FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | Universal_Questionnaire.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot5&canonical=urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe70 |
| URL | urn:uuid:1b12e576-c039-4395-ad20-2d7e8633fe70 |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-01-08T15:58:16.445-05:00 |
| Title | Universal - Standardized Provincial Form Template - Clinical Summary Note Sample |
| 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": "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": "<div>{% for currentItem in QuestionnaireResponse.item.where((linkId = 'patient_header') or (linkId = 'additionalinfo_header') or (linkId = '274716928898') or (linkId = 'cpp_header') or (linkId = 'preferredconsultlocation_header') or (linkId = 'supportingdocumentation_header') or (linkId = 'supportingdocumentation_attachment' and answer.exists()) or (linkId = 'referrer_header') or (linkId = 'section89997639' and answer.exists()) or (linkId = '541963618654')) %}{% if currentItem.linkId = 'patient_header' %}Patient Information {% for currentItem in currentItem.item.where((linkId = 'patient_surname' and answer.exists()) or (linkId = 'patient_firstname' and answer.exists()) or (linkId = 'patient_date_of_birth' and answer.exists()) or (linkId = 'patient_gender' and answer.exists()) or (linkId = 'patient_hc_pc' and answer.exists()) or (linkId = 'patient_hc_number' and answer.exists()) or (linkId = 'patient_hc_vc' and answer.exists()) or (linkId = 'patient_address_line1' and answer.exists()) or (linkId = 'patient_address_line2' and answer.exists()) or (linkId = 'patient_address_city' and answer.exists()) or (linkId = 'patient_address_province' and answer.exists()) or (linkId = 'patient_address_postalcode' and answer.exists()) or (linkId = 'patient_phone_mobile' and answer.exists()) or (linkId = 'patient_phone_home' and answer.exists()) or (linkId = 'patient_phone_business' and answer.exists()) or (linkId = 'patient_email' and answer.exists())) %}{% if currentItem.linkId = 'patient_surname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Surname</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_firstname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">First Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_date_of_birth' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">DOB</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_gender' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Gender</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(Coding).display }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_pc' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN PC</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_number' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_hc_vc' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN VC</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_line1' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Address</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_line2' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address Line 2</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_city' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_province' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_address_postalcode' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_mobile' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Mobile #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_home' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Home #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_phone_business' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Business #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'patient_email' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Email</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'additionalinfo_header' %}[Optional] Additional Patient Information {% for currentItem in currentItem.item.where((linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()) or (linkId = 'additionalinfo_pronouns' and answer.exists()) or (linkId = 'additionalinfo_pronouns_other' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage_specify' and answer.exists()) or (linkId = 'additionalinfo_preferredlanguage_translatorrequired' and answer.exists()) or (linkId = 'additionalinfo_preferredname_select' and answer.exists()) or (linkId = 'additionalinfo_preferredname' and answer.exists()) or (linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()) or (linkId = 'additionalinfo_bestmethodofcontact_voicemails' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_select' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_name' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()) or (linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()) or (linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()) or (linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()) or (linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()) or (linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()) or (linkId = 'additionalinfo_specialconsiderations' and answer.exists()) or (linkId = 'additionalinfo_sendcopiestoadditionalproviders' and answer.exists()) or (linkId = 'additionalinfo_sendcopiestoadditionalproviders_names' and answer.exists()) or (linkId = 'additionalinfo_sendcopiestoadditionalproviders_contactinfo' and answer.exists()) or (linkId = 'additionalinfo_sendcopiestoadditionalproviders_ispcp' and answer.exists())) %}{% if currentItem.linkId = 'additionalinfo_sexassignedatbirth' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Sex assigned at birth</span> {% 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 %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_pronouns' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Pronouns</span> {% 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 %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_pronouns_other' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other Pronouns</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred language</span> {% 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 %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage_specify' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specify</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredlanguage_translatorrequired' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Translator required</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredname_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred name</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_preferredname' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred Name:</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_bestmethodofcontact' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Best method of contact</span> {% 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 %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_bestmethodofcontact_voicemails' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Voicemails acceptable</span> {% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Alternate contact</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_name' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_phone' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Alternate contact phone #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_relationship' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Relationship</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_alternatecontact_bookingcontact' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Is Alternate contact the appointment booking contact?