{
"description": null,
"_filename": "examples/MI_SplittingExample.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": "2026-01-28T16:19:05.195-05:00",
"publisher": "Ontario Health & Amplify Care",
"jurisdiction": [ {
"text": "Ontario",
"coding": [ {
"code": "CA-ON",
"system": "urn:iso:std:iso:3166:-2"
} ]
} ],
"name": null,
"item": [ {
"text": "Please note that screening programs such the Ontario Breast Screening Program (OBSP) and Ontario Lung Screening Program (OLSP) have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms.",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please note that screening programs such the Ontario Breast Screening Program (OBSP) and Ontario Lung Screening Program (OLSP) have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms."
} ]
},
"linkId": "283714301370"
}, {
"item": [ {
"text": "Surname:",
"type": "string",
"linkId": "patient_surname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Surname"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "First Name:",
"type": "string",
"linkId": "patient_firstname",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "First Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "DOB:",
"type": "date",
"linkId": "patient_date_of_birth",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "yyyy/MM/dd"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "DOB"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Gender:",
"type": "choice",
"linkId": "patient_gender",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Gender"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "male",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Male"
}
}, {
"valueCoding": {
"code": "female",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Female"
}
}, {
"valueCoding": {
"code": "other",
"system": "http://hl7.org/fhir/administrative-gender",
"display": "Other"
}
} ]
}, {
"text": "HN PC:",
"type": "string",
"linkId": "patient_hc_pc",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN PC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"maxLength": 2
}, {
"text": "HN:",
"type": "string",
"linkId": "patient_hc_number",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"maxLength": 10
}, {
"text": "HN VC:",
"type": "string",
"linkId": "patient_hc_vc",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 10
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "HN VC"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "patient_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "patient_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address Line 2"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "patient_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "patient_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "patient_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid Canadian postal code in the format A1A 1A1."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Mobile #:",
"type": "string",
"linkId": "patient_phone_mobile",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Mobile #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Home #:",
"type": "string",
"linkId": "patient_phone_home",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Home #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Business #:",
"type": "string",
"linkId": "patient_phone_business",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone3"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Business #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Email:",
"type": "string",
"linkId": "patient_email",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "email1"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\\\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\\\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid email address."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Email"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
} ],
"text": "Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
} ]
},
"linkId": "patient_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 1
}, {
"url": "text",
"valueString": "Patient Information"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Sex assigned at birth:",
"type": "choice",
"linkId": "additionalinfo_sexassignedatbirth",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Sex assigned at birth"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA3-6",
"system": "http://loinc.org",
"display": "Female"
}
}, {
"valueCoding": {
"code": "LA2-8",
"system": "http://loinc.org",
"display": "Male"
}
}, {
"valueCoding": {
"display": "Intersex"
}
}, {
"valueCoding": {
"code": "LA4489-6",
"system": "http://loinc.org",
"display": "Unknown"
}
} ]
}, {
"text": "Pronouns:",
"type": "choice",
"linkId": "additionalinfo_pronouns",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "She/Her"
}
}, {
"valueCoding": {
"code": "LA29518-0",
"system": "http://loinc.org",
"display": "He/Him"
}
}, {
"valueCoding": {
"code": "LA29519-8",
"system": "http://loinc.org",
"display": "They/Them"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other pronouns:",
"type": "string",
"linkId": "additionalinfo_pronouns_other",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other Pronouns"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_pronouns",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Preferred language:",
"type": "choice",
"linkId": "additionalinfo_preferredlanguage",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred language"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "en",
"system": "urn:ietf:bcp:47",
"display": "English"
}
}, {
"valueCoding": {
"code": "fr",
"system": "urn:ietf:bcp:47",
"display": "French"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Specify:",
"type": "string",
"linkId": "additionalinfo_preferredlanguage_specify",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specify"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
}, {
"text": "Translator required",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Translator required"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"display": "Other"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Translator Required"
}
} ]
}, {
"text": "Preferred name",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_preferredname_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred Name"
}
} ]
}, {
"text": "Prefered name String",
