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    Packages
    ca.on.oh.setp.iar.dev@1.0.0-ballot1-dev
    http://ontariohealth.ca/fhir/iar/Questionnaire/oh-interrai-contact-assessment
{
  "description": "This assessment is the interRAI™ Contact Assessment (CA) Form, version 10.0 – CIHI Canadian Standard. A screening-level assessment used for intake into home and community care. The core content was developed by interRAI, adapted by the Canadian Institute for Health Information (CIHI) with modifications from from OntarioHealth. The FHIR artifact is maintained and published by Ontario Health.",
  "_filename": "examples/Questionnaire-iar-contact-asessment-v.2.0.0-oh.json",
  "package_name": "ca.on.oh.setp.iar.dev",
  "subjectType": [ "Patient" ],
  "date": "2026-02-01T21:47:22.96+00:00",
  "publisher": "Ontario Health",
  "approvalDate": "2026-01-09",
  "name": null,
  "item": [ {
    "item": [ {
      "item": [ {
        "text": "(Given name)",
        "type": "string",
        "linkId": "A1a",
        "prefix": "a.",
        "maxLength": 255
      }, {
        "text": "(Middle initial)",
        "type": "string",
        "linkId": "A1b",
        "prefix": "b.",
        "maxLength": 255
      }, {
        "text": "(Family name)",
        "type": "string",
        "linkId": "A1c",
        "prefix": "c.",
        "maxLength": 255
      } ],
      "text": "1. NAME",
      "type": "group",
      "linkId": "A1"
    }, {
      "item": [ {
        "text": "Sex [Country Specific - Canada]",
        "type": "choice",
        "linkId": "A2a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/sex"
      }, {
        "text": "Gender identity [Canada - Only]",
        "type": "choice",
        "linkId": "A2b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/gender-identity"
      }, {
        "text": "Person self-identifies gender as [Canada - Only] - If the person responded “Other” Gender identity (Ask, “What best identifies your current gender identity?”) if the person does not want to respond to the above question, leave the box blank. This item must not contain any names (full or partial) or the person’s Healthcare Identification Number or date  of birth.",
        "type": "string",
        "linkId": "A2c",
        "prefix": "c.",
        "maxLength": 25
      } ],
      "text": "2. SEX / GENDER IDENTITY",
      "type": "group",
      "linkId": "A2"
    }, {
      "text": "BIRTHDATE",
      "type": "date",
      "linkId": "A3",
      "prefix": "3.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
        "valueString": "yyyy/MM/dd"
      } ]
    }, {
      "text": "MARITAL STATUS",
      "type": "choice",
      "linkId": "A4",
      "prefix": "4.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/marital-status"
    }, {
      "item": [ {
        "text": "Healthcare Identification Number",
        "type": "integer",
        "linkId": "A5a",
        "prefix": "a."
      }, {
        "text": "Province or territory issuing Healthcare Identification Number",
        "type": "choice",
        "linkId": "A5b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/issuing-jurisdiction"
      }, {
        "text": "Case record number",
        "type": "integer",
        "linkId": "A5c",
        "prefix": "c."
      } ],
      "text": "5. NUMERIC IDENTIFIERS",
      "type": "group",
      "linkId": "A5"
    }, {
      "text": "POSTAL CODE OF USUAL LIVING ARRANGEMENT  [COUNTRY SPECIFIC - CANADA",
      "type": "choice",
      "linkId": "A6",
      "prefix": "6.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/postal-code"
    }, {
      "text": "AGENCY IDENTIFIER [COUNTRY SPECIFIC - CANADA]",
      "type": "integer",
      "linkId": "A7",
      "prefix": "7."
