FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | Cardio_Study_test.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot4&canonical=http://ontariohealth.ca/legacy/Questionnaire/Cardio-Study-test |
| URL | http://ontariohealth.ca/legacy/Questionnaire/Cardio-Study-test |
| Version | 0 |
| Status | active |
| Title | Cardio Study Referral Form Test Validators |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "Cardio-Study-test",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
],
"security": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N"
}
]
},
"contained": [
{
"resourceType": "Library",
"id": "liquid",
"status": "active",
"type": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types",
"code": "qr-narrative-liquid"
}
]
},
"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.",
"content": [
{
"contentType": "text/html",
"data": "<div>
{% for currentItem in QuestionnaireResponse.item.where(linkId='questionnaire') %}Cardio Study Referral Form  <br/>
  <br/>
\n{% for currentItem in currentItem.item.where(linkId='commonServices') %}  <br/>
Cardiology Services/Common Indications/Clinical Information  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='echoColourDopplerSec') %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDopplerSpec') %}  <span style="text-decoration:underline;">2D Echo And Colour Dopper:</span>
  <br/>
, {% for currentItem in currentItem.item.where(linkId='echoColourDoppler1') %}{% if currentItem.answer.value.ofType(boolean) = true %}Heart Murmur  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler2') %}{% if currentItem.answer.value.ofType(boolean) = true %}Native Valvular Stenosis  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler3') %}{% if currentItem.answer.value.ofType(boolean) = true %}Native Valvular Regurgitation  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler4') %}{% if currentItem.answer.value.ofType(boolean) = true %}Known or Suspected MVP with MR  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler5') %}{% if currentItem.answer.value.ofType(boolean) = true %}Prosthetic Heart Valve(s)  <br/>
{% endif %}, {% endfor %}, {% for currentItem in currentItem.item.where(linkId='echoColourDoppler7') %}{% if currentItem.answer.value.ofType(boolean) = true %}Hypertension (Hypertensive Heart Disease)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler8') %}{% if currentItem.answer.value.ofType(boolean) = true %}Dyspnea-CHF (LV Function &amp;amp; RVSP)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler9') %}{% if currentItem.answer.value.ofType(boolean) = true %}Dyspnea-CHF (with preserved EF)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler10') %}{% if currentItem.answer.value.ofType(boolean) = true %}Dyspnea-CHF (with reduced EF)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler11') %}{% if currentItem.answer.value.ofType(boolean) = true %}Pulmonary Disease (RV Function &amp;amp; RVSP)  <br/>
{% endif %}, {% endfor %}, {% for currentItem in currentItem.item.where(linkId='echoColourDoppler13') %}{% if currentItem.answer.value.ofType(boolean) = true %}Chest Pain (CAD)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler14') %}{% if currentItem.answer.value.ofType(boolean) = true %}CAD (Post MI/Intervention)  <br/>
{% endif %}, {% endfor %}, {% for currentItem in currentItem.item.where(linkId='echoColourDoppler16') %}{% if currentItem.answer.value.ofType(boolean) = true %}Aortopathy (Thoracic Aortic Disease)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler17') %}{% if currentItem.answer.value.ofType(boolean) = true %}Pericardial Disease/Effusion  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler18') %}{% if currentItem.answer.value.ofType(boolean) = true %}Cardiac Source of Systemic Emboli  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler19') %}{% if currentItem.answer.value.ofType(boolean) = true %}Arrhythmias (Atrial Fib-Flutter)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='echoColourDoppler20') %}{% if currentItem.answer.value.ofType(boolean) = true %}Arrhythmias (Syncope/Palpitations)  <br/>
{% endif %} and {% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEchoSec') %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEchoSpec') %}  <span style="text-decoration:underline;">Treadmill Stress Echo:</span>
  <br/>
, {% for currentItem in currentItem.item.where(linkId='treadmillStressEcho1') %}{% if currentItem.answer.value.ofType(boolean) = true %}Screening for CAD (Moderate-High risk for CAD)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho2') %}{% if currentItem.answer.value.ofType(boolean) = true %}Screening for CAD (Chest Pain on the Background of Multiple Coronary risks)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho3') %}{% if currentItem.answer.value.ofType(boolean) = true %}CAD (Follow-up Post Intervention)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho4') %}{% if currentItem.answer.value.ofType(boolean) = true %}CAD (Follow-up on Medical Therapy)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho5') %}{% if currentItem.answer.value.ofType(boolean) = true %}Exertional Dyspnea  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho6') %}{% if currentItem.answer.value.ofType(boolean) = true %}Valvular Stenosis (Exercise Capacity and LV Contractile Reserve)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho7') %}{% if currentItem.answer.value.ofType(boolean) = true %}Valvular Regurgitation (Exercise Capacity and LV Contractile Reserve)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='treadmillStressEcho8') %}{% if currentItem.answer.value.ofType(boolean) = true %}Provocable LVOT Obstruction  <br/>