"type": "string",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_preferredname",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Name:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredname_select",
"answerCoding": {
"display": "Preferred Name"
}
} ],
"enableBehavior": "all"
}, {
"text": "Best method of contact:",
"type": "choice",
"linkId": "additionalinfo_bestmethodofcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Best method of contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Mobile"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Home"
}
}, {
"valueCoding": {
"code": "phone",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Business"
}
}, {
"valueCoding": {
"code": "email",
"system": "http://hl7.org/fhir/contact-point-system",
"display": "Email"
}
} ]
}, {
"text": "Voicemails acceptable",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Voicemails acceptable"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId = 'additionalinfo_bestmethodofcontact').answer.value.where(display.lower() = 'home' or display.lower() = 'mobile' or display.lower() = 'business').exists()"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": " Voicemails acceptable"
}
} ],
"enableBehavior": "any"
}, {
"text": "Alternate contact",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_alternatecontact_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Alternate contact"
}
} ]
}, {
"text": "Name:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_name",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Alternate contact phone #:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone4"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Relationship:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_relationship",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Relationship"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"enableBehavior": "all"
}, {
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Is Alternate contact the appointment booking contact?"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_alternatecontact_select",
"answerCoding": {
"display": "Alternate contact"
}
} ],
"answerOption": [ {
"valueCoding": {
"display": "Yes"
}
}, {
"valueCoding": {
"display": "No"
}
} ],
"enableBehavior": "all"
}, {
"text": "Unsafe contact persons (do not speak with)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_unsafecontacts_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Unsafe contact persons (do not speak with)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ]
}, {
"enableBehavior": "all",
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"repeats": true,
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"valueCoding": {
"display": "Only speak with patient directly"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Only speak with patient directly"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"text": "Only speak with patient directly"
}, {
"text": "Do not speak with:",
"type": "string",
"linkId": "additionalinfo_unsafecontacts_donotspeakwith",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Do not speak with:"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_unsafecontacts_select",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
} ],
"enableBehavior": "all"
}, {
"text": "Accessibility concerns or disability",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Accessibility concerns or disability"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Accessibility concerns or disability"
}
} ]
}, {
"text": "Accessibility concerns Options",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
},
"linkId": "additionalinfo_accessibilityconcernsordisability",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Specific"
}, {
"url": "listSeparator",
"valueString": ";"
}, {
"url": "lastSeparator",
"valueString": "and"
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_accessibilityconcernsordisability_selectt",
"answerCoding": {
"display": "Accessibility concerns or disability"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "129839007",
"system": "http://snomed.info/sct",
"display": "Falls risk"
}
}, {
"valueCoding": {
"code": "301621006",
"system": "http://snomed.info/sct",
"display": "Patient requires lift"
}
}, {
"valueCoding": {
"code": "105503008",
"system": "http://snomed.info/sct",
"display": "Wheelchair"
}
}, {
"valueCoding": {
"code": "15188001",
"system": "http://snomed.info/sct",
"display": "Hearing impaired"
}
} ]
}, {
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "additionalinfo_specialconsiderations_select",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Details of special considerations:",
"type": "text",
"linkId": "additionalinfo_specialconsiderations",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Details of special considerations"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_specialconsiderations_select",
"answerCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
} ]
}, {
"text": "Payer Type",
"type": "choice",
"linkId": "780152781664",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Payer Type"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "OHIP"
},
"initialSelected": true
}, {
"valueCoding": {
"display": "WSIB Case"
}
}, {
"valueCoding": {
"display": "DND"
}
}, {
"valueCoding": {
"display": "IFH"
}
}, {
"valueCoding": {
"display": "RAMQ"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
}, {
"text": "Other",
"type": "string",
"linkId": "273459321091",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other payer"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "780152781664",
"answerCoding": {
"display": "Other"
}
} ],
"enableBehavior": "all"
} ],
"text": "[Optional] Additional Patient Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
} ]
},
"linkId": "additionalinfo_header",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 2
}, {
"url": "text",
"valueString": "[Optional] Additional Patient Information"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Radiology modality selection",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "966479448516",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
}, {
"valueCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
}, {
"valueCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
}, {
"valueCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasound Requisition"
}
}, {
"valueCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ]
} ],
