FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | SampleForm.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot5&canonical=urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe72 |
| URL | urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe72 |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-01-08T15:58:16.445-05:00 |
| Title | Sample Form |
| Realm | ca |
| Description | Shows examples of content not found in other sample forms |
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": "Binary",
"id": "breastdiagram",
"contentType": "image/svg+xml",
"data": "<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!-- Created with Inkscape (http://www.inkscape.org/) -->

<svg
   width="136mm"
   height="73mm"
   viewBox="0 0 136 73"
   version="1.1"
   id="svg1"
   inkscape:version="1.4.2 (f4327f4, 2025-05-13)"
   sodipodi:docname="Breast Exam Diagram.svg"
   xmlns:inkscape="http://www.inkscape.org/namespaces/inkscape"
   xmlns:sodipodi="http://sodipodi.sourceforge.net/DTD/sodipodi-0.dtd"
   xmlns="http://www.w3.org/2000/svg"
   xmlns:svg="http://www.w3.org/2000/svg"
   xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#"
   xmlns:cc="http://creativecommons.org/ns#"
   xmlns:dc="http://purl.org/dc/elements/1.1/">
  <title
     id="title79">Breast Exam Diagram</title>
  <sodipodi:namedview
     id="namedview1"
     pagecolor="#ffffff"
     bordercolor="#000000"
     borderopacity="0.25"
     inkscape:showpageshadow="2"
     inkscape:pageopacity="0.0"
     inkscape:pagecheckerboard="0"
     inkscape:deskcolor="#d1d1d1"
     inkscape:document-units="mm"
     inkscape:zoom="1.52"
     inkscape:cx="187.17105"
     inkscape:cy="218.75"
     inkscape:window-width="1920"
     inkscape:window-height="1057"
     inkscape:window-x="-8"
     inkscape:window-y="-8"
     inkscape:window-maximized="1"
     inkscape:current-layer="layer1" />
  <defs
     id="defs1">
    <linearGradient
       id="swatch2"
       inkscape:swatch="solid">
      <stop
         style="stop-color:#000000;stop-opacity:1;"
         offset="0"
         id="stop2" />
    </linearGradient>
    <linearGradient
       id="swatch1"
       inkscape:swatch="solid">
      <stop
         style="stop-color:#000000;stop-opacity:1;"
         offset="0"
         id="stop1" />
    </linearGradient>
  </defs>
  <g
     inkscape:label="Layer 1"
     inkscape:groupmode="layer"
     id="layer1">
    <path
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
       d="m 42.597907,40.787296 -0.06614,13.824402"
       id="path13-5" />
    <g
       id="RNIP"
       inkscape:label="#RNIP"
       transform="translate(-7.4083337,-102.12924)">
      <title
         id="title75">RIGHT Nipple/Centre</title>
      <path
         style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
         d="M 58.095238,135 A 8.0952377,8.0952377 0 0 0 50,126.90476 8.0952377,8.0952377 0 0 0 41.904762,135 8.0952377,8.0952377 0 0 0 50,143.09523 8.0952377,8.0952377 0 0 0 58.095238,135 Z"
         id="path30" />
      <path
         style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
         d="M 47.3,135 A 2.7,2.7 0 0 1 50,132.3 2.7,2.7 0 0 1 52.7,135 2.7,2.7 0 0 1 50,137.7 2.7,2.7 0 0 1 47.3,135 Z"
         id="path29" />
    </g>
    <path
       d="m 42.592228,33.390288 v 5.2e-4 l 7.821228,2.067038 a 8.0952377,8.0952377 0 0 0 0,-5.1e-4 l -7.820712,-2.067048 z"
       style="fill:#00c8c8;fill-rule:evenodd;stroke-width:0.814"
       id="path55" />
    <path
       d="M 63.86173,39.011108 50.413456,35.457336 a 8.0952377,8.0952377 0 0 0 0,5.1e-4 l 13.448274,3.553772 a 22,22 0 0 1 0,-5.1e-4 z"
       style="fill:#00c8c8;fill-rule:evenodd;stroke-width:0.814"
       id="path42" />
    <path
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
       d="m 93.431459,40.698059 0.0661,13.824399"
       id="path13-5-9" />
    <g
       id="LNIP"
       inkscape:label="#LNIP"
       transform="matrix(-1,0,0,1,143.43767,-102.21848)">