{% endif %} and {% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='leadECGSec') %}{% for currentItem in currentItem.item.where(linkId='leadECG') %}{% if currentItem.answer.value.ofType(boolean) = true %}&amp;lt;u&amp;gt;12 Lead ECG&amp;lt;/u&amp;gt;  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='ambulatoryBPMonitoringSec') %}{% for currentItem in currentItem.item.where(linkId='ambulatoryBPMonitoring') %}{% if currentItem.answer.value.ofType(boolean) = true %}&amp;lt;u&amp;gt;24 Hour Ambulatory Blood Pressure Monitoring&amp;lt;/u&amp;gt;  <br/>
{% endif %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoringSec') %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring') %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoringTime') %}{% if currentItem.answer.exists() %}&amp;lt;u&amp;gt;$$ Holter Monitoring&amp;lt;/u&amp;gt;{% for answer in currentItem.answer %}{% if answer.value.code = '3 day' %}3 day{% endif %}{% if answer.value.code = '14 day' %}14 day{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoringSpec') %}  <span style="text-decoration:underline;">:</span>
  <br/>
, {% for currentItem in currentItem.item.where(linkId='holterMonitoring1') %}{% if currentItem.answer.value.ofType(boolean) = true %}Abnormal ECG (AV Block, Bundle Brunch Block)  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring2') %}{% if currentItem.answer.value.ofType(boolean) = true %}Palpitations  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring3') %}{% if currentItem.answer.value.ofType(boolean) = true %}Syncope/Presyncope  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring4') %}{% if currentItem.answer.value.ofType(boolean) = true %}Post CVA/TIA  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring5') %}{% if currentItem.answer.value.ofType(boolean) = true %}Dyspnea/Chest Pain  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring6') %}{% if currentItem.answer.value.ofType(boolean) = true %}Weakness/Fatigue  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring7') %}{% if currentItem.answer.value.ofType(boolean) = true %}Rule Out A-fib/Flutter  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring8') %}{% if currentItem.answer.value.ofType(boolean) = true %}A-fib Rate control  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring9') %}{% if currentItem.answer.value.ofType(boolean) = true %}Atrial Arrhythmia  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring10') %}{% if currentItem.answer.value.ofType(boolean) = true %}Ventricular Arrhythmia  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring11') %}{% if currentItem.answer.value.ofType(boolean) = true %}Medication Effect  <br/>
{% endif %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring12') %}, {% endfor %}{% for currentItem in currentItem.item.where(linkId='holterMonitoring12Type') %}{% if currentItem.answer.exists() %}Pacemaker ($$){% for answer in currentItem.answer %}{% if answer.value.code = 'VVI' %}VVI{% endif %}{% if answer.value.code = 'DDD' %}DDD{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %} and {% endfor %}{% endfor %}{% endfor %}{% for currentItem in currentItem.item.where(linkId='cardiologyConsultSec') %}{% for currentItem in currentItem.item.where(linkId='cardiologyConsult') %}{% if currentItem.answer.value.ofType(boolean) = true %}&amp;lt;b&amp;gt;CARDIOLOGY CONSULT&amp;lt;/b&amp;gt; (first available)  <br/>
{% endif %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='cardiologyConsultSpec') %}{% for currentItem in currentItem.item.where(linkId='cardiologyConsultDocsLabelSec') %} or {% endfor %}\n{% endfor %}{% endfor %}\n{% endfor %}{% for currentItem in currentItem.item.where(linkId='clinicalInfoSec') %}  <br/>
Clinical Info  <br/>
  <br/>
{% for currentItem in currentItem.item.where(linkId='clinicalInfo') %}{% if currentItem.answer.exists() %}{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}\n{% endfor %}{% endfor %}
</div>
"
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"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"
}
}
],
"url": "http://ontariohealth.ca/legacy/Questionnaire/Cardio-Study-test",
"version": "0",
"title": "Cardio Study Referral Form Test Validators",
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Cardio Study Referral Form",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cardio Study Referral Form<br/>"
}
]
}
},
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "questionnaire",
"type": "group",
"item": [
{
"linkId": "diagramSec",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "commonServicesVal"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "(echoColourDoppler.p + treadmillStressEcho.p + leadECG.p + ambulatoryBPMonitoring.p + holterMonitoring.p + cardiologyConsult.p) != 0",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Cardiology Services/Common Indications/Clinical Information",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Cardiology Services/Common Indications/Clinical Information<br/>"
}
]
}
}
]
}
],
