} ]
} ],
"type": "group",
"linkId": "section8708662",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 23
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "item12442891",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "reason_for_referral",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
} ],
"text": "Symptom(s) Leading to Referral *",
"type": "group",
"linkId": "section75710709",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item54277157"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please obey rules specified in instructions"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "ScriptUtil.percentComplete( section75710709 ) != 0"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Symptom(s) Leading to Referral"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"text": "<i>Select all that apply</i>:",
"type": "display",
"linkId": "item38973554"
}, {
"text": "None",
"type": "boolean",
"linkId": "item71421940",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "Cardiac History",
"type": "boolean",
"linkId": "item49626582",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"text": "Diabetes Mellitus",
"type": "boolean",
"linkId": "item35200400",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"text": "Hypertension",
"type": "boolean",
"linkId": "item15402985",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"text": "Medically Stable",
"type": "boolean",
"linkId": "item80087810",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"text": "Other",
"type": "boolean",
"linkId": "item3393239",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"item": [ {
"text": "Specify:",
"type": "text",
"linkId": "item73008812",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other: $$"
} ]
} ]
} ],
"type": "group",
"linkId": "section10143812",
"enableWhen": [ {
"operator": "=",
"question": "item3393239",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "section84703123",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "listSeparator",
"valueString": "; "
} ]
} ],
"enableWhen": [ {
"operator": "exists",
"question": "item71421940",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Other Medical Diagnosis *",
"type": "group",
"linkId": "section63116961",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item38973554"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please obey rules specified in instructions"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "ScriptUtil.percentComplete( section63116961 ) != 0"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Other Medical Diagnosis:"
}, {
"url": "style",
"valueString": "text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "; "
} ]
} ]
}, {
"type": "display",
"linkId": "item84855210",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Reason for Referral",
"type": "group",
"linkId": "reasonforreferralsec",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for Referral"
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"item": [ {
"text": "Patient should be able to care for self in sleep lab.",
"type": "display",
"linkId": "item94952908"
} ],
"text": "Please Note",
"type": "group",
"linkId": "section80683868"
}, {
"text": "Has the patient had a previous sleep study:",
"type": "choice",
"linkId": "item29958538",
"answerOption": [ {
"valueCoding": {
"code": "N",
"display": "No"
}
}, {
"valueCoding": {
"code": "Y",
"display": "Yes"
}
} ]
}, {
"text": "Sleep Study Date:",
"type": "date",
"linkId": "item83627595",
"enableWhen": [ {
"operator": "=",
"question": "item29958538",
"answerCoding": {
"code": "Y"
}
} ],
"enableBehavior": "all"
}, {
"text": "Patient has had a CPAP titration within past 2 years:",
"type": "choice",
"linkId": "item94706514",
"answerOption": [ {
"valueCoding": {
"code": "N",
"display": "No"
}
}, {
"valueCoding": {
"code": "Y",
"display": "Yes"
}
} ]
}, {
"text": "Patient is currently on CPAP:",
"type": "choice",
"linkId": "item24476567",
"answerOption": [ {
"valueCoding": {
"code": "N",
"display": "No"
}
}, {
"valueCoding": {
"code": "Y",
"display": "Yes"
}
} ]
}, {
"text": "Current Pressure:",
"type": "string",
"linkId": "item49202473",
"enableWhen": [ {
"operator": "=",
"question": "item24476567",
"answerCoding": {
"code": "Y"
}
} ],
"enableBehavior": "all"
}, {
"text": "BIPAP:",
"type": "choice",
"linkId": "item36684397",
"answerOption": [ {
"valueCoding": {
"code": "N",
"display": "No"
}
}, {
"valueCoding": {
"code": "Y",
"display": "Yes"
}
} ]
}, {
"text": "IPAP (cm H2O):",
"type": "string",
"linkId": "item23042001",
"enableWhen": [ {
"operator": "=",
"question": "item36684397",
"answerCoding": {
"code": "Y"
}
} ],
"enableBehavior": "all"
}, {
"text": "EPAP (cm H2O):",
"type": "string",
"linkId": "item18617737",
"enableWhen": [ {
"operator": "=",
"question": "item36684397",
"answerCoding": {
