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Resource Questionnaire/FHIR Server from package cqframework.cpg-example-anc#current (32 ms)

Package cqframework.cpg-example-anc
Type Questionnaire
Id Id
FHIR Version R4
Source http://cqframework.org/cpg-example-anc/https://build.fhir.org/ig/cqframework/cpg-example-anc/Questionnaire-anc-quick-check.html
Url http://cqframework.org/cpg-example-anc/Questionnaire/anc-quick-check
Version 1.0.0
Status active
Date 2024-11-18T17:56:37+00:00
Name ANCQuickCheck
Title Questionnaire - ANC Quick Check
Experimental False
Realm uv
Authority hl7
Description Example of a Questionnaire for an ANC Quick Check

Resources that use this resource

No resources found


Resources that this resource uses

No resources found



Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire anc-quick-check

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ANCQuickCheckExample of a Questionnaire for an ANC Quick CheckQuestionnairehttp://cqframework.org/cpg-example-anc/Questionnaire/anc-quick-check#1.0.0
... reason-for-visitWhy did you come?0..1choiceOptions: 5 options

doco Documentation for this format

Options Sets

Answer options for reason-for-visit

  • For a scheduled (routine) visit
  • For specific complaints about you or your baby
  • First visit
  • Follow-up visit
  • Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?

Source

{
  "resourceType" : "Questionnaire",
  "id" : "anc-quick-check",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire anc-quick-check</b></p><a name=\"anc-quick-check\"> </a><a name=\"hcanc-quick-check\"> </a><a name=\"anc-quick-check-en-US\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> ANCQuickCheck</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Example of a Questionnaire for an ANC Quick Check</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://cqframework.org/cpg-example-anc/Questionnaire/anc-quick-check#1.0.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.reason-for-visit\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> reason-for-visit</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Why did you come?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.reason-for-visit\">5 options</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.reason-for-visit\"> </a><p><b>Answer options for reason-for-visit </b></p><ul><li style=\"font-size: 11px\">For a scheduled (routine) visit</li><li style=\"font-size: 11px\">For specific complaints about you or your baby</li><li style=\"font-size: 11px\">First visit</li><li style=\"font-size: 11px\">Follow-up visit</li><li style=\"font-size: 11px\">Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?</li></ul></div>"
  },
  "url" : "http://cqframework.org/cpg-example-anc/Questionnaire/anc-quick-check",
  "version" : "1.0.0",
  "name" : "ANCQuickCheck",
  "title" : "Questionnaire - ANC Quick Check",
  "status" : "active",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2024-11-18T17:56:37+00:00",
  "publisher" : "HL7 International - Clinical Decision Support WG",
  "contact" : [
    {
      "name" : "HL7 International - Clinical Decision Support WG",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }
      ]
    }
  ],
  "description" : "Example of a Questionnaire for an ANC Quick Check",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "item" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
          "valueCanonical" : "http://cqframework.org/cpg-example-anc/ValueSet/anc-reason-for-visit-vs"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-itemImage",
          "valueAttachment" : {
            "url" : "http://example.org/images/reason-for-visit.png"
          }
        }
      ],
      "linkId" : "reason-for-visit",
      "text" : "Why did you come?",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
              "valueAttachment" : {
                "url" : "http://example.org/images/reason-for-visit-routine.png"
              }
            }
          ],
          "valueString" : "For a scheduled (routine) visit"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
              "valueAttachment" : {
                "url" : "http://example.org/images/reason-for-visit-specific-complaint.png"
              }
            }
          ],
          "valueString" : "For specific complaints about you or your baby"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
              "valueAttachment" : {
                "url" : "http://example.org/images/reason-for-visit-first.png"
              }
            }
          ],
          "valueString" : "First visit"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
              "valueAttachment" : {
                "url" : "http://example.org/images/reason-for-visit-follow-up.png"
              }
            }
          ],
          "valueString" : "Follow-up visit"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
              "valueAttachment" : {
                "url" : "http://example.org/images/reason-for-visit-include-family-member.png"
              }
            }
          ],
          "valueString" : "Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?"
        }
      ]
    }
  ]
}

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