{
"description": null,
"_filename": "examples/Ontario-CardiologyForm.json",
"package_name": "ca.on.oh-eforms",
"subjectType": [ "Patient" ],
"date": null,
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ],
"security": [ {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"
} ]
},
"publisher": null,
"name": null,
"item": [ {
"item": [ {
"item": [ {
"item": [ {
"text": "[Optional] Additional Patient Information",
"type": "display",
"linkId": "additionalinfo_header"
}, {
"text": "Sex assigned at birth:",
"type": "choice",
"linkId": "additionalinfo_sexassignedatbirth",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Sex assigned at birth:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Sex assigned at birth: "
} ]
}
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "Female"
}
}, {
"valueCoding": {
"code": "Male"
}
}, {
"valueCoding": {
"code": "Intersex"
}
}, {
"valueCoding": {
"code": "Unknown"
}
} ]
}, {
"item": [ {
"text": "Pronouns:",
"type": "choice",
"linkId": "additionalinfo_pronouns",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pronouns:"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "She/Her"
}
}, {
"valueCoding": {
"code": "He/Him"
}
}, {
"valueCoding": {
"code": "They/Them"
}
}, {
"valueCoding": {
"code": "Other"
}
} ]
}, {
"item": [ {
"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:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_pronouns_other_ocean_section",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_pronouns",
"answerCoding": {
"code": "Other"
}
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "additionalinfo_pronouns_ocean_section"
}, {
"text": "Preferred Name",
"type": "boolean",
"linkId": "additionalinfo_preferredname_select",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "false",
"description": "false"
}
} ]
} ]
}, {
"item": [ {
"type": "string",
"linkId": "additionalinfo_preferredname",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Name:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_preferredname_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_preferredname_select.r == 'Y' ? 'Preferred Name' : '') == 'Preferred Name'"
}
} ]
}, {
"item": [ {
"text": "Preferred language:",
"type": "choice",
"linkId": "additionalinfo_preferredlanguage",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred language:"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "English"
}
}, {
"valueCoding": {
"code": "French"
}
}, {
"valueCoding": {
"code": "Other"
}
} ]
}, {
"item": [ {
"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": "Other language:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_preferredlanguage_specify_ocean_section",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"code": "Other"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Translator Required",
"type": "boolean",
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_preferredlanguage_translatorrequired_ocean_section",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_preferredlanguage",
"answerCoding": {
"code": "Other"
}
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "additionalinfo_preferredlanguage_ocean_section"
}, {
"item": [ {
"text": "Best method of contact:",
"type": "choice",
"linkId": "additionalinfo_bestmethodofcontact",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Best method of contact:"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "Mobile"
}
}, {
"valueCoding": {
"code": "Home"
}
}, {
"valueCoding": {
"code": "Business"
}
}, {
"valueCoding": {
"code": "Email"
}
} ]
}, {
"item": [ {
"text": "Voicemails acceptable",
"type": "boolean",
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:green;"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_bestmethodofcontact_voicemails_ocean_section",
"enableWhen": [ {
"operator": "=",
"question": "additionalinfo_bestmethodofcontact",
"answerCoding": {
"code": "Mobile"
}
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "additionalinfo_bestmethodofcontact_ocean_section"
}, {
"text": "Alternate contact",
"type": "boolean",
"linkId": "additionalinfo_alternatecontact_select",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate Contact",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Alternate Contact"
} ]
}
} ]
} ]
}, {
"item": [ {
"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": "Alternate contact name:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_alternatecontact_name_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_alternatecontact_select.r == 'Y' ? 'Alternate contact' : '') == 'Alternate contact'"
}
} ]
}, {
"item": [ {
"text": "Alternate contact phone #:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_phone",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [ {
"url": "key",
"valueId": "additionalinfo-alternatecontact-phone"
}, {
"url": "severity",
"valueCode": "error"
}, {
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}, {
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\\\+\\\\d{1,2}\\\\s?)?\\\\(?\\\\d{3}\\\\)?[\\\\s.-]?\\\\d{3}[\\\\s.-]?\\\\d{4}$'))"
}
} ]
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Alternate contact phone #:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_alternatecontact_phone_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_alternatecontact_select.r == 'Y' ? 'Alternate contact' : '') == 'Alternate contact'"
}
} ]
}, {
"item": [ {
"text": "Relationship:",
"type": "string",
"linkId": "additionalinfo_alternatecontact_relationship",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Relationship:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_alternatecontact_relationship_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_alternatecontact_select.r == 'Y' ? 'Alternate contact' : '') == 'Alternate contact'"
}
} ]
}, {
"item": [ {
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"repeats": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Is Alternate contact the appointment booking contact?:"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "Yes"
}
}, {
"valueCoding": {
"code": "No"
}
} ]
} ],
"type": "group",
"linkId": "additionalinfo_alternatecontact_bookingcontact_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_alternatecontact_select.r == 'Y' ? 'Alternate contact' : '') == 'Alternate contact'"
}
} ]
}, {
"text": "Unsafe contact persons (do not speak with)",
"type": "boolean",
"linkId": "additionalinfo_unsafecontacts_select",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Unsafe contact persons",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Unsafe contact persons"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Only speak with patient directly",
