{
"description": null,
"_filename": "example/Questionnaire-questionnaire-sdc-profile-example-cap.json",
"package_name": "hl7.fhir.uv.sdc",
"date": "2022-03-08T18:37:19+00:00",
"publisher": "HL7 International - FHIR Infrastructure Work Group",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "QuestionnaireSDCProfileExampleCap",
"item": [ {
"item": [ {
"item": [ {
"item": [ {
"item": [ {
"text": "Specify (mm)",
"type": "decimal",
"linkId": "1.1.1.1.1.1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 0.01
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 1000
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces",
"valueInteger": 2
} ]
}, {
"text": "Cannot be assessed (explain)",
"type": "string",
"linkId": "1.1.1.1.2.1",
"required": true
} ],
"text": "Distance from Closest Margin",
"type": "choice",
"linkId": "1.1.1.1",
"answerOption": [ {
"valueCoding": {
"code": "D1",
"system": "http://example.org",
"display": "Specify (mm)"
}
}, {
"valueCoding": {
"code": "D2",
"system": "http://example.org",
"display": "Cannot be assessed (explain)"
}
} ]
}, {
"item": [ {
"text": "Specify margin",
"type": "string",
"linkId": "1.1.1.2.1.1",
"required": true
}, {
"text": "Cannot be determined (explain)",
"type": "string",
"linkId": "1.1.1.2.2.1",
"required": true
} ],
"text": "Specify Margin, if possible",
"type": "choice",
"linkId": "1.1.1.2",
"answerOption": [ {
"valueCoding": {
"code": "W1",
"system": "http://example.org",
"display": "Specify margin"
}
}, {
"valueCoding": {
"code": "W2",
"system": "http://example.org",
"display": "Cannot be determined (explain)"
}
} ]
} ],
"type": "group",
"linkId": "1.1.1",
"required": true,
"enableWhen": [ {
"operator": "=",
"question": "1.1",
"answerCoding": {
"code": "M1",
"system": "http://example.org"
}
} ]
}, {
"item": [ {
"text": "Specify margin(s)",
"type": "string",
"linkId": "1.1.2.1.1.1",
"required": true
}, {
"text": "Cannot be determined (explain)",
"type": "string",
"linkId": "1.1.2.1.2.1",
"required": true
} ],
"text": "Specify Margin(s), if possible",
"type": "choice",
"linkId": "1.1.2.1",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "I1",
"system": "http://example.org",
"display": "Specify margin(s)"
}
}, {
"valueCoding": {
"code": "I2",
"system": "http://example.org",
"display": "Cannot be determined (explain)"
}
} ]
}, {
"text": "Cannot be determined",
"type": "string",
"linkId": "1.1.3.1",
"required": true
}, {
"text": "Not Applicable",
"type": "string",
"linkId": "1.1.4.1",
"required": true
} ],
"text": "Status of surgical margin involvement by tumor (observable entity)",
"type": "choice",
"linkId": "1.1",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "M1",
"system": "http://example.org",
"display": "Margins univolved by tumor"
}
}, {
"valueCoding": {
"code": "M2",
"system": "http://example.org",
"display": "Margin(s) involved by tumor"
}
}, {
"valueCoding": {
"code": "M3",
"system": "http://example.org",
"display": "Cannot be determined"
}
}, {
"valueCoding": {
"code": "M4",
"system": "http://example.org",
"display": "Not applicable"
}
} ]
} ],
"text": "MARGINS",
"type": "group",
"linkId": "1",
"required": true
}, {
"item": [ {
"item": [ {
"text": "Not identified",
"type": "string",
"linkId": "2.1.1.1",
"required": true
}, {
"text": "Present (specify)",
"type": "string",
"linkId": "2.1.2.1",
"required": true
}, {
"text": "Indeterminate",
"type": "string",
"linkId": "2.1.3.1",
"required": true
} ],
"text": "Treatment Effect (applicable to carcinomas treated with neoadjuvant therapy)",
"type": "choice",
"linkId": "2.1",
"answerOption": [ {
"valueCoding": {
"code": "E1",
"system": "http://example.org",
"display": "Not identified"
}
}, {
"valueCoding": {
"code": "E2",
"system": "http://example.org",
"display": "Present (specify)"
}
}, {
"valueCoding": {
"code": "E3",
"system": "http://example.org",
"display": "Indeterminate"
}
} ]
}, {
"item": [ {
"item": [ {
"text": "Extra-adrenal (specify)",
"type": "string",
"linkId": "2.2.1.1.1.1",
"required": true
} ],
"text": "??",
"type": "choice",
"linkId": "2.2.1.1",
"repeats": true,
"answerOption": [ {
"valueCoding": {
"code": "V1",
"system": "http://example.org",
"display": "Capsule"
}
}, {
"valueCoding": {
"code": "V2",
"system": "http://example.org",
"display": "Vessels"
}
}, {
"valueCoding": {
"code": "V3",
"system": "http://example.org",
"display": "Extra-adrenal (specify)"
}
} ]
}, {
"text": "Other (specify)",
"type": "string",
"linkId": "2.2.2.1",
"required": true
} ],
"text": "Tumor Description",
"type": "choice",
"linkId": "2.2",
"repeats": true,
"answerOption": [ {
"valueCoding": {
"code": "U1",
"system": "http://example.org",
"display": "Hemorrhagic"
}
}, {
"valueCoding": {
"code": "U2",
"system": "http://example.org",
"display": "Necrotic"
}
}, {
"valueCoding": {
"code": "U3",
"system": "http://example.org",
"display": "Invasion"
}
}, {
"valueCoding": {
"code": "U4",
"system": "http://example.org",
"display": "Other (specify)"
}
} ]
} ],
"text": "ACCESSORY FINDINGS",
"type": "group",
"linkId": "2",
"required": true
} ],
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Questionnaire SDC Profile Cap",
"package_version": "3.0.0",
"status": "active",
"id": "e5353608-17d8-4678-b1a5-1441fcb905ac",
"kind": null,
"url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap",
"version": "3.0.0",
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ]
}