      <title
         id="title75-1">LEFT Nipple/Centre</title>
      <path
         style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
         d="M 58.095238,135 A 8.0952377,8.0952377 0 0 0 50,126.90476 8.0952377,8.0952377 0 0 0 41.904762,135 8.0952377,8.0952377 0 0 0 50,143.09523 8.0952377,8.0952377 0 0 0 58.095238,135 Z"
         id="path30-8" />
      <path
         style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
         d="M 47.3,135 A 2.7,2.7 0 0 1 50,132.3 2.7,2.7 0 0 1 52.7,135 2.7,2.7 0 0 1 50,137.7 2.7,2.7 0 0 1 47.3,135 Z"
         id="path29-2" />
    </g>
    <g
       id="g78"
       transform="translate(-7.4083337,-102.12924)">
      <g
         id="g76">
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.498815;stroke-dasharray:none;stroke-opacity:1"
           d="m 58.048213,134.91665 13.636436,0.0244"
           id="path10-9"
           sodipodi:nodetypes="cc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.045829,134.91313 c 13.692187,0 13.626041,-0.0661 13.626041,-0.0661"
           id="path11-8" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 49.9401,126.84334 c 0,-13.69219 0,-13.69219 0,-13.69219"
           id="path12-6" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499378;stroke-dasharray:none;stroke-opacity:1"
           d="M 28.333891,133.10245 A 21.749045,21.749036 0 0 0 48.102433,156.6661 21.749045,21.749036 0 0 0 71.666106,136.89757 21.749045,21.749036 0 0 0 51.897563,113.33389 21.749045,21.749036 0 0 0 28.333891,133.10245 Z"
           id="path31" />
        <path
           id="path9-89"
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.447777;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.209565,134.95258 c -1.82e-4,12.02667 9.74926,21.77634 21.775932,21.77644 12.026874,1.9e-4 21.776629,-9.74957 21.776448,-21.77644 -8.2e-5,-0.0605 -4.15e-4,-0.12093 -10e-4,-0.18139"
           sodipodi:nodetypes="cccc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.227361,135.05935 c 0.239797,-3.0752 0.358842,-6.1504 2.043059,-9.2256 1.560271,-3.19442 2.343478,-7.50498 2.047042,-11.62775 -0.377671,-3.46677 -0.358505,-6.73509 -3.35603,-9.76521"
           id="path14"
           sodipodi:nodetypes="cccc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="M 9.8139527,161.54205 21.30244,113.15115 c 0.566424,30.01628 13.635523,40.05126 11.836622,60.04649"
           id="path15"
           sodipodi:nodetypes="ccc" />
      </g>
      <g
         id="g76-6"
         transform="matrix(-1,0,0,1,150.84605,-0.08924391)">
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.498815;stroke-dasharray:none;stroke-opacity:1"
           d="m 58.048213,134.91665 13.636436,0.0244"
           id="path10-9-6"
           sodipodi:nodetypes="cc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.045829,134.91313 c 13.692187,0 13.626041,-0.0661 13.626041,-0.0661"
           id="path11-8-0" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 49.9401,126.84334 c 0,-13.69219 0,-13.69219 0,-13.69219"
           id="path12-6-3" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#afafaf;stroke-width:0.499378;stroke-dasharray:none;stroke-opacity:1"
           d="M 28.333891,133.10245 A 21.749045,21.749036 0 0 0 48.102433,156.6661 21.749045,21.749036 0 0 0 71.666106,136.89757 21.749045,21.749036 0 0 0 51.897563,113.33389 21.749045,21.749036 0 0 0 28.333891,133.10245 Z"
           id="path31-8" />
        <path
           id="path9-89-0"
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.447777;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.209565,134.95258 c -1.82e-4,12.02667 9.74926,21.77634 21.775932,21.77644 12.026874,1.9e-4 21.776629,-9.74957 21.776448,-21.77644 -8.2e-5,-0.0605 -4.15e-4,-0.12093 -10e-4,-0.18139"
           sodipodi:nodetypes="cccc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="m 28.227361,135.05935 c 0.239797,-3.0752 0.358842,-6.1504 2.043059,-9.2256 1.560271,-3.19442 2.343478,-7.50498 2.047042,-11.62775 -0.377671,-3.46677 -0.358505,-6.73509 -3.35603,-9.76521"