"code": "Y"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "<b>Select all the patient conditions that apply</b>:",
"type": "display",
"linkId": "item80707057"
}, {
"item": [ {
"text": "Problems with mobility",
"type": "boolean",
"linkId": "item72394837",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 1
} ]
} ]
}, {
"text": "Communication (Hearing impaired, language, etc.)",
"type": "boolean",
"linkId": "item46214380",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 2
} ]
} ]
}, {
"text": "Developmental / Psychological Disorder",
"type": "boolean",
"linkId": "item68588107",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 3
} ]
} ]
}, {
"text": "History of Violence",
"type": "boolean",
"linkId": "item96864328",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 4
} ]
} ]
}, {
"text": "History of Seizure Disorder",
"type": "boolean",
"linkId": "item24665256",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 5
} ]
} ]
}, {
"text": "Neuromuscular Disorder",
"type": "boolean",
"linkId": "item2388556",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 6
} ]
} ]
}, {
"text": "Other",
"type": "boolean",
"linkId": "item42326652",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"item": [ {
"text": "Specify:",
"type": "text",
"linkId": "item67848934",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other: $$"
} ]
} ]
} ],
"type": "group",
"linkId": "section27925817",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 9
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "item42326652",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "section1950903"
}, {
"text": "Infectious Disease:",
"type": "choice",
"linkId": "item14347288",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Infectious Disease ($$)"
}, {
"url": "sortIndex",
"valuePositiveInt": 7
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "TB"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "MRSA"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "VRE"
}
} ]
}, {
"text": "Incontinence:",
"type": "choice",
"linkId": "item29873156",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "$$ Continence"
}, {
"url": "sortIndex",
"valuePositiveInt": 8
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "Urinary"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "Fecal"
}
} ]
} ],
"type": "group",
"linkId": "section26623026",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "item80707057"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please obey rules specified in instructions"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "ScriptUtil.percentComplete( section26623026 ) != 0"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Patient Condition(s):"
}, {
"url": "style",
"valueString": "text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "; "
} ]
} ]
}, {
"type": "display",
"linkId": "item39543350",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Medical History",
"type": "group",
"linkId": "section11292337",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"text": "CPP Attached Separately",
"type": "boolean",
"linkId": "CPPAttachment",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"text": "Do not send CPP",
"type": "boolean",
"linkId": "CPPRemoved",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"item": [ {
"text": "Current Medications:",
"type": "text",
"linkId": "rx",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.rx"
}
} ]
}, {
"text": "Current Problems:",
"type": "text",
"linkId": "prob",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.prob"
}
} ]
}, {
"text": "Past Medical History:",
"type": "text",
"linkId": "pmhx",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.pmhx"
}
} ]
}, {
"text": "Allergies:",
"type": "text",
"linkId": "item19532475",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.allg"
}
} ]
} ],
"type": "group",
"linkId": "section58148321",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "CPPAttachment.r != 'Y' && CPPRemoved.r != 'Y'"
}
} ]
}, {
"type": "display",
"linkId": "item31368171",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Cumulative Patient Profile",
"type": "group",
"linkId": "section61428617",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
}, {
"item": [ {
"text": "Please attach all <b><u>relevant</u></b> laboratory and diagnostic investigations.",
"type": "display",
"linkId": "item89395197"
}, {
"text": "Please provide studies done at other laboratories",
"type": "boolean",
"linkId": "item16476704",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"type": "display",
"linkId": "item2601597",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"text": "Supporting Documentation",
"type": "group",
"linkId": "section79119148",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "listSeparator",
"valueString": "\\n"
} ]
} ]
} ],
"type": "group",
"linkId": "body",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"item": [ {