    }, {
      "item": [ {
        "text": "First Nations",
        "type": "choice",
        "linkId": "A8a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/indigenous-identity"
      }, {
        "text": "Metis",
        "type": "choice",
        "linkId": "A8b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/indigenous-identity"
      }, {
        "text": "Inuit",
        "type": "choice",
        "linkId": "A8c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/indigenous-identity"
      } ],
      "text": "8. INDIGENOUS IDENTITY [COUNTRY SPECIFIC - CANADA] - Person identifies as First Nations, Métis, or Inuit",
      "type": "group",
      "linkId": "A8"
    }, {
      "text": "PRIMARY LANGUAGE  [COUNTRY SPECIFIC - CANADA] ",
      "type": "choice",
      "linkId": "A10",
      "prefix": "9.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/languages"
    }, {
      "text": "INTERPRETER NEEDED",
      "type": "choice",
      "linkId": "A11",
      "prefix": "10.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "radio-button",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Radio Button"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
    }, {
      "text": "REASONS FOR REFERRAL",
      "type": "text",
      "linkId": "A12",
      "prefix": "11."
    }, {
      "text": "LOCATION OF ASSESSMENT",
      "type": "choice",
      "linkId": "A13",
      "prefix": "12.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/assessment-location"
    } ],
    "text": "Section A. Demographic Information",
    "type": "group",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "Section A. Demographic Information"
      } ]
    },
    "linkId": "A"
  }, {
    "item": [ {
      "text": "ASSESSMENT REFERENCE DATE",
      "type": "date",
      "linkId": "B1",
      "prefix": "1.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
        "valueString": "yyyy/MM/dd"
      } ]
    }, {
      "item": [ {
        "item": [ {
          "text": "Administration of medication (other than IV)",
          "type": "choice",
          "linkId": "B2aa",
          "prefix": "a.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Indwelling catheter",
          "type": "choice",
          "linkId": "B2ab",
          "prefix": "b.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "IV therapy",
          "type": "choice",
          "linkId": "B2ac",
          "prefix": "c.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Wound care",
          "type": "choice",
          "linkId": "B2ad",
          "prefix": "d.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Other (specify)",
          "type": "choice",
          "linkId": "B2ae1",
          "prefix": "e1.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Other (specify) - description",
          "type": "string",
          "linkId": "B2ae2",
          "prefix": "e2.",
          "maxLength": 20
        }, {
          "text": "Condom catheter",
          "type": "choice",
          "linkId": "B2af",
          "prefix": "f.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Drain/tube management",
          "type": "choice",
          "linkId": "B2ag",
          "prefix": "g.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Diabetic teaching",
          "type": "choice",
          "linkId": "B2ah",
          "prefix": "h.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Ostomy management",
          "type": "choice",
          "linkId": "B2ai",
          "prefix": "i.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Sitz bath teaching",
          "type": "choice",
          "linkId": "B2aj",
          "prefix": "j.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Staple/suture removal",
          "type": "choice",
          "linkId": "B2ak",
          "prefix": "k.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Nursing",
          "type": "choice",
          "linkId": "B2al",
          "prefix": "l.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "PT assessment",
          "type": "choice",
          "linkId": "B2am",
          "prefix": "m.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "OT assessment",
          "type": "choice",
          "linkId": "B2an",
          "prefix": "n.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Swallow assessment",
          "type": "choice",
          "linkId": "B2ao",
          "prefix": "o.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/treatment-time-frame-one"
        }, {
          "text": "Referral to initiate or continue rehabilitation services",
          "type": "choice",
          "linkId": "B2b",
          "prefix": "b.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "radio-button",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Radio Button"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
        }, {
          "text": "Referral to initiate or continue palliative services",
          "type": "choice",
          "linkId": "B2c",
          "prefix": "c.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "radio-button",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Radio Button"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
        } ],
        "text": "Time frame for initiation of ordered treatments in community",
        "type": "group",
        "linkId": "B2a",
        "prefix": "a."
