FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | MI_SplittingExample.json.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot4&canonical=urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f |
| URL | urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-01-28T16:19:05.195-05:00 |
| Title | Medical Imaging - Standardized Provincial Form Template - Splitting Example |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "479ecda0-2b51-436a-8f78-1b3346b7e53b",
"language": "en",
"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='patient_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='patient_surname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Surname&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_firstname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;First Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_date_of_birth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;DOB&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_gender') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Gender&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_pc') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;HN PC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_number') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_hc_vc') %}{% if currentItem.answer.exists() %}&lt;strong&gt;HN VC&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line1') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Address&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address Line 2&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_mobile') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Mobile #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_home') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Home #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_phone_business') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Business #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='patient_email') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Email&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='additionalinfo_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;[Optional] Additional Patient Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='additionalinfo_sexassignedatbirth') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Sex assigned at birth&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.display = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_pronouns_other') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other Pronouns&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred language&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_specify') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Specify&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredlanguage_translatorrequired') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Translator required&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname_select') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred name&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_preferredname') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred Name:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Best method of contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = 'phone' %}Mobile{% endif %}{% if answer.value.code = 'phone' %}Home{% endif %}{% if answer.value.code = 'phone' %}Business{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_bestmethodofcontact_voicemails') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Voicemails acceptable&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Alternate contact&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_name') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Alternate contact phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_relationship') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Relationship&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_alternatecontact_bookingcontact') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Is Alternate contact the appointment booking contact?&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Unsafe contact persons (do not speak with)&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Unsafe contact persons (do not speak with)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_speakwithpatientdirectly') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Only speak with patient directly&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Only speak with patient directly' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_unsafecontacts_donotspeakwith') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Do not speak with:&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability_selectt') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Accessibility concerns or disability&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Accessibility concerns or disability' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_accessibilityconcernsordisability') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Specific&lt;/strong&gt;</span>
{% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations_select') %}{% if currentItem.answer.exists() %}&lt;/p&gt;&lt;strong&gt;Special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='additionalinfo_specialconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt; Details of special considerations&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='780152781664') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Payer Type&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'OHIP' %}OHIP{% endif %}{% if answer.value.display = 'WSIB Case' %}WSIB Case{% endif %}{% if answer.value.display = 'DND' %}DND{% endif %}{% if answer.value.display = 'IFH' %}IFH{% endif %}{% if answer.value.display = 'RAMQ' %}RAMQ{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='273459321091') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other payer&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='274716928898') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Select Exam Request(s)&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='966479448516') %}{% if currentItem.answer.exists() %}  <p style="display:none;"/>
{% for answer in currentItem.answer %}{% if answer.value.code = '77477000' %}Computerized axial tomography{% endif %}{% if answer.value.code = '113091000' %}Magnetic resonance imaging{% endif %}{% if answer.value.code = '363680008' %}Radiographic imaging procedure{% endif %}{% if answer.value.code = '16310003' %}Ultrasound Requisition{% endif %}{% if answer.value.code = '241686001' %}Dual energy X-ray absorptiometry (procedure){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='324277291256') %}  <span style="font-weight:bold;">&lt;strong&gt;Triage Considerations&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='649843000897') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">Requested Priority</span>
{% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='871328372177') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Reason for urgent triage&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='751330438729') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;CT Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='573180718837') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='234264354051') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;MRI Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='980027687215') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='674405234837') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;X-Ray Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='510703120136') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='536888455666') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;Ultrasound Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='296349058128') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='189996950901') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;BMD Request: Clinical History / Indication&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='799876967585') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='351905130587') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;&lt;strong&gt;Supporting Documentation&lt;/strong&gt;&lt;/span&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='707642937857') %}{% if currentItem.answer.exists() %}  <span style="font-weight:bold;">&lt;strong&gt;Reason for exam:&lt;/strong&gt; $$</span>
{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='cpp_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Cumulative Patient Profile&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='cpp_separate') %}{% if currentItem.answer.exists() %}&lt;strong&gt;CPP attached separately&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'CPP attached separately (if not entered below)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentprob') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Problem List&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_pastmedicalhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Past Medical History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_currentmedications') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Current Medication&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_familyhistory') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Family History&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='cpp_allergies') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Allergies&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='preferredconsultlocation_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Preferred Consultant or Location&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_selector') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Preferred consultant or location&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred consultant or location' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_specify') %}Please specify either a   <b>preferred</b>
 consultant or location  <br/>
{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_consultant') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Consultant&lt;/strong&gt;{% 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() %}&lt;strong&gt;Location&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_willingtotravel') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Patient willing to travel for shorter wait time&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.display = 'Patient willing to travel for shorter wait time' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='preferredconsultlocation_otherconsiderations') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Other&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_header') %}  <span style="font-weight:bold;">
    <p>
      <strong>Supporting Documentation</strong>
    </p>
    <p>
Please attach all       <strong>
<span style="text-decoration: underline">relevant</span>      </strong>
 laboratory and diagnostic investigations.