"type": "boolean",
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_unsafecontacts_select.r == 'Y' ? 'Unsafe contact persons (do not speak with)' : '') == 'Unsafe contact persons (do not speak with)'"
}
} ]
}, {
"item": [ {
"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:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_unsafecontacts_donotspeakwith_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_unsafecontacts_select.r == 'Y' ? 'Unsafe contact persons (do not speak with)' : '') == 'Unsafe contact persons (do not speak with)'"
}
} ]
}, {
"text": "Accessibility concerns or disability",
"type": "boolean",
"linkId": "additionalinfo_accessibilityconcernsordisability_select",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Accessibility concerns or disability",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Accessibility concerns or disability"
} ]
}
} ]
} ]
}, {
"item": [ {
"type": "choice",
"linkId": "additionalinfo_accessibilityconcernsordisability",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:orange;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "Falls risk"
}
}, {
"valueCoding": {
"code": "Patient requires lift"
}
}, {
"valueCoding": {
"code": "Wheelchair"
}
}, {
"valueCoding": {
"code": "Hearing impaired"
}
} ]
} ],
"type": "group",
"linkId": "additionalinfo_accessibilityconcernsordisability_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_accessibilityconcernsordisability_select.r == 'Y' ? 'Accessibility concerns or disability' : '') == 'Accessibility concerns or disability'"
}
} ]
}, {
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"type": "boolean",
"linkId": "additionalinfo_specialconsiderations_select",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Special considerations",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Special considerations"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Details of special considerations:",
"type": "text",
"linkId": "additionalinfo_specialconsiderations",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Details of special considerations:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_specialconsiderations_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_specialconsiderations_select.r == 'Y' ? 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' : '') == 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)'"
}
} ]
}, {
"text": "Send copies of reports to additional providers",
"type": "boolean",
"linkId": "additionalinfo_sendcopiestoadditionalproviders",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Send copies of reports to additional providers",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Send copies of reports to additional providers"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Name(s):",
"type": "string",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_names",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Additional provider name(s):"
} ]
} ]
}, {
"item": [ {
"text": "Contact information:",
"type": "string",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_contactinfo",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Contact information:"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_contactinfo_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_sendcopiestoadditionalproviders.r == 'Y' ? 'Send copies of reports to additional providers' : '') == 'Send copies of reports to additional providers'"
}
} ]
}, {
"item": [ {
"text": "This is the Primary Care Provider",
"type": "boolean",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_ispcp",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_ispcp_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_sendcopiestoadditionalproviders.r == 'Y' ? 'Send copies of reports to additional providers' : '') == 'Send copies of reports to additional providers'"
}
} ]
} ],
"type": "group",
"linkId": "additionalinfo_sendcopiestoadditionalproviders_names_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(additionalinfo_sendcopiestoadditionalproviders.r == 'Y' ? 'Send copies of reports to additional providers' : '') == 'Send copies of reports to additional providers'"
}
} ]
}, {
"type": "display",
"linkId": "item63777732",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"type": "group",
"linkId": "additionalinfo_header_ocean_section",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "text",
"valueString": "Additional Patient Information"
} ]
} ]
}, {
"item": [ {
"text": "Referral Details",
"type": "display",
"linkId": "id_102173268919",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"valueString": "Referral Details"
} ]
} ]
}, {
"item": [ {
"text": "Triage Considerations",
"type": "display",
"linkId": "id_306135170795"
}, {
"item": [ {
"text": "Requested Priority:",
"type": "choice",
"linkId": "referral_requestedpriority",
"repeats": false,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "radio-button",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Requested Priority:"
}, {
"url": "answerStyle",
"valueString": "color:orange;"
} ]
} ],
"answerOption": [ {
"valueCoding": {
"code": "Urgent"
}
}, {
"valueCoding": {
"code": "Routine"
},
"initialSelected": true
} ]
}, {
"item": [ {
"text": "Reason for urgent triage",
"type": "string",
"linkId": "referral_requestedpriority_urgentreason",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for urgent triage:"
} ]
} ]
} ],
"type": "group",
"linkId": "referral_requestedpriority_urgentreason_ocean_section",
"enableWhen": [ {
"operator": "=",
"question": "referral_requestedpriority",
"answerCoding": {
"code": "Urgent"
}
} ],
"enableBehavior": "all"
} ],
"type": "group",
"linkId": "referral_requestedpriority_ocean_section"
}, {
"text": "Second Opinion",
"type": "boolean",
"linkId": "referral_secondopinion",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
}, {
"item": [ {
"text": "Reason for second opinion:",
"type": "text",
"linkId": "referral_secondopinion_reason",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Reason for second opinion:"
} ]
} ]
} ],
"type": "group",
"linkId": "referral_secondopinion_reason_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(referral_secondopinion.r == 'Y' ? 'Second Opinion' : '') == 'Second Opinion'"
}
} ]
} ],
"type": "group",
"linkId": "id_306135170795_ocean_section"
}, {
"type": "display",
"linkId": "item64645035",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Service(s) Requested Select all that apply: *",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Service(s) Requested Select all that apply: *"