           id="path14-1"
           sodipodi:nodetypes="cccc" />
        <path
           style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:#000000;stroke-width:0.499999;stroke-dasharray:none;stroke-opacity:1"
           d="M 9.8139527,161.54205 21.30244,113.15115 c 0.566424,30.01628 13.635523,40.05126 11.836622,60.04649"
           id="path15-2"
           sodipodi:nodetypes="ccc" />
      </g>
    </g>
    <ellipse
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:none;stroke-width:0.0855113;stroke-dasharray:none;stroke-opacity:1"
       id="LAUX"
       ry="12.62647"
       rx="5.432992"
       cy="18.284054"
       cx="-116.04702"
       transform="matrix(-0.99938623,0.03503102,0.03339949,0.99944208,0,0)"
       inkscape:label="#LAUX">
      <title
         id="title77">LEFT Axillary Tail</title>
    </ellipse>
    <path
       d="m 114.66837,38.539461 -13.41365,-3.643689 a 8.0952377,8.0952377 0 0 0 0.0145,-4.190939 8.0952377,8.0952377 0 0 0 -5.1e-4,-0.002 l 13.43897,-3.551189 a 22,22 0 0 1 -0.0393,11.387877 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L3"
       inkscape:label="#L3">
      <title
         id="title71-9">LEFT Outer Quadrant - 3 o'clock</title>
    </path>
    <path
       d="m 72.167644,38.393211 13.448274,-3.553769 a 8.0952377,8.0952377 0 0 0 5.17e-4,0.002 8.0952377,8.0952377 0 0 0 2.07946,3.632829 l -9.868132,9.800383 a 22,22 0 0 1 -5.660119,-9.881513 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L8"
       inkscape:label="#L8">
      <title
         id="title63-7">LEFT Lower-Inner Quadrant - 8 o'clock</title>
    </path>
    <path
       d="m 93.437139,33.301051 v 5.2e-4 l -7.821221,2.067038 a 8.0952377,8.0952377 0 0 1 0,-5.1e-4 l 7.820711,-2.067048 z"
       style="fill:#00c8c8;fill-rule:evenodd;stroke-width:0.814"
       id="path55-8" />
    <path
       d="m 72.167644,38.921868 13.448274,-3.553769 a 8.0952377,8.0952377 0 0 1 0,5.1e-4 l -13.448274,3.553769 a 22,22 0 0 0 0,-5.1e-4 z"
       style="fill:#00c8c8;fill-rule:evenodd;stroke-width:0.814"
       id="path42-3" />
    <path
       d="m 72.206918,27.004824 13.423987,3.646792 a 8.0952377,8.0952377 0 0 0 -0.01499,4.187316 l -13.448274,3.553769 a 22,22 0 0 1 0.03927,-11.387877 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L9"
       inkscape:label="#L9">
      <title
         id="title66-1">LEFT Inner Quadrant - 9 o'clock</title>
    </path>
    <path
       d="m 77.93525,17.162591 9.800952,9.869103 a 8.0952377,8.0952377 0 0 0 -2.105297,3.619922 L 72.206918,27.004824 a 22,22 0 0 1 5.728332,-9.842233 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L10"
       inkscape:label="#L10">
      <title
         id="title65-0">LEFT Upper-Inner Quadrant - 10 o'clock</title>
    </path>
    <path
       d="m 87.816818,11.502504 3.553271,13.445612 a 8.0952377,8.0952377 0 0 0 -3.633887,2.083578 L 77.93525,17.162591 a 22,22 0 0 1 9.881568,-5.660087 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L11"
       inkscape:label="#L11">
      <title
         id="title64-6">LEFT Upper-Inner Quadrant - 11 o'clock</title>
    </path>
    <path
       d="m 93.513629,10.772317 a 22,22 0 0 1 5.691087,0.769457 l -3.644719,13.418222 a 8.0952377,8.0952377 0 0 0 -4.185257,-0.0134 8.0952377,8.0952377 0 0 0 -0.0047,0.002 L 87.816769,11.502984 a 22,22 0 0 1 5.69681,-0.730187 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L12"
       inkscape:label="#L12">
      <title
         id="title74-0">LEFT Upper-Inner Quadrant - 12 o'clock</title>
    </path>
    <path
       d="m 109.04752,17.269561 -9.863994,9.796243 a 8.0952377,8.0952377 0 0 0 -3.623529,-2.105808 l 3.644719,-13.418222 a 22,22 0 0 1 9.842804,5.727787 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L1"
       inkscape:label="#L1">
      <title
         id="title73-1">LEFT Upper-Outer Quadrant - 1 o'clock</title>
    </path>