      } ],
      "text": "2. REFERRAL DETAILS",
      "type": "group",
      "linkId": "B2"
    }, {
      "text": "EXPECTED LIVING ARRANGEMENT DURING SERVICE PROVISION",
      "type": "choice",
      "linkId": "B3",
      "prefix": "3.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-living-arrangement"
    }, {
      "text": "EXPECTED RESIDENTIAL / LIVING STATUS DURING SERVICE PROVISION",
      "type": "choice",
      "linkId": "B4",
      "prefix": "4.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/location"
    } ],
    "text": "Section B. Intake and Initial History ",
    "type": "group",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "Section B. Intake and Initial History "
      } ]
    },
    "linkId": "B"
  }, {
    "item": [ {
      "text": "COGNITIVE SKILLS FOR DAILY DECISION MAKING - Making decisions regarding tasks of daily life—e.g., when to get up or have meals, which clothes to wear or activities to do",
      "type": "choice",
      "linkId": "C1",
      "prefix": "1.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/ca-cognitive-skills"
    }, {
      "item": [ {
        "text": "Bathing - How takes a full-body bath / shower. Includes how each part of body is bathed: arms, upper and lower legs, chest, abdomen, perineal area — EXCLUDE WASHING OF BACK AND HAIR, AS WELL AS TRANSFER IN/OUT OF BATH OR SHOWER",
        "type": "choice",
        "linkId": "C2a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Bath transfer - How person transfers in/out of bath or shower",
        "type": "choice",
        "linkId": "C2b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Personal hygiene - How manages personal hygiene, including combing hair, brushing teeth, shaving, applying makeup, washing and drying face and hands — EXCLUDE BATHS AND SHOWERS.",
        "type": "choice",
        "linkId": "C2c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Dressing lower body - How dresses and undresses (street clothes, underwear) from the waist down, including prostheses, orthotics, belts, pants, skirts, shoes, fasteners, etc.",
        "type": "choice",
        "linkId": "C2d",
        "prefix": "d.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Locomotion - How moves between locations on same floor (walking or wheeling). If in wheelchair, self-sufficiency once in chair.",
        "type": "choice",
        "linkId": "C2e",
        "prefix": "e.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      } ],
      "text": "2. ACTIVITIES OF DAILY LIVING (ADL) SELF-PERFORMANCE - Most dependent episode over last 24 hours. If ADL did not occur in last 24 hours, code the most recent occurrence.",
      "type": "group",
      "linkId": "C2"
    }, {
      "text": "DYSPNEA (Shortness of Breath)",
      "type": "choice",
      "linkId": "C3",
      "prefix": "3.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/dyspnea"
    }, {
      "text": "SELF-REPORTED HEALTH Ask: In general, how would you rate your health?",
      "type": "choice",
      "linkId": "C4",
      "prefix": "4.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/self-reported-health"
    }, {
      "item": [ {
        "text": "Little interest or pleasure in things you normally enjoy?",
        "type": "choice",
        "linkId": "C5a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      }, {
        "text": "Anxious, restless, or uneasy?",
        "type": "choice",
        "linkId": "C5b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      }, {
        "text": "Sad, depressed, or hopeless?",
        "type": "choice",
        "linkId": "C5c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      } ],
      "text": "5. SELF-REPORTED MOOD [COUNTRY SPECIFIC - CANADA] Ask: “In the last 3 days, how often have you felt . . .”",
      "type": "group",
      "linkId": "C5"
    }, {
      "item": [ {
        "text": "Conditions/diseases make cognitive, ADL, mood, or behaviour patterns unstable (fluctuating, precarious, or deteriorating)",
        "type": "choice",
        "linkId": "C6a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }, {
        "text": "Experiencing an acute episode or a flare-up of a recurrent or chronic problem",
        "type": "choice",
        "linkId": "C6b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      } ],
      "text": "6. INSTABILITY OF CONDITIONS",
      "type": "group",
      "linkId": "C6"
    }, {
      "text": "HOME CARE OR COMMUNITY SUPPORT SERVICES MAY BE REQUIRED FOR THIS PERSON",
      "type": "choice",
      "linkId": "C7",
      "prefix": "7.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
    } ],
    "text": "Section C. Preliminary Screener",
    "type": "group",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "Section C. Preliminary Screener"
      } ]
    },
    "linkId": "C"
  }, {
    "item": [ {
      "text": "CHANGE IN DECISION MAKING AS COMPARED TO 90 DAYS AGO (OR SINCE LAST ASSESSMENT IF LESS THAN 90 DAYS AGO)",
      "type": "choice",
      "linkId": "D1",
      "prefix": "1.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-degree-of-improvement"