} ]
},
"linkId": "id_695991571585",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"valueString": "Service(s) Requested"
} ]
} ]
}, {
"text": "Cardiac Testing",
"type": "boolean",
"linkId": "id_223886162384",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Cardiac Testing",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Cardiac Testing"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Exam(s) Requested *",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Exam(s) Requested *"
} ]
},
"linkId": "id_660331267409",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"valueString": "    • Exam(s) Requested:",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
    • Exam(s) Requested:"
} ]
}
}, {
"url": "enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_223886162384.r == 'Y' ? 'Cardiac Testing' : '') == 'Cardiac Testing'"
}
} ]
} ]
}, {
"text": "24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)",
"type": "boolean",
"linkId": "id_720409326878",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• 24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• 24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)"
} ]
}
} ]
} ]
}, {
"text": "Coronary Angiogram",
"type": "boolean",
"linkId": "id_960455115596",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Coronary Angiogram",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Coronary Angiogram"
} ]
}
} ]
} ]
}, {
"text": "Echocardiogram - Resting",
"type": "boolean",
"linkId": "id_297634898828",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Echocardiogram - Resting",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Echocardiogram - Resting"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "Echocardiogram (2D)",
"type": "boolean",
"linkId": "id_165530569567",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Echocardiogram (2D)"
} ]
} ]
}, {
"text": "Echocardiogram with Contrast",
"type": "boolean",
"linkId": "id_286552421895",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Echocardiogram with Contrast"
} ]
} ]
}, {
"text": "Echocardiogram with Saline (Bubble)",
"type": "boolean",
"linkId": "id_910527687300",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Echocardiogram with Saline (Bubble)"
} ]
} ]
}, {
"text": "Pediatric Echocardiogram",
"type": "boolean",
"linkId": "id_657824763133",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Pediatric Echocardiogram"
} ]
} ]
}, {
"text": "Transesophageal Echocardiogram (TEE)",
"type": "boolean",
"linkId": "id_992743200182",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Transesophageal Echocardiogram (TEE)"
} ]
} ]
} ],
"type": "group",
"linkId": "id_443484577720_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_297634898828.r == 'Y' ? 'Echocardiogram - Resting' : '') == 'Echocardiogram - Resting'"
}
} ]
}, {
"text": "Electrocardiogram (ECG)",
"type": "boolean",
"linkId": "id_894277763438",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Electrocardiogram (ECG)",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Electrocardiogram (ECG)"
} ]
}
} ]
} ]
}, {
"text": "Holter Monitoring",
"type": "boolean",
"linkId": "id_279226023495",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Holter Monitoring",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Holter Monitoring"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "24 Hours",
"type": "boolean",
"linkId": "id_671328703851",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• 24 Hours"
} ]
} ]
}, {
"text": "48 Hours",
"type": "boolean",
"linkId": "id_423992261841",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• 48 Hours"
} ]
} ]
}, {
"text": "72 Hours",
"type": "boolean",
"linkId": "id_419924239187",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• 72 Hours"
} ]
} ]
}, {
"text": "7 Days",
"type": "boolean",
"linkId": "id_731054417270",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• 7 Days"
} ]
} ]
}, {
"text": "14 Days",
"type": "boolean",
"linkId": "id_235876421044",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• 14 Days"
} ]
} ]
} ],
"type": "group",
"linkId": "id_440449731882_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_279226023495.r == 'Y' ? 'Holter Monitoring' : '') == 'Holter Monitoring'"
}
} ]
}, {
"text": "Loop / Event Monitor",
"type": "boolean",
"linkId": "id_374742834400",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Loop / Event Monitor",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Loop / Event Monitor"
} ]
}
} ]
} ]
}, {
"text": "Stress Testing",
"type": "boolean",
"linkId": "id_159161544747",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Stress Testing",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Stress Testing"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "ECG - Exercise Stress Test",
"type": "boolean",
"linkId": "id_814218498309",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• ECG - Exercise Stress Test"
} ]
} ]
}, {
"text": "ECG - Dobutamine/Persantine Stress Test",
"type": "boolean",
"linkId": "id_307107493993",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• ECG - Dobutamine/Persantine Stress Test"
} ]
} ]
}, {
"text": "Echocardiogram - Exercise Stress Test",
"type": "boolean",
"linkId": "id_805303414102",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Echocardiogram - Exercise Stress Test"
} ]
} ]
}, {
"text": "Echocardiogram - Dobutamine/Persantine Stress Test",
"type": "boolean",
"linkId": "id_193586908489",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Echocardiogram - Dobutamine/Persantine Stress Test"
} ]
} ]
} ],
"type": "group",
"linkId": "id_370275060390_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_159161544747.r == 'Y' ? 'Stress Testing' : '') == 'Stress Testing'"
}
} ]
}, {
"text": "Nuclear Medicine",
"type": "boolean",
"linkId": "id_918517139023",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Nuclear Medicine",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Nuclear Medicine"
} ]
}
} ]
} ]
}, {
"item": [ {
"text": "MUGA - Resting",
"type": "boolean",
"linkId": "id_924189648184",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• MUGA - Resting"
} ]
} ]
}, {
"text": "Cardiac Pyrophosphate",
"type": "boolean",
"linkId": "id_857163514910",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• Cardiac Pyrophosphate"
} ]
} ]
}, {
"text": "MIBI Scans / Myocardial Perfusion Imaging (MPI)",
"type": "boolean",
"linkId": "id_892165959617",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "            ••• MIBI Scans / Myocardial Perfusion Imaging (MPI)"