"text": "(noAttachmentWarning)",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "CPPAttachment.r == 'Y' ? 'Did you forget to attach a file?' : ''"
}
} ]
},
"linkId": "noAttachmentWarning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "referralService: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function () { var svcs = []; { svcs.push('SLEEP_MEDICINE'); } return svcs.join('|'); }())"
}
} ]
},
"linkId": "referralService",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "referralDescription: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() { var descs = []; {descs.push('Sleep Disorder Clinic');} return descs.join('; '); })()"
}
} ]
},
"linkId": "referralDescription",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "ax_reasonForReferral: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() { var descs = []; if(item84731201.p && !item45390734.p) {descs.push('Sleep Study and Consult');} if(item45390734.p && !item84731201.p) {descs.push('Sleep Study Only');} if(item46379923.p) {descs.push('Sleep Clinic Consult');} return descs.join('; '); })()"
}
} ]
},
"linkId": "ax_reasonForReferral",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "priority: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='High Priority' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()"
}
} ]
},
"linkId": "priority",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "referrerUrgency: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='SemiUrgent' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()"
}
} ]
},
"linkId": "referrerUrgency",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "referralUrgency: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='SemiUrgent' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()"
}
} ]
},
"linkId": "referralUrgency",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"text": "ax_diagnosis: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; if (item72495479.r == 'Y') {descs+='Snoring' + '; ';} if (item83826274.r == 'Y') {descs+='Snoring with apnea' + '; ';} if (item3849613.r == 'Y') {descs+='Obesity' + '; ';} if (item97391358.r == 'Y') {descs+='Unrefreshing sleep' + '; ';} if (item49869991.r == 'Y') {descs+='Excessive Daytime sleepiness' + '; ';} if (item74170896.r == 'Y') {descs+='Frequent awakenings' + '; ';} if (item9633588.r == 'Y') {descs+='Difficulty initiating or maintaining sleep' + '; ';} if (item92573517.r == 'Y') {descs+='Restless legs' + '; ';} if (item55426052.r == 'Y') {descs+='Unusual movement during sleep' + '; ';} if (item22456535.r == 'Y') {descs+='Abnormal behaviour during sleep' + '; ';} if (item65409751.r == 'Y') {descs+='Oxygen concerns' + '; ';} if (item49626582.r == 'Y') {descs+='Cardiac History' + '; ';} if (item35200400.r == 'Y') {descs+='Diabetes Mellitus' + '; ';} if (item15402985.r == 'Y') {descs+='Hypertension' + '; ';} if (item80087810.r == 'Y') {descs+='Medically stable' + '; ';} if (item72394837.r == 'Y') {descs+='Problems with mobility' + '; ';} if (item46214380.r == 'Y') {descs+='Communication issues' + '; ';} if (item68588107.r == 'Y') {descs+='Developmental / Psychological Disorder' + '; ';} if (item96864328.r == 'Y') {descs+='Violent Behaviour' + '; ';} if (item24665256.r == 'Y') {descs+='Seizure Disorder' + '; ';} if (item2388556.r == 'Y') {descs+='Neuromuscular Disorder' + '; ';} return descs.substring(0, (descs.length-2)); })()"
}
} ]
},
"linkId": "ax_diagnosis"
}, {
"text": "ax_bodySite: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; if (item92573517.r == 'Y') {descs+='Leg(s)' + '; ';} if (item49626582.r == 'Y' || item15402985.r == 'Y') {descs+='Heart' + '; ';} if (item35200400.r == 'Y') {descs+='Pancreas' + '; ';} if (item2388556.r == 'Y') {descs+='Nervous System' + '; ';} return descs.substring(0, (descs.length-2)); })()"
}
} ]
},
"linkId": "ax_bodySite"
}, {
"text": "ax_v_bp: $$",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(function() {; var descs = \"\"; {descs+='Sleep Disorder Clinic eReferral Form [FINAL JULY 2024]; 2024.07.25' ;} return descs.substring(0, (descs.length-0)); })()"
}
} ]
},
"linkId": "ax_v_bp"
} ],
"text": "Export Analytics [PSM NOT REVIEWED]",
"type": "group",
"linkId": "section98896179",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
} ],
"type": "group",
"linkId": "KidneyWiseForm"
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Sleep Disorder Clinic eReferral Form [FINAL JULY 2024]",
"package_version": "1.0.0-interim4",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm"
}
}, {