    </p>
  </span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='supportingdocumentation_details') %}{% if currentItem.answer.exists() %}  <p style="display:none;"/>
{% for answer in currentItem.answer %}{% if answer.value.display = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='supportingdocumentation_attachment') %}{% if currentItem.answer.exists() %}Add Attachments{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}{% endfor %}{% for currentItem in QuestionnaireResponse.item.where(linkId='referrer_header') %}  <span style="font-weight:bold;">&lt;p&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration:underline;&quot;&gt;Referrer's Information&lt;/span&gt;&lt;/strong&gt;</span>
  <br/>
{% for currentItem in currentItem.item.where(linkId='referrer_sitename') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Site Name&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line1') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 1)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_line2') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Address (Line 2)&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_city') %}{% if currentItem.answer.exists() %}&lt;strong&gt;City&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_province') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Province&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_address_postalcode') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Postal Code&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_phone') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Phone #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_fax') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Fax #&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_billing') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Billing Number&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_professionalid') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Professional ID&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_signature') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Signed&lt;/strong&gt;{% for answer in currentItem.answer %}{{ answer.value }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% for currentItem in currentItem.item.where(linkId='referrer_role') %}{% if currentItem.answer.exists() %}&lt;strong&gt;Role&lt;/strong&gt;{% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}  <br/>
{% endif %}&lt;br&gt;{% endfor %}{% endfor %}
</div>
"
}
]
}
],
"extension": [
{
"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": "urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f",
"version": "0.0.1",
"title": "Medical Imaging - Standardized Provincial Form Template - Splitting Example",
"_title": {
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
}
]
},
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2026-01-28T16:19:05.195-05:00",
"publisher": "Ontario Health & Amplify Care",
"_description": {
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test description"
}
]
},
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166:-2",
"code": "CA-ON"
}
],
"text": "Ontario"
}
],
"effectivePeriod": {
"start": "2025-07-29"
},
"item": [
{
"linkId": "283714301370",
"text": "Notes",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please note that screening programs such the <a href=\"https://www.cancercareontario.ca/en/cancer-care-ontario/programs/screening-programs/ontario-breast-obsp\" rel=\"noopener noreferrer\" target=\"_blank\">Ontario Breast Screening Program (OBSP)</a> and <a href=\"https://www.cancercareontario.ca/en/cancer-care-ontario/programs/screening-programs/ontario-lung-screening-program\" rel=\"noopener noreferrer\" target=\"_blank\">Ontario Lung Screening Program (OLSP)</a> have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms."