"linkId": "commonServices",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "commonServicesVal",
"text": "<b>CARDIOLOGY SERVICES / COMMON INDICATIONS / CLINICAL INFORMATION</b>",
"type": "display"
},
{
"linkId": "echoColourDopplerSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "echoColourDoppler",
"text": "<b>2D ECHO AND COLOUR DOPPLER</b>",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "echoColourDopplerVal"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.sum(echoColourDopplerSpec) != 0 || echoColourDoppler.p == 0",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "2D Echo And Colour Dopper:"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "lastSeparator",
"valueString": " and "
},
{
"url": "listSeparator",
"valueString": ", "
}
]
}
],
"linkId": "echoColourDopplerSpec",
"type": "group",
"enableWhen": [
{
"question": "echoColourDoppler",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "echoColourDopplerVal",
"text": "What specifically:",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler1",
"text": "Heart Murmur",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler2",
"text": "Native Valvular Stenosis",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler3",
"text": "Native Valvular Regurgitation",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler4",
"text": "Known or Suspected MVP with MR",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler5",
"text": "Prosthetic Heart Valve(s)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "echoColourDoppler6",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Hypertension (Hypertensive Heart Disease)"
}
]
}
],
"linkId": "echoColourDoppler7",
"text": "Hypertension - Hypertensive Heart Disease",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Dyspnea-CHF (LV Function & RVSP)"
}
]
}
],
"linkId": "echoColourDoppler8",
"text": "Dyspnea-CHF - LV Function and RVSP",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Dyspnea-CHF (with preserved EF)"
}
]
}
],
"linkId": "echoColourDoppler9",
"text": "Dyspnea-CHF - with preserved EF",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Dyspnea-CHF (with reduced EF)"
}
]
}
],
"linkId": "echoColourDoppler10",
"text": "Dyspnea-CHF - with reduced EF",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Pulmonary Disease (RV Function & RVSP)"
}
]
}
],
"linkId": "echoColourDoppler11",
"text": "Pulmonary Disease - RV Function and RVSP",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "echoColourDoppler12",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Chest Pain (CAD)"
}
]
}
],
"linkId": "echoColourDoppler13",
"text": "Chest Pain - CAD",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "CAD (Post MI/Intervention)"
}
]
}
],
"linkId": "echoColourDoppler14",
"text": "CAD - Post MI/Intervention",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "echoColourDoppler15",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Aortopathy (Thoracic Aortic Disease)"
}
]
}
],
"linkId": "echoColourDoppler16",
"text": "Aortopathy - Thoracic Aortic Disease",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler17",
"text": "Pericardial Disease/Effusion",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "echoColourDoppler18",
"text": "Cardiac Source of Systemic Emboli",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Arrhythmias (Atrial Fib-Flutter)"
}
]
}
],
"linkId": "echoColourDoppler19",
"text": "Arrhythmias - Atrial Fib-Flutter",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Arrhythmias (Syncope/Palpitations)"
}
]
}
],
"linkId": "echoColourDoppler20",
"text": "Arrhythmias - Syncope/Palpitations",
"type": "boolean"
}
]
}
]
},
{
"linkId": "treadmillStressEchoSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "treadmillStressEcho",
"text": "<b>TREADMILL STRESS ECHO</b>",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "treadmillStressEchoVal"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.sum(treadmillStressEchoSpec) != 0 || treadmillStressEcho.p == 0",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Treadmill Stress Echo:"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "lastSeparator",
"valueString": " and "
},
{
"url": "listSeparator",
"valueString": ", "
}
]
}
],
"linkId": "treadmillStressEchoSpec",
"type": "group",
"enableWhen": [
{
"question": "treadmillStressEcho",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "treadmillStressEchoVal",
"text": "What specifically:",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Screening for CAD (Moderate-High risk for CAD)"
}
]
}
],
"linkId": "treadmillStressEcho1",
"text": "Screening for CAD - Moderate-High risk for CAD",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Screening for CAD (Chest Pain on the Background of Multiple Coronary risks)"
}
]
}
],
"linkId": "treadmillStressEcho2",
"text": "Screening for CAD - Chest Pain on the Background of Multiple Coronary risks",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "CAD (Follow-up Post Intervention)"
}
]
}
],
"linkId": "treadmillStressEcho3",
"text": "CAD - Follow-up Post Intervention",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "CAD (Follow-up on Medical Therapy)"
}
]
}
],
"linkId": "treadmillStressEcho4",
"text": "CAD - Follow-up on Medical Therapy",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "treadmillStressEcho5",
"text": "Exertional Dyspnea",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Valvular Stenosis (Exercise Capacity and LV Contractile Reserve)"