    }, {
      "text": "ABILITY TO UNDERSTAND OTHERS (Comprehension) - Understanding information content (however able; with hearing or other assistive devices normally used)",
      "type": "choice",
      "linkId": "D2",
      "prefix": "2.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-understanding-other"
    }, {
      "item": [ {
        "text": "Meal preparation — How prepares meals (e.g., planning meals, assembling ingredients, cooking, setting out food and utensils)",
        "type": "choice",
        "linkId": "D3a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Ordinary housework — How performs ordinary work around the house (e.g., doing dishes, dusting, making bed, tidying up, laundry)",
        "type": "choice",
        "linkId": "D3b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": ".Manage medications — How medications are managed (e.g., remembering to take medications, opening bottles, taking correct drug dosages, giving injections, applying ointments)",
        "type": "choice",
        "linkId": "D3c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Stairs — How manages full flight of stairs (e.g., 12–14 stairs)",
        "type": "choice",
        "linkId": "D3d",
        "prefix": "d.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Shopping — How performs in-store shopping for food and household items (e.g., selecting items, paying money) — EXCLUDE TRANSPORTATION OR USE OF GROCERY DELIVERY SERVICES",
        "type": "choice",
        "linkId": "D3e",
        "prefix": "e.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }, {
        "text": "Transportation — How travels by paid transportation (e.g., navigating bus system, paying taxi fare) or driving self (including getting out of house, into and out of vehicles)",
        "type": "choice",
        "linkId": "D3f",
        "prefix": "f.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      } ],
      "text": "3. INSTRUMENTAL ACTIVITIES OF DAILY LIVING (IADL) CAPACITY",
      "type": "group",
      "linkId": "D3"
    }, {
      "text": "CHANGE IN ADL STATUS AS COMPARED TO 90 DAYS AGO (OR SINCE LAST ASSESSMENT IF LESS THAN 90 DAYS AGO)",
      "type": "choice",
      "linkId": "D4",
      "prefix": "4.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-degree-of-improvement"
    }, {
      "item": [ {
        "text": "Alzheimer\"s disease",
        "type": "choice",
        "linkId": "D5a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Dementia other than Alzheimer\"s disease",
        "type": "choice",
        "linkId": "D5b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Stroke",
        "type": "choice",
        "linkId": "D5c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Coronary heart disease",
        "type": "choice",
        "linkId": "D5d",
        "prefix": "d.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Chronic obstructive pulmonary disease",
        "type": "choice",
        "linkId": "D5e",
        "prefix": "e.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Congestive heart failure",
        "type": "choice",
        "linkId": "D5f",
        "prefix": "f.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Cancer",
        "type": "choice",
        "linkId": "D5g",
        "prefix": "g.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "text": "Diabetes",
        "type": "choice",
        "linkId": "D5h",
        "prefix": "h.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
      }, {
        "item": [ {
          "text": "Diagnosis",
          "type": "string",
          "linkId": "D5ia"
        }, {
          "text": "Diagnosis Code",
          "type": "choice",
          "linkId": "D5ib",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-presence-of-diagnosis"
        }, {
          "text": "ICD-10-CA Code",
          "type": "choice",
          "linkId": "D5ic",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD10CA"
        } ],
        "text": "Other disease diagnoses",
        "type": "group",
        "linkId": "D5i",
        "repeats": true
      } ],
      "text": "5. DISEASE DIAGNOSES [COUNTRY SPECIFIC - CANADA]",
      "type": "group",
      "linkId": "D5"
    }, {
      "item": [ {
        "text": "Last 30 days",
        "type": "choice",
        "linkId": "D6a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-number-of-falls"
      }, {
        "text": "31-90 days",
        "type": "choice",
        "linkId": "D6b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-number-of-falls"
      }, {
        "text": "91-180 days",
        "type": "choice",
        "linkId": "D6c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-number-of-falls"
      } ],
      "text": "6. FALLS",
      "type": "group",
      "linkId": "D6"
    }, {
      "item": [ {
        "text": "Dizziness",
        "type": "choice",
        "linkId": "D7a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period2"
      }, {
        "text": "Chest pain",
        "type": "choice",
        "linkId": "D7b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period2"
      }, {