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 1
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">Patient Information</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "patient_header",
"text": "Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Patient Information</b>"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Surname</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_surname",
"text": "Surname:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>First Name</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_firstname",
"text": "First Name:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "yyyy/MM/dd"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>DOB</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_date_of_birth",
"text": "DOB:",
"type": "date",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Gender</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_gender",
"text": "Gender:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "other",
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>HN PC</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_hc_pc",
"text": "HN PC:",
"type": "string",
"maxLength": 2
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>HN</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_hc_number",
"text": "HN:",
"type": "string",
"maxLength": 10
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 10
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>HN VC</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_hc_vc",
"text": "HN VC:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Address</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_address_line1",
"text": "Address (Line 1):",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Address Line 2</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_address_line2",
"text": "Address (Line 2):",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>City</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_address_city",
"text": "City:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Province</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_address_province",
"text": "Province:",
"type": "string",
"required": true,
"maxLength": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "postalcode1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9][%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid Canadian postal code in the format A1A 1A1."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Postal Code</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_address_postalcode",
"text": "Postal Code:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Mobile #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_phone_mobile",
"text": "Mobile #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone2"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Home #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_phone_home",
"text": "Home #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone3"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Business #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_phone_business",
"text": "Business #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "email1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\\\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\\\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
}
},
{
"url": "human",
"valueString": "Please enter a valid email address."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Email</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "patient_email",
"text": "Email:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 2
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">[Optional] Additional Patient Information</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_header",
"text": "[Optional] Additional Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>[Optional] Additional Patient Information</strong></p>"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Sex assigned at birth</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_sexassignedatbirth",
"text": "Sex assigned at birth:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
},
{
"valueCoding": {
"display": "Intersex"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Pronouns</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_pronouns",
"text": "Pronouns:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29519-8",
"display": "She/Her"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29518-0",
"display": "He/Him"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29519-8",
"display": "They/Them"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Other Pronouns</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_pronouns_other",
"text": "Other pronouns:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_pronouns",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Preferred language</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_preferredlanguage",
"text": "Preferred language:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English"
}
},
{
"valueCoding": {
"system": "urn:ietf:bcp:47",
"code": "fr",
"display": "French"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Specify</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_preferredlanguage_specify",
"text": "Specify:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_preferredlanguage",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Translator required</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"text": "Translator required",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_preferredlanguage",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Translator Required"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Preferred name</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_preferredname_select",
"text": "Preferred name",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Preferred Name"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Preferred Name:</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_preferredname",
"text": "Prefered name String",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_preferredname_select",
"operator": "=",
"answerCoding": {
"display": "Preferred Name"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Best method of contact</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_bestmethodofcontact",
"text": "Best method of contact:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Mobile"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Home"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Business"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "email",
"display": "Email"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Voicemails acceptable</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.descendants() .where(linkId = 'additionalinfo_bestmethodofcontact') .answer.valueCoding .where(display.lower() = 'home' or display.lower() = 'mobile' or display.lower() = 'business') .exists()"
}
}
],
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"text": "Voicemails acceptable",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"enableBehavior": "any",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": " Voicemails acceptable"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Alternate contact</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_alternatecontact_select",
"text": "Alternate contact",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Alternate contact"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Name</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_alternatecontact_name",
"text": "Name:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone4"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Alternate contact phone #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_alternatecontact_phone",
"text": "Alternate contact phone #:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Relationship</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_alternatecontact_relationship",
"text": "Relationship:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Is Alternate contact the appointment booking contact?</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all",
"answerOption": [
{
"valueCoding": {
"display": "Yes"
}
},
{
"valueCoding": {
"display": "No"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Unsafe contact persons (do not speak with)</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_select",