} ]
} ]
}, {
"item": [ {
"text": "MIBI Scan - Exercise Stress Test",
"type": "boolean",
"linkId": "id_373435981917",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "                •••• MIBI Scan - Exercise Stress Test"
} ]
} ]
}, {
"text": "MIBI Scan - Dobutamine/Persantine Stress Test",
"type": "boolean",
"linkId": "id_434394942688",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "                •••• MIBI Scan - Dobutamine/Persantine Stress Test"
} ]
} ]
}, {
"text": "Thallium Viability Test",
"type": "boolean",
"linkId": "id_913594478162",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "                •••• Thallium Viability Test"
} ]
} ]
} ],
"type": "group",
"linkId": "id_538288549138_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_892165959617.r == 'Y' ? 'MIBI Scans / Myocardial Perfusion Imaging (MPI)' : '') == 'MIBI Scans / Myocardial Perfusion Imaging (MPI)'"
}
} ]
} ],
"type": "group",
"linkId": "id_222686221935_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_918517139023.r == 'Y' ? 'Nuclear Medicine' : '') == 'Nuclear Medicine'"
}
} ]
}, {
"text": "Tilt Table Testing",
"type": "boolean",
"linkId": "id_992682216482",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "        •• Tilt Table Testing",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
        •• Tilt Table Testing"
} ]
}
} ]
} ]
} ],
"type": "group",
"linkId": "id_660331267409_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_223886162384.r == 'Y' ? 'Cardiac Testing' : '') == 'Cardiac Testing'"
}
} ]
}, {
"text": "Cardiology Consultation",
"type": "boolean",
"linkId": "id_785727177547",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Cardiology Consultation",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Cardiology Consultation"
} ]
}
} ]
} ]
} ],
"type": "group",
"linkId": "id_695991571585_ocean_section"
}, {
"item": [ {
"text": "Concern(s) / Indication(s) Triggering Referral Select all that apply: *",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Concern(s) / Indication(s) Triggering Referral Select all that apply: *"
} ]
},
"linkId": "id_186952778859",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"valueString": "Concern(s) / Indication(s) Triggering Referral",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Concern(s) / Indication(s) Triggering Referral"
} ]
}
} ]
} ]
}, {
"text": "Arrythmias or Palpitations",
"type": "boolean",
"linkId": "id_219569805461",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Arrythmias or Palpitations",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Arrythmias or Palpitations"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Cardiovascular Risk Assessment",
"type": "boolean",
"linkId": "id_571934328499",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Cardiovascular Risk Assessment",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Cardiovascular Risk Assessment"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Chest Pain or Angina",
"type": "boolean",
"linkId": "id_459737733395",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Chest Pain or Angina",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Chest Pain or Angina"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Congenital Heart Disease",
"type": "boolean",
"linkId": "id_929919815516",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Congenital Heart Disease",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Congenital Heart Disease"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Congestive Heart Failure",
"type": "boolean",
"linkId": "id_832263816528",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Congestive Heart Failure",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Congestive Heart Failure"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Coronary Artery Disease",
"type": "boolean",
"linkId": "id_803760213460",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Coronary Artery Disease",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Coronary Artery Disease"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Dyspnea",
"type": "boolean",
"linkId": "id_129767162379",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Dyspnea",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Dyspnea"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Hypertension",
"type": "boolean",
"linkId": "id_116150628533",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Hypertension",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Hypertension"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Murmur",
"type": "boolean",
"linkId": "id_513825527027",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Murmur",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Murmur"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Pericardial Disease",
"type": "boolean",
"linkId": "id_975075898688",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pericardial Disease",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Pericardial Disease"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Peripheral Edema",
"type": "boolean",
"linkId": "id_704148928571",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Peripheral Edema",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Peripheral Edema"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Post-Myocardial Infarction",
"type": "boolean",
"linkId": "id_886489617115",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Post-Myocardial Infarction",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Post-Myocardial Infarction"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Pre-Operative Consultation",
"type": "boolean",
"linkId": "id_621745958993",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Pre-Operative Consultation",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Pre-Operative Consultation"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"item": [ {
"text": "Procedure Date (if known)",
"type": "date",
"linkId": "id_873024527134",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "    • Procedure Date:"
} ]
} ]
} ],
"type": "group",
"linkId": "id_873024527134_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_621745958993.r == 'Y' ? 'Pre-Operative Consultation' : '') == 'Pre-Operative Consultation'"
}
} ]
}, {
"text": "Syncope",
"type": "boolean",
"linkId": "id_197975129599",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Syncope",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Syncope"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Valvular Heart Disease or Prosthetic Heart Valve",