        "text": "Peripheral edema",
        "type": "choice",
        "linkId": "D7c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period2"
      }, {
        "text": "Vomiting",
        "type": "choice",
        "linkId": "D7d",
        "prefix": "d.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period2"
      } ],
      "text": "7. PROBLEM FREQUENCY",
      "type": "group",
      "linkId": "D7"
    }, {
      "item": [ {
        "text": "Frequency with which person complains or shows evidence of pain (including grimacing, teeth clenching, moaning, withdrawal when touched, or other nonverbal signs suggesting pain)",
        "type": "choice",
        "linkId": "D8a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-of-pain"
      }, {
        "text": "Intensity of highest level of pain present",
        "type": "choice",
        "linkId": "D8b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-severity-of-pain"
      } ],
      "text": "8. PAIN SYMPTOMS [Note: Always ask the person about pain frequency and intensity. Observe person and ask others who are in contact with the person.]",
      "type": "group",
      "linkId": "D8"
    }, {
      "text": "SMOKES TOBACCO DAILY",
      "type": "choice",
      "linkId": "D9",
      "prefix": "9.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/frequency-of-smoking"
    }, {
      "item": [ {
        "text": "In LAST 3 DAYS, noticeable decrease in the amount of food usually eaten or fluids usually consumed",
        "type": "choice",
        "linkId": "D10a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }, {
        "text": "Weight loss of 5% or more in LAST 30 DAYS or 10% or more in LAST 180 DAYS",
        "type": "choice",
        "linkId": "D10b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }, {
        "text": "Special diet",
        "type": "choice",
        "linkId": "D10c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      } ],
      "text": "10. NUTRITIONAL ISSUES",
      "type": "group",
      "linkId": "D10"
    }, {
      "text": "PRESENCE OF PRESSURE ULCER / INJURY",
      "type": "choice",
      "linkId": "D11",
      "prefix": "11.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/presence-of-pressure-ulcer"
    }, {
      "text": "MAJOR SKIN PROBLEMS - e.g., lesions, 2nd- or 3rd-degree burns, healing surgical wounds",
      "type": "choice",
      "linkId": "D12",
      "prefix": "12.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
    }, {
      "text": "TRAUMATIC INJURY - traumatic injury that has a major effect on the care required (e.g., fracture, major physical injury resulting from assault or motor vehicle accident)",
      "type": "choice",
      "linkId": "D13",
      "prefix": "13.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
    }, {
      "item": [ {
        "text": "Indwelling catheter",
        "type": "choice",
        "linkId": "D14a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-treatment-and-program"
      }, {
        "text": "IV therapy",
        "type": "choice",
        "linkId": "D14b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-treatment-and-program"
      }, {
        "text": "Oxygen therapy",
        "type": "choice",
        "linkId": "D14c",
        "prefix": "c.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-treatment-and-program"
      }, {
        "text": "Ventilator",
        "type": "choice",
        "linkId": "D14d",
        "prefix": "d.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-treatment-and-program"
      }, {
        "text": "Wound care",
        "type": "choice",
        "linkId": "D14e",
        "prefix": "e.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-treatment-and-program"
      } ],
      "text": "14. TREATMENTS [COUNTRY SPECIFIC - CANADA] - Treatments received or scheduled in LAST 3 DAYS",
      "type": "group",
      "linkId": "D14"
    }, {
      "text": "TIME SINCE LAST HOSPITAL STAY",
      "type": "choice",
      "linkId": "D15",
      "prefix": "15.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-time-since-last-hospital-stay"
    }, {
      "text": "EMERGENCY DEPARTMENT VISIT",
      "type": "integer",
      "linkId": "D16",
      "prefix": "16.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue",
        "valueDecimal": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
        "valueDecimal": 90
      } ]
    }, {
      "text": "SURGERY IN LAST 90 DAYS",
      "type": "choice",
      "linkId": "D17",
      "prefix": "17.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/surgery"
    }, {
      "item": [ {
        "text": "Relationship to person - Helper 1",
        "type": "choice",
        "linkId": "D18a1",
        "prefix": "a.1.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-relationship"
      }, {
        "text": "Relationship to person - Helper 2",
        "type": "choice",
        "linkId": "D18a2",
        "prefix": "a.2.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-relationship"
      }, {
        "text": "Lives with person - Helper 1",
        "type": "choice",
        "linkId": "D18b1",