"text": "Unsafe contact persons (do not speak with)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Only speak with patient directly</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"text": "Only speak with patient directly",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_unsafecontacts_select",
"operator": "=",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
],
"enableBehavior": "all",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"valueCoding": {
"display": "Only speak with patient directly"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Do not speak with:</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_donotspeakwith",
"text": "Do not speak with:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_unsafecontacts_select",
"operator": "=",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Accessibility concerns or disability</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"text": "Accessibility concerns or disability",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Accessibility concerns or disability"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Specific</strong>"
},
{
"url": "listSeparator",
"valueString": ";"
},
{
"url": "lastSeparator",
"valueString": "and"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_accessibilityconcernsordisability",
"text": "Accessibility concerns Options",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br>"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_accessibilityconcernsordisability_selectt",
"operator": "=",
"answerCoding": {
"display": "Accessibility concerns or disability"
}
}
],
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "129839007",
"display": "Falls risk"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "301621006",
"display": "Patient requires lift"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "105503008",
"display": "Wheelchair"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "15188001",
"display": "Hearing impaired"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "</p><strong>Special considerations</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_specialconsiderations_select",
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong> Details of special considerations</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_specialconsiderations",
"text": "Details of special considerations:",
"type": "text",
"enableWhen": [
{
"question": "additionalinfo_specialconsiderations_select",
"operator": "=",
"answerCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
}
],
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Payer Type</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "780152781664",
"text": "Payer Type",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"display": "OHIP"
},
"initialSelected": true
},
{
"valueCoding": {
"display": "WSIB Case"
}
},
{
"valueCoding": {
"display": "DND"
}
},
{
"valueCoding": {
"display": "IFH"
}
},
{
"valueCoding": {
"display": "RAMQ"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Other payer</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "273459321091",
"text": "Other",
"type": "string",
"enableWhen": [
{
"question": "780152781664",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 3
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">Select Exam Request(s)</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "274716928898",
"text": "Select Exam Request(s)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong style=\"background-color: rgb(246, 250, 253); color: rgb(32, 32, 53);\">Select Exam Request(s)</strong></p>"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "966479448516",
"text": "Radiology modality selection",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"required": true,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasound Requisition"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 4
},
{
"url": "text",
"valueString": "<strong>Triage Considerations</strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "324277291256",
"text": "Triage Considerations",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>Triage Considerations </strong>Information appear on summary note for ALL child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasonography"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
],
"enableBehavior": "any",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Requested Priority",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "<strong>Requested Priority</strong>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "649843000897",
"text": "Requested Priority:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "routine",
"display": "Routine"
},
"initialSelected": true
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Urgent"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for urgent triage</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "871328372177",
"text": "Reason for urgent triage",
"type": "string",
"enableWhen": [
{
"question": "649843000897",
"operator": "=",
"answerCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Urgent"
}
}
],
"enableBehavior": "all",
"required": true
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 5
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>CT Request: Clinical History / Indication</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "751330438729",
"text": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>CT Request: Clinical History / Indication</strong> - Information appear on summary note for CT child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "573180718837",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 6
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>MRI Request: Clinical History / Indication</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "234264354051",
"text": "MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>MRI Request: Clinical History / Indication</strong> - Information appear on summary note for MRI child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "980027687215",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 7
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>X-Ray Request: Clinical History / Indication</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "674405234837",
"text": "X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>X-Ray Request: Clinical History / Indication</strong> - Information appear on summary note for XRAY child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "510703120136",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 8
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>Ultrasound Request: Clinical History / Indication</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "536888455666",
"text": "Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>Ultrasound Request: Clinical History / Indication</strong> - Information appear on summary note for Ultrasound child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasonography"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "296349058128",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 9
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>BMD Request: Clinical History / Indication</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "189996950901",
"text": "BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>BMD Request: Clinical History / Indication</strong> - Information appear on summary note for BMD child referrals</p>"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "799876967585",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 10
},
{
"url": "text",
"valueString": "<p><span style=\"text-decoration:underline;\"><strong>Supporting Documentation</strong></span>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "351905130587",
"text": "Supporting Documentation",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>Supporting Documentation</strong></p>"
}
]
},
"type": "group",
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Reason for exam:</strong> $"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "707642937857",
"text": "Previous Relevant Imaging (if applicable)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p>Previous Relevant Imaging<em> (if applicable)</em></p>"
}
]
},
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 11
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">Cumulative Patient Profile</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_header",
"text": "Cumulative Patient Profile",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Cumulative Patient Profile</b><br>\n<b><i>Please delete any sensitive information you do not intend to share from the CPP</i></b>"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>CPP attached separately</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_separate",