"type": "boolean",
"linkId": "id_675849150752",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Valvular Heart Disease or Prosthetic Heart Valve",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Valvular Heart Disease or Prosthetic Heart Valve"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"text": "Other",
"type": "boolean",
"linkId": "id_721982740516",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other concern / indication triggering referral",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
Other concern / indication triggering referral"
} ]
}
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
}, {
"item": [ {
"text": "Specify",
"type": "text",
"linkId": "id_720594942482",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "    • Details of other concern / indication triggering referral:"
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
} ],
"type": "group",
"linkId": "id_720594942482_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(id_721982740516.r == 'Y' ? 'Other' : '') == 'Other'"
}
} ]
} ],
"type": "group",
"linkId": "id_186952778859_ocean_section"
}, {
"type": "display",
"linkId": "item66721068",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
}, {
"text": "Brief Description of Referral, History, Management, and Investigations",
"type": "text",
"linkId": "id_127224908991",
"required": true,
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Brief Description of Referral, History, Management, and Investigations:"
}, {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
}, {
"type": "display",
"linkId": "item73913434",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"type": "group",
"linkId": "id_102173268919_ocean_section"
}, {
"item": [ {
"text": "Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP",
"type": "display",
"_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"
} ]
},
"linkId": "cpp_header",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"valueString": "Cumulative Patient Profile"
} ]
} ]
}, {
"text": "CPP attached separately (if not entered below)",
"type": "boolean",
"linkId": "cpp_separate",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "CPP attached separately"
}, {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
}, {
"item": [ {
"text": "Current Problem List:",
"type": "text",
"linkId": "cpp_currentprob",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.prob"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Problem List:"
} ]
} ],
"definition": "urn:uri:ontariolegacy:problemList"
} ],
"type": "group",
"linkId": "cpp_currentprob_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(cpp_separate.r == 'Y' ? 'CPP attached separately (if not entered below)' : '') != 'CPP attached separately (if not entered below)'"
}
} ]
}, {
"item": [ {
"text": "Past Medical History:",
"type": "text",
"linkId": "cpp_pastmedicalhistory",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.pmhx"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Past Medical History:"
} ]
} ],
"definition": "urn:uri:ontariolegacy:pastMedicalHistory"
} ],
"type": "group",
"linkId": "cpp_pastmedicalhistory_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(cpp_separate.r == 'Y' ? 'CPP attached separately (if not entered below)' : '') != 'CPP attached separately (if not entered below)'"
}
} ]
}, {
"item": [ {
"text": "Current Medications :",
"type": "text",
"linkId": "cpp_currentmedications",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.rx"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Current Medications :"
} ]
} ],
"definition": "urn:uri:ontariolegacy:medications"
} ],
"type": "group",
"linkId": "cpp_currentmedications_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(cpp_separate.r == 'Y' ? 'CPP attached separately (if not entered below)' : '') != 'CPP attached separately (if not entered below)'"
}
} ]
}, {
"item": [ {
"text": "Family History:",
"type": "text",
"linkId": "cpp_familyhistory",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.fhx"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Family History:"
} ]
} ],
"definition": "urn:uri:ontariolegacy:familyHistory"
} ],
"type": "group",
"linkId": "cpp_familyhistory_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(cpp_separate.r == 'Y' ? 'CPP attached separately (if not entered below)' : '') != 'CPP attached separately (if not entered below)'"
}
} ]
}, {
"item": [ {
"text": "Allergies:",
"type": "text",
"linkId": "cpp_allergies",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "@ptCpp.allg"
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Allergies:"
} ]
} ],
"definition": "urn:uri:ontariolegacy:allergies"
} ],
"type": "group",
"linkId": "cpp_allergies_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(cpp_separate.r == 'Y' ? 'CPP attached separately (if not entered below)' : '') != 'CPP attached separately (if not entered below)'"
}
} ]
}, {
"type": "display",
"linkId": "item4352029",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [ {
"url": "text",
"_valueString": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "
"
} ]
}
} ]
} ]
} ],
"type": "group",
"linkId": "cpp_header_ocean_section"
}, {
"item": [ {
"text": "Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.",
"type": "display",
"_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"
}, {
"text": "Preferred consultant or location",
"type": "boolean",
"linkId": "preferredconsultlocation_selector",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Consultant or Location"
} ]
} ]
}, {
"item": [ {
"text": "Please specify either a preferred consultant or location",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a preferred consultant or location"
} ]
},
"linkId": "preferredconsultlocation_specify"
}, {
"text": "Consultant:",
"type": "string",
"linkId": "preferredconsultlocation_consultant",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Consultant:"
} ]
} ]
}, {
"text": "Location:",
"type": "string",
"linkId": "preferredconsultlocation_location",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Preferred Location:"
} ]
} ]
} ],
"type": "group",
"linkId": "preferredconsultlocation_specify_ocean_section",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "true",
"description": "(preferredconsultlocation_selector.r == 'Y' ? 'Preferred consultant or location' : '') == 'Preferred consultant or location'"
}
} ]
}, {
"text": "Patient willing to travel for shorter wait time",
"type": "boolean",