        "prefix": "b.1.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-lives-with-person"
      }, {
        "text": "Lives with person - Helper 2",
        "type": "choice",
        "linkId": "D18b2",
        "prefix": "b.2.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-informal-helper-lives-with-person"
      } ],
      "text": "18. TWO KEY INFORMAL HELPERS [COUNTRY SPECIFIC - CANADA]",
      "type": "group",
      "linkId": "D18"
    }, {
      "item": [ {
        "text": "Primary informal helper expresses feelings of distress, anger, or depression",
        "type": "choice",
        "linkId": "D19a",
        "prefix": "a.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }, {
        "text": "Family or close friends report feeling overwhelmed by person\"s illness",
        "type": "choice",
        "linkId": "D19b",
        "prefix": "b.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      } ],
      "text": "19. INFORMAL HELPER STATUS",
      "type": "group",
      "linkId": "D19"
    }, {
      "text": "DEGREE OF LONELINESS - use self-report when possible (Ask: How often do you feel lonely?)",
      "type": "choice",
      "linkId": "D20",
      "prefix": "20.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/degree-of-loneliness"
    }, {
      "text": "FINANCES - Because of limited funds, during the last 30 days made trade-offs among purchasing any of the following: adequate food, shelter, clothing, prescribed medications, sufficient home heat or cooling, necessary health care",
      "type": "choice",
      "linkId": "D21",
      "prefix": "21.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "coding": [ {
            "code": "drop-down",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Drop down"
          } ]
        }
      } ],
      "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
    } ],
    "text": "Section D. Clinical Evaluation",
    "type": "group",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "Section D. Clinical Evaluation"
      } ]
    },
    "linkId": "D",
    "enableWhen": [ {
      "operator": "=",
      "question": "C1",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/ca-cognitive-skills"
      }
    }, {
      "operator": "=",
      "question": "C1",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/ca-cognitive-skills"
      }
    }, {
      "operator": "=",
      "question": "C2a",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2a",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2b",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2b",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2c",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2c",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2d",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2d",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2e",
      "answerCoding": {
        "code": "1",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C2e",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
      }
    }, {
      "operator": "=",
      "question": "C3",
      "answerCoding": {
        "code": "2",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/dyspnea"
      }
    }, {
      "operator": "=",
      "question": "C3",
      "answerCoding": {
        "code": "3",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/dyspnea"
      }
    }, {
      "operator": "=",
      "question": "C4",
      "answerCoding": {
        "code": "3",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/self-reported-health"
      }
    }, {
      "operator": "=",
      "question": "C4",
      "answerCoding": {
        "code": "8",
        "system": "http://ontariohealth.ca/fhir/iar/ValueSet/self-reported-health"
      }
    }, {
      "operator": "=",
      "question": "C5a",
      "answerCoding": {
        "code": "3",
        "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      }
    }, {
      "operator": "=",
      "question": "C5b",
      "answerCoding": {
        "code": "3",
        "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      }
    }, {
      "operator": "=",
      "question": "C5c",
      "answerCoding": {
        "code": "3",
        "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
      }
    }, {
      "operator": "=",
      "question": "C6a",
      "answerCoding": {
        "code": "1",
        "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }
    }, {
      "operator": "=",
      "question": "C7",
      "answerCoding": {
        "code": "1",
        "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
      }
    } ],
    "enableBehavior": "any"
  }, {
    "item": [ {
      "item": [ {
        "item": [ {
          "text": "Assessment urgency",
          "type": "integer",
          "linkId": "E1a",
          "prefix": "a.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
            "valueDecimal": 1
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
            "valueDecimal": 6
          } ]
        }, {
          "text": "Service urgency",
          "type": "integer",
          "linkId": "E1b",