"text": "Select Exam Request(s)",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;color:#202035;"
} ]
},
"linkId": "274716928898",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "list",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "List"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 3
}, {
"url": "text",
"valueString": "Select Exam Request(s)"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Requested Priority:",
"type": "choice",
"linkId": "649843000897",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Radio Button"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Requested Priority",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "Requested Priority"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "routine",
"system": "http://hl7.org/fhir/request-priority",
"display": "Routine"
},
"initialSelected": true
}, {
"valueCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ]
}, {
"text": "Reason for urgent triage",
"type": "string",
"linkId": "871328372177",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for urgent triage"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "649843000897",
"answerCoding": {
"code": "urgent",
"system": "http://hl7.org/fhir/request-priority",
"display": "Urgent"
}
} ],
"enableBehavior": "all"
} ],
"text": "Triage Considerations Information appear on summary note for ALL child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Triage Considerations Information appear on summary note for ALL child referrals"
} ]
},
"linkId": "324277291256",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 4
}, {
"url": "text",
"valueString": "Triage Considerations"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasonography"
}
}, {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ],
"enableBehavior": "any"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "573180718837",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals"
} ]
},
"linkId": "751330438729",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 5
}, {
"url": "text",
"valueString": "CT Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "77477000",
"system": "http://snomed.info/sct",
"display": "Computerized axial tomography"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "980027687215",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals"
} ]
},
"linkId": "234264354051",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 6
}, {
"url": "text",
"valueString": "MRI Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "113091000",
"system": "http://snomed.info/sct",
"display": "Magnetic resonance imaging"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "510703120136",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals"
} ]
},
"linkId": "674405234837",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 7
}, {
"url": "text",
"valueString": "X-Ray Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "363680008",
"system": "http://snomed.info/sct",
"display": "Radiographic imaging procedure"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "296349058128",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals"
} ]
},
"linkId": "536888455666",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 8
}, {
"url": "text",
"valueString": "Ultrasound Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "16310003",
"system": "http://snomed.info/sct",
"display": "Ultrasonography"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text",
"linkId": "799876967585",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals"
} ]
},
"linkId": "189996950901",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 9
}, {
"url": "text",
"valueString": "BMD Request: Clinical History / Indication"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableWhen": [ {
"operator": "=",
"question": "966479448516",
"answerCoding": {
"code": "241686001",
"system": "http://snomed.info/sct",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Previous Relevant Imaging (if applicable)",
"type": "text",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Previous Relevant Imaging (if applicable)"
} ]
},
"linkId": "707642937857",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for exam:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Reason for exam:"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
} ],
"text": "Supporting Documentation",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
} ]
},
"linkId": "351905130587",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 10
}, {
"url": "text",
"valueString": "Supporting Documentation"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "CPP attached separately (if not entered below)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "cpp_separate",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "CPP attached separately"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ]
}, {
"code": [ {
"code": "55607006",
"system": "http://snomed.info/sct",
"display": "Problem"
} ],
"text": "Current Problem List:",
"type": "text",
"linkId": "cpp_currentprob",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Problem List"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "417662000",
"system": "http://snomed.info/sct",
"display": "History of clinical finding in subject"
} ],
"text": "Past Medical History:",
"type": "text",
"linkId": "cpp_pastmedicalhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Past Medical History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "129019007",
"system": "http://snomed.info/sct",
"display": "Taking medication"
} ],
"text": "Current Medications:",
"type": "text",
"linkId": "cpp_currentmedications",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Medication"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "57177007",
"system": "http://snomed.info/sct",
"display": "Family history with explicit context"
} ],
"text": "Family History:",
"type": "text",
"linkId": "cpp_familyhistory",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Family History"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
}, {
"code": [ {
"code": "609328004",
"system": "http://snomed.info/sct",
"display": "Allergic disposition"
} ],
"text": "Allergies:",
"type": "text",
"linkId": "cpp_allergies",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Allergies"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"enableWhen": [ {
"operator": "!=",
"question": "cpp_separate",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
} ],
"enableBehavior": "all"
} ],