"linkId": "preferredconsultlocation_willingtotravel",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "answerStyle",
"valueString": "color:blue;"
} ]
} ]
}, {
"text": "Other considerations:",
"type": "string",
"linkId": "preferredconsultlocation_otherconsiderations",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [ {
"url": "text",
"valueString": "Other considerations:"
} ]
} ]
} ],
"type": "group",
"linkId": "preferredconsultlocation_header_ocean_section"
}, {
"item": [ {
"text": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations."
} ]
},
"linkId": "supportingdocumentation_header"
} ],
"type": "group",
"linkId": "supportingdocumentation_header_ocean_section"
}, {
"text": "Click here to provide feedback on this form",
"type": "display",
"linkId": "feedbacksurvey_cardiology",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
} ],
"type": "group",
"linkId": "body",
"extension": [ {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [ {
"url": "style",
"valueString": "font-weight:bold;"
} ]
} ]
} ],
"type": "group",
"linkId": "mainSection__section"
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Ontario - Cardiology Form",
"package_version": "1.0.0-interim4",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm"
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
}, {
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
} ],
"contained": [ {
"id": "liquid",
"type": {
"coding": [ {
"code": "qr-narrative-liquid",
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types"
} ]
},
"status": "active",
"content": [ {
"data": "<div>
{% for currentItem in QuestionnaireResponse.item.where(linkId='mainSection__section') %}{% for currentItem in currentItem.item.where(linkId='body') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_header_ocean_section') %}Additional Patient Information  <br/>
{% for currentItem in currentItem.item.where(linkId='additionalinfo_sexassignedatbirth') %}{% if currentItem.answer.exists() %}  <b>Sex assigned at birth:</b>
 {% for answer in currentItem.answer %}{% if answer.value.code = 'Female' %}Female{% endif %}{% if answer.value.code = 'Male' %}Male{% endif %}{% if answer.value.code = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'Unknown' %}Unknown{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns') %}{% if currentItem.answer.exists() %}Pronouns:{% for answer in currentItem.answer %}{% if answer.value.code = 'She/Her' %}She/Her{% endif %}{% if answer.value.code = 'He/Him' %}He/Him{% endif %}{% if answer.value.code = 'They/Them' %}They/Them{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_other_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_other') %}{% if currentItem.answer.exists() %}Other pronouns:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname_select') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname') %}{% if currentItem.answer.exists() %}Preferred Name:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage') %}{% if currentItem.answer.exists() %}Preferred language:{% for answer in currentItem.answer %}{% if answer.value.code = 'English' %}English{% endif %}{% if answer.value.code = 'French' %}French{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_specify_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_specify') %}{% if currentItem.answer.exists() %}Other language:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_translatorrequired_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_translatorrequired') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">Translator Required</span>
  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact') %}{% if currentItem.answer.exists() %}Best method of contact:{% for answer in currentItem.answer %}{% if answer.value.code = 'Mobile' %}Mobile{% endif %}{% if answer.value.code = 'Home' %}Home{% endif %}{% if answer.value.code = 'Business' %}Business{% endif %}{% if answer.value.code = 'Email' %}Email{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_voicemails_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_voicemails') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:green;">Voicemails acceptable</span>
  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_select') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
  <b>Alternate Contact</b>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_name_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_name') %}{% if currentItem.answer.exists() %}Alternate contact name:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_phone_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_phone') %}{% if currentItem.answer.exists() %}Alternate contact phone #:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_relationship_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_relationship') %}{% if currentItem.answer.exists() %}Relationship:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_bookingcontact_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_bookingcontact') %}{% if currentItem.answer.exists() %}Is Alternate contact the appointment booking contact?:{% for answer in currentItem.answer %}{% if answer.value.code = 'Yes' %}Yes{% endif %}{% if answer.value.code = 'No' %}No{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_select') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
  <b>Unsafe contact persons</b>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_speakwithpatientdirectly_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_speakwithpatientdirectly') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">Only speak with patient directly</span>
  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_donotspeakwith_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_donotspeakwith') %}{% if currentItem.answer.exists() %}Do not speak with:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability_select') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
  <b>Accessibility concerns or disability</b>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Falls risk' %}  <span style="color:orange;">Falls risk</span>
{% endif %}{% if answer.value.code = 'Patient requires lift' %}  <span style="color:orange;">Patient requires lift</span>
{% endif %}{% if answer.value.code = 'Wheelchair' %}  <span style="color:orange;">Wheelchair</span>
{% endif %}{% if answer.value.code = 'Hearing impaired' %}  <span style="color:orange;">Hearing impaired</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations_select') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