          "prefix": "b.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
            "valueDecimal": 1
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
            "valueDecimal": 4
          } ]
        }, {
          "text": "Rehabilitation",
          "type": "integer",
          "linkId": "E1c",
          "prefix": "c.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
            "valueDecimal": 1
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
            "valueDecimal": 5
          } ]
        } ],
        "text": "1. ALGORITHM SCORES - Record the computer-generated scores for each of the following",
        "type": "group",
        "linkId": "E1"
      }, {
        "text": "EXPECTED LENGTH OF SERVICE",
        "type": "choice",
        "linkId": "E2",
        "prefix": "2.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/expected-length-of-service"
      }, {
        "text": "ASSESSMENT URGENCY - Urgency for comprehensive, face-to-face assessment",
        "type": "choice",
        "linkId": "E3",
        "prefix": "3.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/assessment-urgency"
      }, {
        "item": [ {
          "text": "Nursing",
          "type": "choice",
          "linkId": "E4a",
          "prefix": "a.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Personal support/household management",
          "type": "choice",
          "linkId": "E4b",
          "prefix": "b.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Physiotherapy",
          "type": "choice",
          "linkId": "E4c",
          "prefix": "c.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Occupational therapy",
          "type": "choice",
          "linkId": "E4d",
          "prefix": "d.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Dietitian services",
          "type": "choice",
          "linkId": "E4e",
          "prefix": "e.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Lab services, equipment, and medical supplies",
          "type": "choice",
          "linkId": "E4f",
          "prefix": "f.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Social work",
          "type": "choice",
          "linkId": "E4g",
          "prefix": "g.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Speech-language therapy",
          "type": "choice",
          "linkId": "E4h",
          "prefix": "h.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        }, {
          "text": "Other (specify)",
          "type": "choice",
          "linkId": "E4i1",
          "prefix": "i.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/urgency-of-needed-services"
        } ],
        "text": "4. URGENCY OF NEEDED SERVICES",
        "type": "group",
        "linkId": "E4"
      }, {
        "text": "CLIENT GROUP [COUNTRY SPECIFIC - CANADA]",
        "type": "choice",
        "linkId": "E5",
        "prefix": "5.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/client-group"
      }, {
        "text": "PRIMARY MODE OF ASSESSMENT",
        "type": "choice",
        "linkId": "E6",
        "prefix": "6.",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [ {
              "code": "drop-down",
              "system": "http://hl7.org/fhir/questionnaire-item-control",
              "display": "Drop down"
            } ]
          }
        } ],
        "answerValueSet": "http://ontariohealth.ca/fhir/iar/ValueSet/assessment-mode"
      }, {
        "item": [ {
          "text": "Person",
          "type": "choice",
          "linkId": "E7a",
          "prefix": "a.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Spouse / partner",
          "type": "choice",
          "linkId": "E7b",
          "prefix": "b.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Parent/guardian",
          "type": "choice",
          "linkId": "E7c",
          "prefix": "c.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Child or child-in-law",
          "type": "choice",
          "linkId": "E7d",
          "prefix": "d.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Other relative",
          "type": "choice",
          "linkId": "E7e",
          "prefix": "e.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Friend or neighbour",
          "type": "choice",
          "linkId": "E7f",
          "prefix": "f.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Physician / physician assistant / nurse practitioner",
          "type": "choice",
          "linkId": "E7g",
          "prefix": "g.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
              } ]
            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        }, {
          "text": "Other home care / other health, or social service provider",
          "type": "choice",
          "linkId": "E7h",
          "prefix": "h.",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
            "valueCodeableConcept": {
              "coding": [ {
                "code": "drop-down",
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "display": "Drop down"
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            }