"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='KidneyWiseForm') %}{% for currentItem in currentItem.item.where(linkId='body') %}{% for currentItem in currentItem.item.where(linkId='AdditionalPatientInfo') %}  <span style="font-weight:bold;text-decoration:underline;">&amp;lt;b&amp;gt;Additional Patient Information&amp;lt;/b&amp;gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='PreferredLanguage') %}{% if currentItem.answer.exists() %}Preferred Language:{% for answer in currentItem.answer %}{% if answer.value.code = 'eng' %}eng{% endif %}{% if answer.value.code = 'fre' %}fre{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item55155068') %}{% if currentItem.answer.exists() %}Preferred Language:{% 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='Translator') %}{% if currentItem.answer.value.ofType(boolean) = true %}Translator &amp;lt;b&amp;gt;&amp;lt;u&amp;gt;NOT&amp;lt;/u&amp;gt;&amp;lt;/b&amp;gt; needed  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='BestContactMethod') %}{% if currentItem.answer.exists() %}Best Method of Contact:{% for answer in currentItem.answer %}{% if answer.value.code = 'OTHER' %}OTHER{% endif %}{% if answer.value.code = 'HOME' %}HOME{% endif %}{% if answer.value.code = 'BUSINESS' %}BUSINESS{% endif %}{% if answer.value.code = 'EMAIL' %}EMAIL{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item73068595') %}{% if currentItem.answer.value.ofType(boolean) = true %}Voicemail acceptable: No  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='AlternateContact') %}{% if currentItem.answer.value.ofType(boolean) = true %}&amp;lt;u&amp;gt;Appointment booking contact&amp;lt;/u&amp;gt;  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item6554535') %}{% if currentItem.answer.exists() %}Name:{% 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='item80027355') %}{% if currentItem.answer.exists() %}Phone Number:{% 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='SpecialConsiderations') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item38347402') %}{% if currentItem.answer.exists() %}Special Considerations: $${% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='PreferredLoc') %}  <span style="font-weight:bold;text-decoration:underline;">Preferred Location(s)</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='section95718570') %}{% for currentItem in currentItem.item.where(linkId='item7852115') %}{% if currentItem.answer.value.ofType(boolean) = true %}Hamilton  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section31627363') %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item59448874') %}{% if currentItem.answer.value.ofType(boolean) = true %}St. Catharines  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section55723098') %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item44065286') %}{% if currentItem.answer.value.ofType(boolean) = true %}Cambridge Memorial Hospital  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section18070968') %}\n{% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section9816307') %}  <span style="font-weight:bold;text-decoration:underline;">Service Request(s)</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='section68958263') %}{% for currentItem in currentItem.item.where(linkId='item84731201') %}{% if currentItem.answer.value.ofType(boolean) = true %}• Sleep study; consult; treatment if required  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item45390734') %}{% if currentItem.answer.value.ofType(boolean) = true %}• Diagnostic sleep study only, no consult, no treatment  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item46379923') %}{% if currentItem.answer.value.ofType(boolean) = true %}• Consult; followed by diagnosis and treatment if required  <br/>
{% endif %}\n{% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='reasonforreferralsec') %}  <span style="font-weight:bold;text-decoration:underline;">Reason for Referral</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='Urgency') %}{% if currentItem.answer.exists() %}Urgency:{% for answer in currentItem.answer %}{% if answer.value.code = 'Routine' %}Routine{% endif %}{% if answer.value.code = 'High Priority' %}High Priority{% endif %}{% if answer.value.code = 'Urgent' %}Urgent{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item40810108') %}{% if currentItem.answer.exists() %}Rationale for Urgent Referral:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section75710709') %}  <span style="font-weight:bold;">Symptom(s) Leading to Referral</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='reason_for_referral') %}{% for currentItem in currentItem.item.where(linkId='item72495479') %}{% if currentItem.answer.value.ofType(boolean) = true %}Snoring  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item83826274') %}{% if currentItem.answer.value.ofType(boolean) = true %}Snoring with apnea  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item3849613') %}{% if currentItem.answer.value.ofType(boolean) = true %}Obesity  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item97391358') %}{% if currentItem.answer.value.ofType(boolean) = true %}Unrefreshing sleep  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item49869991') %}{% if currentItem.answer.value.ofType(boolean) = true %}Excessive daytime sleepiness  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item74170896') %}{% if currentItem.answer.value.ofType(boolean) = true %}Frequent awakenings  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item9633588') %}{% if currentItem.answer.value.ofType(boolean) = true %}Difficulty initiating or maintaining sleep  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item92573517') %}{% if currentItem.answer.value.ofType(boolean) = true %}Restless legs  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item55426052') %}{% if currentItem.answer.value.ofType(boolean) = true %}Unusual movement during sleep  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item22456535') %}{% if currentItem.answer.value.ofType(boolean) = true %}Abnormal behaviour during sleep  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item65409751') %}{% if currentItem.answer.value.ofType(boolean) = true %}Oxygen  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item24344238') %}{% if currentItem.answer.exists() %}Oxygen ($$ L/min){% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section8708662') %}{% for currentItem in currentItem.item.where(linkId='item50097539') %}{% if currentItem.answer.exists() %}Other: $${% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section27575149') %}  <span style="text-decoration:underline;">Obesity Details</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item86156137') %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='htFeet') %}{% if currentItem.answer.exists() %}Feet:{% for answer in currentItem.answer %}{% if answer.value.code = '1'' %}1'{% endif %}{% if answer.value.code = '2'' %}2'{% endif %}{% if answer.value.code = '3'' %}3'{% endif %}{% if answer.value.code = '4'' %}4'{% endif %}{% if answer.value.code = '5'' %}5'{% endif %}{% if answer.value.code = '6'' %}6'{% endif %}{% if answer.value.code = '7'' %}7'{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='htInches') %}{% if currentItem.answer.exists() %}Inches:{% for answer in currentItem.answer %}{% if answer.value.code = '0&quot;' %}0&quot;{% endif %}{% if answer.value.code = '1&quot;' %}1&quot;{% endif %}{% if answer.value.code = '2&quot;' %}2&quot;{% endif %}{% if answer.value.code = '3&quot;' %}3&quot;{% endif %}{% if answer.value.code = '4&quot;' %}4&quot;{% endif %}{% if answer.value.code = '5&quot;' %}5&quot;{% endif %}{% if answer.value.code = '6&quot;' %}6&quot;{% endif %}{% if answer.value.code = '7&quot;' %}7&quot;{% endif %}{% if answer.value.code = '8&quot;' %}8&quot;{% endif %}{% if answer.value.code = '9&quot;' %}9&quot;{% endif %}{% if answer.value.code = '10&quot;' %}10&quot;{% endif %}{% if answer.value.code = '11&quot;' %}11&quot;{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='htCm') %}{% if currentItem.answer.exists() %}Height: $$ cm{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item41557024') %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='wtKgs') %}{% if currentItem.answer.exists() %}Weight: $$ kg{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='wtLbs') %}{% if currentItem.answer.exists() %}Weight: $$ lb{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}\n\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item12442891') %}\n{% endfor %}\n{% endfor %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section63116961') %}  <span style="text-decoration:underline;">Other Medical Diagnosis:</span>
  <br/>
; {% for currentItem in currentItem.item.where(linkId='item71421940') %}{% if currentItem.answer.value.ofType(boolean) = true %}None  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='section84703123') %}{% for currentItem in currentItem.item.where(linkId='item49626582') %}{% if currentItem.answer.value.ofType(boolean) = true %}Cardiac History  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='item35200400') %}{% if currentItem.answer.value.ofType(boolean) = true %}Diabetes Mellitus  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='item15402985') %}{% if currentItem.answer.value.ofType(boolean) = true %}Hypertension  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='item80087810') %}{% if currentItem.answer.value.ofType(boolean) = true %}Medically Stable  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='item3393239') %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='section10143812') %}{% for currentItem in currentItem.item.where(linkId='item73008812') %}{% if currentItem.answer.exists() %}Other: $${% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}; {% endfor %}; {% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section11292337') %}  <span style="font-weight:bold;text-decoration:underline;">Medical