    <path
       d="m 114.70764,27.151584 -13.43897,3.551189 a 8.0952377,8.0952377 0 0 0 -2.085144,-3.636969 l 9.863994,-9.796243 a 22,22 0 0 1 5.66012,9.882023 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L2"
       inkscape:label="#L2">
      <title
         id="title72-9">LEFT Upper-Outer Quadrant - 2 o'clock</title>
    </path>
    <path
       d="m 108.94055,48.382214 -9.795264,-9.862913 a 8.0952377,8.0952377 0 0 0 2.109434,-3.623529 l 13.41365,3.643689 a 22,22 0 0 1 -5.72782,9.842753 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L4"
       inkscape:label="#L4">
      <title
         id="title70-4">LEFT Lower-Outer Quadrant - 4 o'clock</title>
    </path>
    <path
       d="M 99.058476,54.041781 95.506257,40.600819 a 8.0952377,8.0952377 0 0 0 0.005,-0.001 8.0952377,8.0952377 0 0 0 3.634379,-2.080488 l 9.795264,9.862913 a 22,22 0 0 1 -9.882074,5.659567 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L5"
       inkscape:label="#L5">
      <title
         id="title69-4">LEFT Lower-Outer Quadrant - 5 o'clock</title>
    </path>
    <path
       d="m 87.670573,54.002511 3.645256,-13.418742 a 8.0952377,8.0952377 0 0 0 4.190428,0.017 l 3.552219,13.440962 a 22,22 0 0 1 -11.387903,-0.0393 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L6"
       inkscape:label="#L6">
      <title
         id="title68-9">LEFT Lower Quadrant - 6 o'clock</title>
    </path>
    <path
       d="m 77.827763,48.274724 9.868132,-9.800383 a 8.0952377,8.0952377 0 0 0 3.619934,2.109428 l -3.645256,13.418742 a 22,22 0 0 1 -9.84281,-5.727787 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="L7"
       inkscape:label="#L7">
      <title
         id="title67-8">LEFT Lower-Inner Quadrant - 7 o'clock</title>
    </path>
    <ellipse
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke:none;stroke-width:0.0855113;stroke-dasharray:none;stroke-opacity:1"
       id="RAUX"
       ry="12.62647"
       rx="5.432992"
       cy="13.607974"
       cx="19.91024"
       transform="matrix(0.99938623,0.03503102,-0.03339949,0.99944208,0,0)"
       inkscape:label="#RAUX">
      <title
         id="title78">RIGHT Axillary Tail</title>
    </ellipse>
    <path
       d="m 21.360965,38.628698 13.413652,-3.643689 a 8.0952377,8.0952377 0 0 1 -0.01447,-4.190936 8.0952377,8.0952377 0 0 1 5.16e-4,-0.002 L 21.32169,27.240884 a 22,22 0 0 0 0.03927,11.387874 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R9"
       inkscape:label="#R9">
      <title
         id="title71">RIGHT Outer Quadrant - 9 o'clock</title>
    </path>
    <path
       d="M 63.86173,38.482451 50.413456,34.928679 a 8.0952377,8.0952377 0 0 1 -5.17e-4,0.002 8.0952377,8.0952377 0 0 1 -2.07946,3.632832 l 9.868132,9.800383 a 22,22 0 0 0 5.660119,-9.881513 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R4"
       inkscape:label="#R4">
      <title
         id="title63">RIGHT Inner Quadrant - 4 o'clock</title>
    </path>
    <path
       d="m 63.822456,27.094064 -13.423987,3.646789 a 8.0952377,8.0952377 0 0 1 0.01499,4.187316 l 13.448274,3.553772 a 22,22 0 0 0 -0.03927,-11.387877 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R3">
      <title
         id="title66">RIGHT Centre-Inner Quadrant - 3 o'clock</title>
    </path>
    <path
       d="m 58.094124,17.251831 -9.800952,9.869103 a 8.0952377,8.0952377 0 0 1 2.105297,3.619919 l 13.423987,-3.646789 a 22,22 0 0 0 -5.728332,-9.842233 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R2">
      <title
         id="title65">RIGHT Upper-Inner Quadrant - 2 o'clock</title>
    </path>
    <path
       d="m 48.212556,11.591744 -3.553271,13.445612 a 8.0952377,8.0952377 0 0 1 3.633887,2.083578 l 9.800952,-9.869103 a 22,22 0 0 0 -9.881568,-5.660087 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R1">
      <title
         id="title64">RIGHT Upper-Inner Quadrant - 1 o'clock</title>
    </path>
    <path