</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Unsafe contact persons (do not speak with)</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Only speak with patient directly</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_unsafecontacts_donotspeakwith' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Do not speak with:</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Accessibility concerns or disability</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_accessibilityconcernsordisability' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specific</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 %}and{% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_specialconsiderations_select' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Special considerations</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_specialconsiderations' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Details of special considerations</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_sendcopiestoadditionalproviders' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Send copies of reports to additional providers</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Send copies of reports to additional providers' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_sendcopiestoadditionalproviders_names' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Name(s)</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_sendcopiestoadditionalproviders_contactinfo' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Contact information</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'additionalinfo_sendcopiestoadditionalproviders_ispcp' %}{% if currentItem.answer.exists() %}This is the Primary Care Provider {% for answer in currentItem.answer %}{% if answer.value.display = 'This is the Primary Care Provider' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '274716928898' %}Referral Details {% for currentItem in currentItem.item.where((linkId = '836886186557') or (linkId = '200848944281' and answer.exists()) or (linkId = '602158378622' and answer.exists())) %}{% if currentItem.linkId = '836886186557' %}Triage Considerations {% for currentItem in currentItem.item.where((linkId = 'referral_requestedpriority' and answer.exists()) or (linkId = 'referral_requestedpriority_urgentreason' and answer.exists()) or (linkId = 'referral_secondopinion' and answer.exists()) or (linkId = 'referral_secondopinion_reason' and answer.exists())) %}{% if currentItem.linkId = 'referral_requestedpriority' %}{% 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 %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referral_requestedpriority_urgentreason' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for urgent triage</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referral_secondopinion' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Second Opinion</span> {% for answer in currentItem.answer %}{% if answer.value.code = '77406008' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referral_secondopinion_reason' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for second opinion</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = '200848944281' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Name of the suspected diagnosis/problem triggering referral</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '602158378622' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;"><br/>Brief Description of Referral, History, Management, and Investigations</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'cpp_header' %}Cumulative Patient Profile {% for currentItem in currentItem.item.where((linkId = 'cpp_separate' and answer.exists()) or (linkId = 'cpp_currentprob' and answer.exists()) or (linkId = 'cpp_pastmedicalhistory' and answer.exists()) or (linkId = 'cpp_currentmedications' and answer.exists()) or (linkId = 'cpp_familyhistory' and answer.exists()) or (linkId = 'cpp_allergies' and answer.exists())) %}{% if currentItem.linkId = 'cpp_separate' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">CPP attached separately</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_currentprob' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Problem List</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_pastmedicalhistory' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Past Medical History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_currentmedications' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Medication</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_familyhistory' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Family History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'cpp_allergies' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Allergies</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_header' %}Preferred Consultant or Location {% for currentItem in currentItem.item.where((linkId = 'preferredconsultlocation_selector' and answer.exists()) or (linkId = 'preferredconsultlocation_specify') or (linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()) or (linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists())) %}{% if currentItem.linkId = 'preferredconsultlocation_selector' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred consultant or location</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_specify' %}Please specify either a <b>preferred</b> consultant or location<br/> {% for currentItem in currentItem.item.where((linkId = 'preferredconsultlocation_consultant' and answer.exists()) or (linkId = 'preferredconsultlocation_location' and answer.exists())) %}{% if currentItem.linkId = 'preferredconsultlocation_consultant' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Consultant</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_location' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Location</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_willingtotravel' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Patient willing to travel for shorter wait time</span> {% 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 %}{% endif %}{% endif %}{% if currentItem.linkId = 'preferredconsultlocation_otherconsiderations' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'supportingdocumentation_header' %}<b>Supporting Documentation</b><br/>Please attach all <b><span style="text-decoration: underline">relevant</span></b> laboratory and diagnostic investigations.<br/> {% for currentItem in currentItem.item.where((linkId = 'supportingdocumentation_details' and answer.exists())) %}{% if currentItem.linkId = 'supportingdocumentation_details' %}{% if currentItem.answer.exists() %}<span style="display:none;">Personal Health Information that is medically relevant has not been disclosed at the request of the patient.