  <b>Special considerations</b>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations') %}{% if currentItem.answer.exists() %}Details of special considerations:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
  <b>Send copies of reports to additional providers</b>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_names_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_names') %}{% if currentItem.answer.exists() %}Additional provider name(s):{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_contactinfo_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_contactinfo') %}{% if currentItem.answer.exists() %}Contact information:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_ispcp_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_sendcopiestoadditionalproviders_ispcp') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">This is the Primary Care Provider</span>
  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_102173268919_ocean_section') %}Referral Details  <br/>
{% for currentItem in currentItem.item.where(linkId='id_306135170795_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority') %}{% if currentItem.answer.exists() %}Requested Priority:{% for answer in currentItem.answer %}{% if answer.value.code = 'Urgent' %}  <span style="color:orange;">Urgent</span>
{% endif %}{% if answer.value.code = 'Routine' %}  <span style="color:orange;">Routine</span>
{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority_urgentreason_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='referral_requestedpriority_urgentreason') %}{% if currentItem.answer.exists() %}Reason for urgent triage:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_secondopinion') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">Second Opinion</span>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='referral_secondopinion_reason_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='referral_secondopinion_reason') %}{% if currentItem.answer.exists() %}Reason for second opinion:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='id_695991571585_ocean_section') %}Service(s) Requested  <br/>
{% for currentItem in currentItem.item.where(linkId='id_223886162384') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Cardiac Testing  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_660331267409_ocean_section') %}  <br/>
    • Exam(s) Requested:  <br/>
{% for currentItem in currentItem.item.where(linkId='id_720409326878') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• 24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_960455115596') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Coronary Angiogram  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_297634898828') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Echocardiogram - Resting  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_443484577720_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_165530569567') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Echocardiogram (2D)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_286552421895') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Echocardiogram with Contrast  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_910527687300') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Echocardiogram with Saline (Bubble)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_657824763133') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Pediatric Echocardiogram  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_992743200182') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Transesophageal Echocardiogram (TEE)  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_894277763438') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Electrocardiogram (ECG)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_279226023495') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Holter Monitoring  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_440449731882_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_671328703851') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• 24 Hours  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_423992261841') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• 48 Hours  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_419924239187') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• 72 Hours  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_731054417270') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• 7 Days  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_235876421044') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• 14 Days  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_374742834400') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Loop / Event Monitor  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_159161544747') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Stress Testing  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_370275060390_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_814218498309') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• ECG - Exercise Stress Test  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_307107493993') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• ECG - Dobutamine/Persantine Stress Test  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_805303414102') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Echocardiogram - Exercise Stress Test  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_193586908489') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Echocardiogram - Dobutamine/Persantine Stress Test  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_918517139023') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Nuclear Medicine  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_222686221935_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_924189648184') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• MUGA - Resting  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_857163514910') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• Cardiac Pyrophosphate  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_892165959617') %}{% if currentItem.answer.value.ofType(boolean) = true %}            ••• MIBI Scans / Myocardial Perfusion Imaging (MPI)  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_538288549138_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_373435981917') %}{% if currentItem.answer.value.ofType(boolean) = true %}                •••• MIBI Scan - Exercise Stress Test  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_434394942688') %}{% if currentItem.answer.value.ofType(boolean) = true %}                •••• MIBI Scan - Dobutamine/Persantine Stress Test  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_913594478162') %}{% if currentItem.answer.value.ofType(boolean) = true %}                •••• Thallium Viability Test  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_992682216482') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