       d="m 42.515746,10.861557 a 22,22 0 0 0 -5.691125,0.769454 l 3.644739,13.418225 a 8.0952377,8.0952377 0 0 1 4.185274,-0.0134 8.0952377,8.0952377 0 0 1 0.0047,0.002 l 3.553271,-13.445612 a 22,22 0 0 0 -5.69681,-0.730187 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R12">
      <title
         id="title74">RIGHT Upper Quadrant - 12 o'clock</title>
    </path>
    <path
       d="m 26.981811,17.358801 9.863997,9.796243 A 8.0952377,8.0952377 0 0 1 40.46936,25.049236 L 36.824621,11.631011 a 22,22 0 0 0 -9.84281,5.72779 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R11"
       inkscape:label="#R11">
      <title
         id="title73">RIGHT Upper-Outer Quadrant - 11 o'clock</title>
    </path>
    <path
       d="m 21.321691,27.240824 13.438973,3.551189 a 8.0952377,8.0952377 0 0 1 2.085144,-3.636969 l -9.863997,-9.796243 a 22,22 0 0 0 -5.66012,9.882023 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R10"
       inkscape:label="#R10">
      <title
         id="title72">RIGHT Upper-Outer Quadrant - 10 o'clock</title>
    </path>
    <path
       d="m 27.088781,48.471454 9.795268,-9.862913 a 8.0952377,8.0952377 0 0 1 -2.109432,-3.623532 l -13.413652,3.643689 a 22,22 0 0 0 5.727816,9.842756 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R8"
       inkscape:label="#R8">
      <title
         id="title70">RIGHT Lower-Outer Quadrant - 8 o'clock</title>
    </path>
    <path
       d="m 36.970865,54.131021 3.552238,-13.440962 a 8.0952377,8.0952377 0 0 1 -0.0047,-10e-4 A 8.0952377,8.0952377 0 0 1 36.884,38.608571 l -9.795268,9.862913 a 22,22 0 0 0 9.882084,5.659567 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R7"
       inkscape:label="#R7">
      <title
         id="title69">RIGHT Lower-Outer Quadrant - 7 o'clock</title>
    </path>
    <path
       d="M 48.358801,54.091751 44.713545,40.673009 a 8.0952377,8.0952377 0 0 1 -4.190442,0.017 l -3.552238,13.440962 a 22,22 0 0 0 11.387936,-0.0393 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R6"
       inkscape:label="#R6">
      <title
         id="title68">RIGHT Lower Quadrant - 6 o'clock</title>
    </path>
    <path
       d="m 58.201611,48.363964 -9.868132,-9.800383 a 8.0952377,8.0952377 0 0 1 -3.619934,2.109428 l 3.645256,13.418742 a 22,22 0 0 0 9.84281,-5.727787 z"
       style="fill:none;fill-opacity:1;fill-rule:evenodd;stroke-width:0.814"
       id="R5"
       inkscape:label="#R5">
      <title
         id="title67">RIGHT Lower-Inner Quadrant - 5 o'clock</title>
    </path>
  </g>
  <metadata
     id="metadata78">
    <rdf:RDF>
      <cc:Work
         rdf:about="">
        <dc:title>Breast Exam Diagram</dc:title>
      </cc:Work>
    </rdf:RDF>
  </metadata>
</svg>
"
},
{
"resourceType": "ValueSet",
"id": "breastSites",
"status": "active",
"experimental": false,
"compose": {
"include": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/breastSiteCodes",
"_system": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-system",
"valueCanonical": "#breastSiteCodes"
}
]
}
}
]
}
},
{
"resourceType": "CodeSystem",
"id": "breastSiteCodes",
"url": "http://ontariohealth.ca/fhir/eforms/CodeSystem/breastSiteCodes",
"status": "active",
"experimental": false,
"caseSensitive": true,
"content": "complete",
"concept": [
{
"code": "RAUX",
"display": "RIGHT Axillary Tail"
},
{
"code": "R1",
"display": "RIGHT Upper-Inner Quadrant - 1 o'clock"
},
{
"code": "R2",
"display": "RIGHT Upper-Inner Quadrant - 2 o'clock"
},
{
"code": "R3",
"display": "RIGHT Centre-Inner Quadrant - 3 o'clock"
},
{
"code": "R4",
"display": "RIGHT Inner Quadrant - 4 o'clock"
},
{
"code": "R5",
"display": "RIGHT Lower-Inner Quadrant - 5 o'clock"
},
{
"code": "R6",
"display": "RIGHT Lower Quadrant - 6 o'clock"
},
{
"code": "R7",
"display": "RIGHT Lower-Outer Quadrant - 7 o'clock"
},
{
"code": "R8",
"display": "RIGHT Lower-Outer Quadrant - 8 o'clock"
},
{
"code": "R9",
"display": "RIGHT Outer Quadrant - 9 o'clock"
},
{
"code": "R10",
"display": "RIGHT Upper-Outer Quadrant - 10 o'clock"
},
{
"code": "R11",