          } ],
          "answerValueSet": "http://cihi.ca/fhir/irrs/ValueSet/irrs-source-of-information"
        } ],
        "text": "7. SOURCES OF INFORMATION USED TO COMPLETE THE interRAI CA (Code only ONE PRIMARY source and ALL APPLICABLE SECONDARY sources)",
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        "linkId": "E7"
      } ],
      "type": "group",
      "linkId": "E1-7",
      "enableWhen": [ {
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        "question": "C1",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/ca-cognitive-skills"
        }
      }, {
        "operator": "=",
        "question": "C1",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/ca-cognitive-skills"
        }
      }, {
        "operator": "=",
        "question": "C2a",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2a",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2b",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2b",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2c",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2c",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2d",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2d",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2e",
        "answerCoding": {
          "code": "1",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C2e",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/adl-self-performance"
        }
      }, {
        "operator": "=",
        "question": "C3",
        "answerCoding": {
          "code": "2",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/dyspnea"
        }
      }, {
        "operator": "=",
        "question": "C3",
        "answerCoding": {
          "code": "3",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/dyspnea"
        }
      }, {
        "operator": "=",
        "question": "C4",
        "answerCoding": {
          "code": "3",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/self-reported-health"
        }
      }, {
        "operator": "=",
        "question": "C4",
        "answerCoding": {
          "code": "8",
          "system": "http://ontariohealth.ca/fhir/iar/ValueSet/self-reported-health"
        }
      }, {
        "operator": "=",
        "question": "C5a",
        "answerCoding": {
          "code": "3",
          "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
        }
      }, {
        "operator": "=",
        "question": "C5b",
        "answerCoding": {
          "code": "3",
          "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
        }
      }, {
        "operator": "=",
        "question": "C5c",
        "answerCoding": {
          "code": "3",
          "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-frequency-with-time-period1"
        }
      }, {
        "operator": "=",
        "question": "C6a",
        "answerCoding": {
          "code": "1",
          "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
        }
      }, {
        "operator": "=",
        "question": "C7",
        "answerCoding": {
          "code": "1",
          "system": "http://cihi.ca/fhir/irrs/ValueSet/irrs-yes-no"
        }
      } ],
      "enableBehavior": "any"
    }, {
      "item": [ {
        "text": "a. Signature",
        "type": "text",
        "linkId": "E8a"
      }, {
        "text": "b. Date assessment signed as complete",
        "type": "date",
        "linkId": "E8b",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
          "valueString": "yyyy/MM/dd"
        } ]
      } ],
      "text": "8. SIGNATURE OF PERSON COORDINATING/COMPLETING THE ASSESSMENT",
      "type": "group",
      "linkId": "E8"
    } ],
    "text": "Section E. Summary",
    "type": "group",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "Section E. Summary"
      } ]
    },
    "linkId": "E"
  } ],
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  "experimental": "false",
  "resourceType": "Questionnaire",
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  "_description": {
    "extension": [ {
      "url": "http://ontariohealth.ca/fhir/questionnaire/StructureDefinition/core-short-string",
      "valueString": "interRAI™ Contact Assessment (CA) Form, version 10.0 – CIHI Canadian Standard"
    } ]
  },
  "package_version": "1.0.0-ballot1-dev",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
    "valueCode": "random"
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  "kind": null,
  "url": "http://ontariohealth.ca/fhir/iar/Questionnaire/oh-interrai-contact-assessment",
  "code": [ {
    "code": "interRAICA",
    "system": "http://ontariohealth.ca/fhir/iar/CodeSystem/assessment-form-type",
    "display": "interRAI Contact Assessment"
  } ],
  "_title": {
    "extension": [ {
      "url": "http://ontariohealth.ca/fhir/questionnaire/StructureDefinition/core-short-string",
      "valueString": "interRAICA 10.0.1_OH"
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  },
  "version": "10.0.1_OH",
  "effectivePeriod": {
    "start": "2026-10-01"
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}