"text": "CPP attached separately (if not entered below)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Current Problem List</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_currentprob",
"code": [
{
"system": "http://snomed.info/sct",
"code": "55607006",
"display": "Problem"
}
],
"text": "Current Problem List:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Past Medical History</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_pastmedicalhistory",
"code": [
{
"system": "http://snomed.info/sct",
"code": "417662000",
"display": "History of clinical finding in subject"
}
],
"text": "Past Medical History:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Current Medication</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_currentmedications",
"code": [
{
"system": "http://snomed.info/sct",
"code": "129019007",
"display": "Taking medication"
}
],
"text": "Current Medications:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Family History</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_familyhistory",
"code": [
{
"system": "http://snomed.info/sct",
"code": "57177007",
"display": "Family history with explicit context"
}
],
"text": "Family History:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Allergies</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_allergies",
"code": [
{
"system": "http://snomed.info/sct",
"code": "609328004",
"display": "Allergic disposition"
}
],
"text": "Allergies:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 12
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">Preferred Consultant or Location</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_header",
"text": "Preferred Consultant or Location",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Preferred Consultant or Location</b><br>\nAll patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Preferred consultant or location</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "preferredconsultlocation_selector",
"text": "Preferred consultant or location",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Preferred consultant or location"
}
}
]
},
{
"linkId": "preferredconsultlocation_specify",
"text": "Please specify either a preferred consultant or location",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a <b>preferred</b> consultant or location"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "preferredconsultlocation_selector",
"operator": "=",
"answerCoding": {
"display": "Preferred consultant or location"
}
}
],
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Consultant</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_consultant",
"text": "Consultant:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Location</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_location",
"text": "Location:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Patient willing to travel for shorter wait time</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_willingtotravel",
"text": "Patient willing to travel for shorter wait time",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Patient willing to travel for shorter wait time"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Other</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_otherconsiderations",
"text": "Other considerations:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 13
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_header",
"text": "Supporting Documentation Header",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><strong>Supporting Documentation</strong></p><p>Please attach all <strong><span style=\"text-decoration: underline\">relevant</span></strong> laboratory and diagnostic investigations.</p>"
}
]
},
"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",
"display": "Check-box"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_details",
"text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p style=\"display:none;\"></p>"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/gif"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/bmp"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "video/mp4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/csv"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/jpeg"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/png"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/plain"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mp4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mpeg"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/tiff"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 1024000
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 14
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_attachment",
"text": "Add Attachments",
"type": "attachment"
},
{
"linkId": "feedbacksurvey_universal",
"text": "Feedback Survey: Universal",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<p><a href=\"https://www.surveymonkey.com/r/universalSRF\" rel=\"noopener noreferrer\" target=\"_blank\">Click here to provide feedback on this form</a></p>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 15
},
{
"url": "text",
"valueString": "<p><strong><span style=\"text-decoration:underline;\">Referrer's Information</span></strong>"
},
{
"url": "listSeparator",
"valueString": "<br>"
},
{
"url": "lastSeparator",
"valueString": "<br>"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_header",
"text": "Referrer's Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Referrer's Information</b>"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Site Name</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_sitename",
"text": "Site Name:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Address (Line 1)</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_address_line1",
"text": "Address (Line 1):",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Address (Line 2)</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_address_line2",
"text": "Address (Line 2):",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>City</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_address_city",
"text": "City:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Province</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_address_province",
"text": "Province:",
"type": "string",
"required": true,
"maxLength": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "postalcode2"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9][%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Must be a valid Canadian postal code"
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Postal Code</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_address_postalcode",
"text": "Postal Code:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone5"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Phone #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_phone",
"text": "Phone #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone6"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Fax #</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_fax",
"text": "Fax #:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Billing Number</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_billing",
"text": "Billing Number:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Professional ID</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_professionalid",
"text": "Professional ID:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Signed</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_signature",
"text": "Signed:",
"type": "text",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "<strong>Role</strong>"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_role",
"text": "Role:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "309398001",
"display": "Allied Health Professional"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "62247001",
"display": "Family Physician"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "449161006",
"display": "Physician Assistant"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398130009",
"display": "Medical Student"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "106292003",
"display": "Nurse"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "224571005",
"display": "Nurse Practitioner"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "405277009",
"display": "Resident"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "69280009",
"display": "Specialist"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
}
]
}
]
}