"text": "Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cumulative Patient Profile
Please delete any sensitive information you do not intend to share from the CPP"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
} ]
},
"linkId": "cpp_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 11
}, {
"url": "text",
"valueString": "Cumulative Patient Profile"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Preferred consultant or location",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "preferredconsultlocation_selector",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred consultant or location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"item": [ {
"text": "Consultant:",
"type": "string",
"linkId": "preferredconsultlocation_consultant",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Consultant"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Location:",
"type": "string",
"linkId": "preferredconsultlocation_location",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Location"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
} ],
"text": "Please specify either a preferred consultant or location",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a preferred consultant or location"
} ]
},
"linkId": "preferredconsultlocation_specify",
"enableWhen": [ {
"operator": "=",
"question": "preferredconsultlocation_selector",
"answerCoding": {
"display": "Preferred consultant or location"
}
} ]
}, {
"text": "Patient willing to travel for shorter wait time",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "preferredconsultlocation_willingtotravel",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Patient willing to travel for shorter wait time"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [ {
"url": "text",
"valueString": "Yes"
} ]
} ],
"valueCoding": {
"display": "Patient willing to travel for shorter wait time"
}
} ]
}, {
"text": "Other considerations:",
"type": "string",
"linkId": "preferredconsultlocation_otherconsiderations",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
} ],
"text": "Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Preferred Consultant or Location
All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
} ]
},
"linkId": "preferredconsultlocation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 12
}, {
"url": "text",
"valueString": "Preferred Consultant or Location"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"item": [ {
"text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
} ]
},
"linkId": "supportingdocumentation_details",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ],
"answerOption": [ {
"valueCoding": {
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
}
} ]
} ],
"text": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Supporting Documentation
Please attach all relevant laboratory and diagnostic investigations."
} ]
},
"linkId": "supportingdocumentation_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 13
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
}, {
"text": "Add Attachments",
"type": "attachment",
"linkId": "supportingdocumentation_attachment",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/gif"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/bmp"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "video/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/csv"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/jpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/png"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/plain"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mp4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mpeg"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/tiff"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 1024000
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 14
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
} ]
} ]
}, {
"text": "Click here to provide feedback on this form",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Click here to provide feedback on this form"
} ]
},
"linkId": "feedbacksurvey_universal"
}, {
"item": [ {
"text": "Site Name:",
"type": "string",
"linkId": "referrer_sitename",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Site Name"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Address (Line 1):",
"type": "string",
"linkId": "referrer_address_line1",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 1)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Address (Line 2):",
"type": "string",
"linkId": "referrer_address_line2",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Address (Line 2)"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "City:",
"type": "string",
"linkId": "referrer_address_city",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "City"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Province:",
"type": "string",
"linkId": "referrer_address_province",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Province"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"maxLength": 2
}, {
"text": "Postal Code:",
"type": "string",
"linkId": "referrer_address_postalcode",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "postalcode2"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9]$'))"
}
}, {
"url": "human",
"valueString": "Must be a valid Canadian postal code"
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Postal Code"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Phone #:",
"type": "string",
"linkId": "referrer_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone5"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Phone #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Fax #:",
"type": "string",
"linkId": "referrer_fax",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "phone6"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}$'))"
}
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Fax #"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Billing Number:",
"type": "integer",
"linkId": "referrer_billing",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Billing Number"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Professional ID:",
"type": "integer",
"linkId": "referrer_professionalid",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Professional ID"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Signed:",
"type": "text",
"linkId": "referrer_signature",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Signed"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