History</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='section80683868') %}Please Note  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item29958538') %}{% if currentItem.answer.exists() %}Has the patient had a previous sleep study:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item83627595') %}{% if currentItem.answer.exists() %}Sleep Study Date:{% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item94706514') %}{% if currentItem.answer.exists() %}Patient has had a CPAP titration within past 2 years:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item24476567') %}{% if currentItem.answer.exists() %}Patient is currently on CPAP:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item49202473') %}{% if currentItem.answer.exists() %}Current Pressure:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item36684397') %}{% if currentItem.answer.exists() %}BIPAP:{% for answer in currentItem.answer %}{% if answer.value.code = 'N' %}No{% endif %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item23042001') %}{% if currentItem.answer.exists() %}IPAP (cm H2O):{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='item18617737') %}{% if currentItem.answer.exists() %}EPAP (cm H2O):{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section26623026') %}  <span style="text-decoration:underline;">Patient Condition(s):</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='item14347288') %}{% if currentItem.answer.exists() %}Infectious Disease ($$){% for answer in currentItem.answer %}{% if answer.value.code = 'TB' %}TB{% endif %}{% if answer.value.code = 'MRSA' %}MRSA{% endif %}{% if answer.value.code = 'VRE' %}VRE{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}; {% endfor %}{% for currentItem in currentItem.item.where(linkId='item29873156') %}{% if currentItem.answer.exists() %}$$ Continence{% for answer in currentItem.answer %}{% if answer.value.code = 'Urinary' %}Urinary{% endif %}{% if answer.value.code = 'Fecal' %}Fecal{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}; {% endfor %}; {% for currentItem in currentItem.item.where(linkId='section1950903') %}{% for currentItem in currentItem.item.where(linkId='item72394837') %}{% if currentItem.answer.value.ofType(boolean) = true %}Problems with mobility  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item46214380') %}{% if currentItem.answer.value.ofType(boolean) = true %}Communication (Hearing impaired, language, etc.)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item68588107') %}{% if currentItem.answer.value.ofType(boolean) = true %}Developmental / Psychological Disorder  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item96864328') %}{% if currentItem.answer.value.ofType(boolean) = true %}History of Violence  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item24665256') %}{% if currentItem.answer.value.ofType(boolean) = true %}History of Seizure Disorder  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item2388556') %}{% if currentItem.answer.value.ofType(boolean) = true %}Neuromuscular Disorder  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section27925817') %}{% for currentItem in currentItem.item.where(linkId='item67848934') %}{% if currentItem.answer.exists() %}Other: $${% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item42326652') %}{% endfor %}; {% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section61428617') %}  <span style="font-weight:bold;text-decoration:underline;">Cumulative Patient Profile</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='CPPAttachment') %}{% if currentItem.answer.value.ofType(boolean) = true %}CPP Attached Separately  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='CPPRemoved') %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section58148321') %}{% for currentItem in currentItem.item.where(linkId='rx') %}{% if currentItem.answer.exists() %}Current Medications:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='prob') %}{% if currentItem.answer.exists() %}Current Problems:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='pmhx') %}{% if currentItem.answer.exists() %}Past Medical History:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='item19532475') %}{% if currentItem.answer.exists() %}Allergies:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='section79119148') %}  <span style="font-weight:bold;text-decoration:underline;">Supporting Documentation</span>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='item16476704') %}\n{% endfor %}  <br/>
  <br/>
\n{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='section98896179') %}{% 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",
"id": "b8b0cb4a-22be-45cb-87e2-39cfd4ae3cfd",
"kind": null,
"url": "http://ontariohealth.ca/legacy/Questionnaire/sleep-disorder-clini",
"version": "0"
}