        •• Tilt Table Testing  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_785727177547') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Cardiology Consultation  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_186952778859_ocean_section') %}  <br/>
  <b>
<span style="text-decoration:underline;">Concern(s) / Indication(s) Triggering Referral</span>  </b>
  <br/>
{% for currentItem in currentItem.item.where(linkId='id_219569805461') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Arrythmias or Palpitations  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_571934328499') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Cardiovascular Risk Assessment  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_459737733395') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Chest Pain or Angina  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_929919815516') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Congenital Heart Disease  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_832263816528') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Congestive Heart Failure  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_803760213460') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Coronary Artery Disease  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_129767162379') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Dyspnea  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_116150628533') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Hypertension  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_513825527027') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Murmur  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_975075898688') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Pericardial Disease  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_704148928571') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Peripheral Edema  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_886489617115') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Post-Myocardial Infarction  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_621745958993') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Pre-Operative Consultation  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_873024527134_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_873024527134') %}{% if currentItem.answer.exists() %}    • Procedure Date:{% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_197975129599') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Syncope  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_675849150752') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Valvular Heart Disease or Prosthetic Heart Valve  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_721982740516') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <br/>
Other concern / indication triggering referral  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='id_720594942482_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='id_720594942482') %}{% if currentItem.answer.exists() %}    • Details of other concern / indication triggering referral:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% endfor %}  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='id_127224908991') %}{% if currentItem.answer.exists() %}Brief Description of Referral, History, Management, and Investigations:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_header_ocean_section') %}Cumulative Patient Profile  <br/>
{% for currentItem in currentItem.item.where(linkId='cpp_separate') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">CPP attached separately</span>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentprob_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='cpp_currentprob') %}{% if currentItem.answer.exists() %}Current Problem List:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_pastmedicalhistory_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='cpp_pastmedicalhistory') %}{% if currentItem.answer.exists() %}Past Medical History:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentmedications_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='cpp_currentmedications') %}{% if currentItem.answer.exists() %}Current Medications :{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_familyhistory_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='cpp_familyhistory') %}{% if currentItem.answer.exists() %}Family History:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_allergies_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='cpp_allergies') %}{% if currentItem.answer.exists() %}Allergies:{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}  <br/>
  <br/>
{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_header_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_selector') %}{% if currentItem.answer.value.ofType(boolean) = true %}Preferred Consultant or Location  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_specify_ocean_section') %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_consultant') %}{% if currentItem.answer.exists() %}Preferred Consultant:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_location') %}{% if currentItem.answer.exists() %}Preferred Location:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_willingtotravel') %}{% if currentItem.answer.value.ofType(boolean) = true %}  <span style="color:blue;">Patient willing to travel for shorter wait time</span>
  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_otherconsiderations') %}{% if currentItem.answer.exists() %}Other considerations:{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='supportingdocumentation_header_ocean_section') %}{% endfor %}{% endfor %}{% endfor %}
</div>
",
"contentType": "text/html"
} ],
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"resourceType": "Library"
} ],
"status": "active",
"id": "d2185b16-3318-4522-a1ee-e9055f7f54a8",
"kind": null,
"url": "http://ontariohealth.ca/legacy/Questionnaire/ONPF-d7176d16-5fd4-48a7-b7e6-b488e8df763d",
"version": "0"
}