}, {
"text": "Role:",
"type": "choice",
"linkId": "referrer_role",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Role"
}, {
"url": "sameLine",
"valueBoolean": false
}, {
"url": "quoteAnswer",
"valueBoolean": false
}, {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "309398001",
"system": "http://snomed.info/sct",
"display": "Allied Health Professional"
}
}, {
"valueCoding": {
"code": "62247001",
"system": "http://snomed.info/sct",
"display": "Family Physician"
}
}, {
"valueCoding": {
"code": "449161006",
"system": "http://snomed.info/sct",
"display": "Physician Assistant"
}
}, {
"valueCoding": {
"code": "398130009",
"system": "http://snomed.info/sct",
"display": "Medical Student"
}
}, {
"valueCoding": {
"code": "106292003",
"system": "http://snomed.info/sct",
"display": "Nurse"
}
}, {
"valueCoding": {
"code": "224571005",
"system": "http://snomed.info/sct",
"display": "Nurse Practitioner"
}
}, {
"valueCoding": {
"code": "405277009",
"system": "http://snomed.info/sct",
"display": "Resident"
}
}, {
"valueCoding": {
"code": "69280009",
"system": "http://snomed.info/sct",
"display": "Specialist"
}
}, {
"valueCoding": {
"display": "Other"
}
} ]
} ],
"text": "Referrer's Information",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
} ]
},
"linkId": "referrer_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "sortIndex",
"valuePositiveInt": 15
}, {
"url": "text",
"valueString": "Referrer's Information"
}, {
"url": "listSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "lastSeparator",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
}, {
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}, {
"url": "groupItems",
"valueBoolean": false
} ]
} ]
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Medical Imaging - Standardized Provincial Form Template - Splitting Example",
"_description": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test description"
} ]
},
"package_version": "1.0.0-ballot5",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/artifact-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 = 'patient_header') or (linkId = 'additionalinfo_header') or (linkId = '274716928898') or (linkId = '324277291256') or (linkId = '751330438729') or (linkId = '234264354051') or (linkId = '674405234837') or (linkId = '536888455666') or (linkId = '189996950901') or (linkId = '351905130587') or (linkId = 'cpp_header') or (linkId = 'preferredconsultlocation_header') or (linkId = 'supportingdocumentation_header') or (linkId = 'supportingdocumentation_attachment' and answer.exists()) or (linkId = 'referrer_header')) %}{% if currentItem.linkId = 'patient_header' %}Patient Information {% for currentItem in currentItem.item.where((linkId = 'patient_surname' and answer.exists()) or (linkId = 'patient_firstname' and answer.exists()) or (linkId = 'patient_date_of_birth' and answer.exists()) or (linkId = 'patient_gender' and answer.exists()) or (linkId = 'patient_hc_pc' and answer.exists()) or (linkId = 'patient_hc_number' and answer.exists()) or (linkId = 'patient_hc_vc' and answer.exists()) or (linkId = 'patient_address_line1' and answer.exists()) or (linkId = 'patient_address_line2' and answer.exists()) or (linkId = 'patient_address_city' and answer.exists()) or (linkId = 'patient_address_province' and answer.exists()) or (linkId = 'patient_address_postalcode' and answer.exists()) or (linkId = 'patient_phone_mobile' and answer.exists()) or (linkId = 'patient_phone_home' and answer.exists()) or (linkId = 'patient_phone_business' and answer.exists()) or (linkId = 'patient_email' and answer.exists())) %}{% if currentItem.linkId = 'patient_surname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Surname</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_firstname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">First Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_date_of_birth' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">DOB</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_gender' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Gender</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_pc' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN PC</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_number' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_vc' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN VC</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_line1' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_line2' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address Line 2</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_city' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_province' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_postalcode' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_mobile' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Mobile #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_home' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Home #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_business' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Business #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_email' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Email</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'additionalinfo_header' %}[Optional] Additional Patient Information {% for currentItem in currentItem.item.where((linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()) or (linkId = 'additionalinfo_pronouns' and answer.exists()) or (linkId = 'additionalinfo_pronouns_other' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage_specify' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage_translatorrequired' and answer.exists()) or (linkId = 'additionalinfo_preferredname_select' and answer.exists()) or (linkId = 'additionalinfo_preferredname' and answer.exists()) or (linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()) or (linkId = 'additionalinfo_bestmethodofcontact_voicemails' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_select' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_name' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()) or (linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()) or (linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()) or (linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()) or (linkId = 'additionalinfo_specialconsiderations' and answer.exists()) or (linkId = '780152781664' and answer.exists()) or (linkId = '273459321091' and answer.exists())) %}{% if currentItem.linkId = 'additionalinfo_sexassignedatbirth' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Sex assigned at birth</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.display = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_pronouns' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Pronouns</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_pronouns_other' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other Pronouns</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred language</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage_specify' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specify</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage_translatorrequired' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Translator required</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredname_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred name</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred Name:</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_bestmethodofcontact' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Best method of contact</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'phone' %}Mobile{% endif %}{% if answer.value.code = 'phone' %}Home{% endif %}{% if answer.value.code = 'phone' %}Business{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_bestmethodofcontact_voicemails' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Voicemails acceptable</span> {% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Alternate contact</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_name' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_phone' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Alternate contact phone #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_relationship' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Relationship</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_bookingcontact' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Is Alternate contact the appointment booking contact?</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Unsafe contact persons (do not speak with)</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Unsafe contact persons (do not speak with)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Only speak with patient directly</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Only speak with patient directly' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_donotspeakwith' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Do not speak with:</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Accessibility concerns or disability</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Accessibility concerns or disability' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_accessibilityconcernsordisability' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specific</span> {% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %};{% else %}and{% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_specialconsiderations_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Special considerations</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_specialconsiderations' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Details of special considerations</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '780152781664' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Payer Type</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'OHIP' %}OHIP{% endif %}{% if answer.value.display = 'WSIB Case' %}WSIB Case{% endif %}{% if answer.value.display = 'DND' %}DND{% endif %}{% if answer.value.display = 'IFH' %}IFH{% endif %}{% if answer.value.display = 'RAMQ' %}RAMQ{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '273459321091' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other payer</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '274716928898' %}Select Exam Request(s) {% for currentItem in currentItem.item.where((linkId = '966479448516' and answer.exists())) %}{% if currentItem.linkId = '966479448516' %}{% if currentItem.answer.exists() %}<span style="display:none;">Radiology modality selection</span> {% for answer in currentItem.answer %}{% if answer.value.code = '77477000' %}Computerized axial tomography{% endif %}{% if answer.value.code = '113091000' %}Magnetic resonance imaging{% endif %}{% if answer.value.code = '363680008' %}Radiographic imaging procedure{% endif %}{% if answer.value.code = '16310003' %}Ultrasound Requisition{% endif %}{% if answer.value.code = '241686001' %}Dual energy X-ray absorptiometry (procedure){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '324277291256' %}Triage Considerations {% for currentItem in currentItem.item.where((linkId = '649843000897' and answer.exists()) or (linkId = '871328372177' and answer.exists())) %}{% if currentItem.linkId = '649843000897' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Requested Priority</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '871328372177' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for urgent triage</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '751330438729' %}CT Request: Clinical History / Indication {% for currentItem in currentItem.item.where((linkId = '573180718837' and answer.exists())) %}{% if currentItem.linkId = '573180718837' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '234264354051' %}MRI Request: Clinical History / Indication {% for currentItem in currentItem.item.where((linkId = '980027687215' and answer.exists())) %}{% if currentItem.linkId = '980027687215' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '674405234837' %}X-Ray Request: Clinical History / Indication {% for currentItem in currentItem.item.where((linkId = '510703120136' and answer.exists())) %}{% if currentItem.linkId = '510703120136' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '536888455666' %}Ultrasound Request: Clinical History / Indication {% for currentItem in currentItem.item.where((linkId = '296349058128' and answer.exists())) %}{% if currentItem.linkId = '296349058128' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '189996950901' %}BMD Request: Clinical History / Indication {% for currentItem in currentItem.item.where((linkId = '799876967585' and answer.exists())) %}{% if currentItem.linkId = '799876967585' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '351905130587' %}Supporting Documentation {% for currentItem in currentItem.item.where((linkId = '707642937857' and answer.exists())) %}{% if currentItem.linkId = '707642937857' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'cpp_header' %}Cumulative Patient Profile {% for currentItem in currentItem.item.where((linkId = 'cpp_separate' and answer.exists()) or (linkId = 'cpp_currentprob' and answer.exists()) or (linkId = 'cpp_pastmedicalhistory' and answer.exists()) or (linkId = 'cpp_currentmedications' and answer.exists()) or (linkId = 'cpp_familyhistory' and answer.exists()) or (linkId = 'cpp_allergies' and answer.exists())) %}{% if currentItem.linkId = 'cpp_separate' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">CPP attached separately</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'CPP attached separately (if not entered below)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_currentprob' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Problem List</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_pastmedicalhistory' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Past Medical History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_currentmedications' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Medication</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_familyhistory' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Family History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_allergies' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Allergies</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_header' %}Preferred Consultant or Location {% for currentItem in currentItem.item.where((linkId = 'preferredconsultlocation_selector' and answer.exists()) or (linkId = 'preferredconsultlocation_specify') or (linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()) or (linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists())) %}{% if currentItem.linkId = 'preferredconsultlocation_selector' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred consultant or location</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred consultant or location' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_specify' %}Please specify either a <b>preferred</b> consultant or location<br/> {% for currentItem in currentItem.item.where((linkId = 'preferredconsultlocation_consultant' and answer.exists()) or (linkId = 'preferredconsultlocation_location' and answer.exists())) %}{% if currentItem.linkId = 'preferredconsultlocation_consultant' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Consultant</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_location' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Location</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_willingtotravel' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Patient willing to travel for shorter wait time</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Patient willing to travel for shorter wait time' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_otherconsiderations' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'supportingdocumentation_header' %}<b>Supporting Documentation</b><br/>Please attach all <b><span style="text-decoration: underline">relevant</span></b> laboratory and diagnostic investigations.<br/> {% for currentItem in currentItem.item.where((linkId = 'supportingdocumentation_details' and answer.exists())) %}{% if currentItem.linkId = 'supportingdocumentation_details' %}{% if currentItem.answer.exists() %}<span style="display:none;">Personal Health Information that is medically relevant has not been disclosed at the request of the patient.</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'supportingdocumentation_attachment' %}{% if currentItem.answer.exists() %}Add Attachments {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_header' %}Referrer's Information {% for currentItem in currentItem.item.where((linkId = 'referrer_sitename' and answer.exists()) or (linkId = 'referrer_address_line1' and answer.exists()) or (linkId = 'referrer_address_line2' and answer.exists()) or (linkId = 'referrer_address_city' and answer.exists()) or (linkId = 'referrer_address_province' and answer.exists()) or (linkId = 'referrer_address_postalcode' and answer.exists()) or (linkId = 'referrer_phone' and answer.exists()) or (linkId = 'referrer_fax' and answer.exists()) or (linkId = 'referrer_billing' and answer.exists()) or (linkId = 'referrer_professionalid' and answer.exists()) or (linkId = 'referrer_signature' and answer.exists()) or (linkId = 'referrer_role' and answer.exists())) %}{% if currentItem.linkId = 'referrer_sitename' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Site Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_line1' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 1)</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_line2' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 2)</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_city' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_province' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_postalcode' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_phone' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Phone #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_fax' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Fax #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_billing' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Billing Number</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_professionalid' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Professional ID</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_signature' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Signed</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_role' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Role</span> {% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}</div>",
"contentType": "text/html"
} ],
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"resourceType": "Library"
} ],
"status": "active",
"language": "en",
"id": "cbb10cdb-348a-471a-9e8e-cafcb08a8c9d",
"kind": null,
"url": "urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f",
"_title": {
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
} ]
},
"version": "0.0.1",
"effectivePeriod": {
"start": "2025-07-29"
}
}