"display": "RIGHT Upper-Outer Quadrant - 11 o'clock"
},
{
"code": "R12",
"display": "RIGHT Upper Quadrant - 12 o'clock"
},
{
"code": "RNIP",
"display": "RIGHT Nipple/Centre"
},
{
"code": "LAUX",
"display": "LEFT Axillary Tail"
},
{
"code": "L1",
"display": "LEFT Upper-Outer Quadrant - 1 o'clock"
},
{
"code": "L2",
"display": "LEFT Upper-Outer Quadrant - 2 o'clock"
},
{
"code": "L3",
"display": "LEFT Outer Quadrant - 3 o'clock"
},
{
"code": "L4",
"display": "LEFT Lower-Outer Quadrant - 4 o'clock"
},
{
"code": "L5",
"display": "LEFT Lower-Outer Quadrant - 5 o'clock"
},
{
"code": "L6",
"display": "LEFT Lower Quadrant - 6 o'clock"
},
{
"code": "L7",
"display": "LEFT Lower-Inner Quadrant - 7 o'clock"
},
{
"code": "L8",
"display": "LEFT Lower-Inner Quadrant - 8 o'clock"
},
{
"code": "L9",
"display": "LEFT Inner Quadrant - 9 o'clock"
},
{
"code": "L10",
"display": "LEFT Upper-Inner Quadrant - 10 o'clock"
},
{
"code": "L11",
"display": "LEFT Upper-Inner Quadrant - 11 o'clock"
},
{
"code": "L12",
"display": "LEFT Upper-Inner Quadrant - 12 o'clock"
},
{
"code": "LNIP",
"display": "LEFT Nipple/Centre"
}
]
},
{
"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": "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"
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
}
],
"url": "urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe72",
"version": "0.0.1",
"title": "Sample Form",
"_title": {
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
}
]
},
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2026-01-08T15:58:16.445-05:00",
"publisher": "Ontario Health & Amplify Care",
"description": "Shows examples of content not found in other sample forms",
"_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": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "listSeparator",
"valueString": "; "
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "graphic-choice",
"display": "Graphic Choice"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-choice-diagram",
"valueUrl": "#breastdiagram"
}
],
"linkId": "section89997639",
"text": "Targeted to area of interest",
"type": "choice",
"required": false,
"repeats": true,
"answerValueSet": "#breastSites"
},
{
"linkId": "541963618654",
"text": "Group level 1",
"type": "group",
"repeats": true,
"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"
}
]
}
}
],
"linkId": "536518478193",
"text": "Question 1",
"type": "string",
"repeats": true,
"answerOption": [
{
"valueString": "val1"
},
{
"valueString": "val2"
},
{
"valueString": "val3"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "q2a",
"language": "text/fhirpath",
"expression": "item.where(linkId='115906539567').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "q2b",
"language": "text/fhirpath",
"expression": "item.where(linkId='158999012073').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "q2c",
"language": "text/fhirpath",
"expression": "item.where(linkId='267515428755').answer.value"
}
}
],
"linkId": "662399343744",
"text": "Group level 2",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "115906539567",
"text": "Question 2a",
"type": "boolean",
"enableWhen": [
{
"question": "536518478193",
"operator": "=",
"answerString": "val1"
}
],
"required": true
},
{
"linkId": "158999012073",
"text": "Question 2b",
"type": "boolean",
"enableWhen": [
{
"question": "536518478193",
"operator": "=",
"answerString": "val2"
}
],
"required": true
},
{
"linkId": "267515428755",
"text": "Question 2c",
"type": "boolean",
"enableWhen": [
{
"question": "536518478193",
"operator": "=",
"answerString": "val3"
}
],
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "'Selected:' & iif(%q2a.allTrue(),'A') & iif(%q2b.allTrue(),'B') & iif(%q2c.allTrue(),'C')"
}
}
],
"linkId": "generationSample",
"text": "Sample calculated value within a repeating group",
"type": "string",
"readOnly": true
},
{
"linkId": "795936157017",
"text": "Question 3",
"type": "string"
}
]
}
]
}
]
}