}
]
}
],
"linkId": "treadmillStressEcho6",
"text": "Valvular Stenosis - Exercise Capacity and LV Contractile Reserve",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Valvular Regurgitation (Exercise Capacity and LV Contractile Reserve)"
}
]
}
],
"linkId": "treadmillStressEcho7",
"text": "Valvular Regurgitation - Exercise Capacity and LV Contractile Reserve",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "treadmillStressEcho8",
"text": "Provocable LVOT Obstruction",
"type": "boolean"
}
]
}
]
},
{
"linkId": "leadECGSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<u>12 Lead ECG</u>"
}
]
}
],
"linkId": "leadECG",
"text": "<b>12 LEAD ECG</b>",
"type": "boolean"
}
]
},
{
"linkId": "ambulatoryBPMonitoringSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<u>24 Hour Ambulatory Blood Pressure Monitoring</u>"
}
]
}
],
"linkId": "ambulatoryBPMonitoring",
"text": "<b>24 HOUR AMBULATORY BLOOD PRESSURE MONITORING</b> (Not Covered by OHIP)",
"type": "boolean"
}
]
},
{
"linkId": "holterMonitoringSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "holterMonitoring",
"text": "<b>HOLTER MONITORING</b>",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<u>$ Holter Monitoring</u>"
}
]
}
],
"linkId": "holterMonitoringTime",
"text": "For what time period?",
"type": "choice",
"enableWhen": [
{
"question": "holterMonitoring",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "3 day"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 14
}
],
"valueCoding": {
"code": "14 day"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "holterMonitoringVal"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "(ScriptUtil.sum(holterMonitoringSpec) - holterMonitoring12Type.p) > 0 || holterMonitoring.p == 0",
"language": "text/fhirpath",
"expression": "true"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": ":"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "lastSeparator",
"valueString": " and "
},
{
"url": "listSeparator",
"valueString": ", "
}
]
}
],
"linkId": "holterMonitoringSpec",
"type": "group",
"enableWhen": [
{
"question": "holterMonitoring",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "holterMonitoringVal",
"text": "What specifically:",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring1",
"text": "Abnormal ECG (AV Block, Bundle Brunch Block)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring2",
"text": "Palpitations",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring3",
"text": "Syncope/Presyncope",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring4",
"text": "Post CVA/TIA",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring5",
"text": "Dyspnea/Chest Pain",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring6",
"text": "Weakness/Fatigue",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring7",
"text": "Rule Out A-fib/Flutter",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring8",
"text": "A-fib Rate control",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring9",
"text": "Atrial Arrhythmia",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring10",
"text": "Ventricular Arrhythmia",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "holterMonitoring11",
"text": "Medication Effect",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "holterMonitoring12",
"text": "Pacemaker",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Pacemaker ($)"
}
]
}
],
"linkId": "holterMonitoring12Type",
"text": "What type of pace maker?",
"type": "choice",
"enableWhen": [
{
"question": "holterMonitoring12",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "VVI"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "DDD"
}
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "listSeparator",
"valueString": "\\n"
}
]
}
],
"linkId": "cardiologyConsultSec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "cardiologyConsult",
"text": "<b>CARDIOLOGY CONSULT</b> (first available)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "lastSeparator",
"valueString": " or "
},
{
"url": "listSeparator",
"valueString": ", "
}
]
}
],
"linkId": "cardiologyConsultSpec",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "cardiologyConsultDocsLabelSec",
"type": "group",
"item": [
{
"linkId": "cardiologyConsultDocsLabel1",
"text": "N. Ali MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel2",
"text": "A. Ciofani MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel3",
"text": "R. Fernandes MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel4",
"text": "G. Maur MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel5",
"text": "W. McIntyre MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel6",
"text": "S. Nawaz MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel7",
"text": "Z. Oqab MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel8",
"text": "Z. Sasson MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel9",
"text": "S. Tandon MD FRCPC",
"type": "display"
},
{
"linkId": "cardiologyConsultDocsLabel10",
"text": "T. Vakani MD FRCPC",
"type": "display"
}
]
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Clinical Info",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Clinical Info<br/>"
}
]
}
}
]
}
],
"linkId": "clinicalInfoSec",
"text": "OTHER CLINICAL INFO",
"type": "group",
"item": [
{
"linkId": "clinicalInfo",
"type": "text"
}
]
}
]
}
]
}