</span> {% 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 %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'supportingdocumentation_attachment' %}{% if currentItem.answer.exists() %}Add Attachments {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_header' %}Referrer's Information {% for currentItem in currentItem.item.where((linkId = 'referrer_sitename' and answer.exists()) or (linkId = 'referrer_address_line1' and answer.exists()) or (linkId = 'referrer_address_line2' and answer.exists()) or (linkId = 'referrer_address_city' and answer.exists()) or (linkId = 'referrer_address_province' and answer.exists()) or (linkId = 'referrer_address_postalcode' and answer.exists()) or (linkId = 'referrer_phone' and answer.exists()) or (linkId = 'referrer_fax' and answer.exists()) or (linkId = 'referrer_billing' and answer.exists()) or (linkId = 'referrer_professionalid' and answer.exists()) or (linkId = 'referrer_signature' and answer.exists()) or (linkId = 'referrer_role' and answer.exists())) %}{% if currentItem.linkId = 'referrer_sitename' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Site Name</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_line1' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 1)</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_line2' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 2)</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_city' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_province' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_address_postalcode' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_phone' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Phone #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_fax' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Fax #</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_billing' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Billing Number</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_professionalid' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Professional ID</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_signature' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Signed</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'referrer_role' %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Role</span> {% 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 %}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'section89997639' %}{% if currentItem.answer.exists() %}Targeted to area of interest {% for answer in currentItem.answer %}{{ answer.value.ofType(Coding).display }}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '541963618654' %}Group level 1<br/> {% for currentItem in currentItem.item.where((linkId = '536518478193' and answer.exists()) or (linkId = '662399343744')) %}{% if currentItem.linkId = '536518478193' %}{% if currentItem.answer.exists() %}Question 1 {% for answer in currentItem.answer %}{% if answer.value = 'val1' %}val1{% endif %}{% if answer.value = 'val2' %}val2{% endif %}{% if answer.value = 'val3' %}val3{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = '662399343744' %}Group level 2<br/> {% for currentItem in currentItem.item.where((linkId = '115906539567' and answer.exists(value.ofType(boolean)=true)) or (linkId = '158999012073' and answer.exists(value.ofType(boolean)=true)) or (linkId = '267515428755' and answer.exists(value.ofType(boolean)=true)) or (linkId = '795936157017' and answer.exists())) %}{% if currentItem.linkId = '115906539567' %}Question 2a{% endif %}{% if currentItem.linkId = '158999012073' %}Question 2b{% endif %}{% if currentItem.linkId = '267515428755' %}Question 2c{% endif %}{% if currentItem.linkId = '795936157017' %}{% if currentItem.answer.exists() %}Question 3 {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}</div>"
}
]
}
],
"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-ad20-2d7e8633fe70",
"version": "0.0.1",
"title": "Universal - Standardized Provincial Form Template - Clinical Summary Note Sample",
"_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": {
"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://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": "Patient Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "patient_header",
"text": "Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Surname"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_surname",
"text": "Surname:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "First Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "DOB"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Gender"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
}
],
"linkId": "patient_gender",
"text": "Gender:",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "HN PC"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "HN"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_hc_number",
"text": "HN:",
"type": "string",
"maxLength": 10
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 2
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "HN VC"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_hc_vc",
"text": "HN VC:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Address"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Address Line 2"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "City"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Province"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Postal Code"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Mobile #",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Mobile #"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Home #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Business #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Email"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_email",
"text": "Email:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 2
},
{
"url": "text",
"valueString": "[Optional] Additional Patient Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_header",
"text": "[Optional] Additional Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"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": "Sex assigned at birth"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Pronouns"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Other Pronouns"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Preferred language"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Specify"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Translator required"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"text": "Translator required",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Preferred name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredname_select",
"text": "Preferred name",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Preferred Name:"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredname",
"text": "Prefered name String",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Best method of contact"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Voicemails acceptable"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
},
{
"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": "additionalinfo_bestmethodofcontact_voicemails",
"text": "Voicemails acceptable",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_bestmethodofcontact",
"operator": "=",
"answerCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Mobile"
}
}
],
"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": "Alternate contact",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Alternate contact"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_select",
"text": "Alternate contact",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Alternate contact phone #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Relationship"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Is Alternate contact the appointment booking contact?"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Unsafe contact persons (do not speak with)",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Unsafe contact persons (do not speak with)"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_select",
"text": "Unsafe contact persons (do not speak with)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Only speak with patient directly"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"text": "Only speak with patient directly",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Do not speak with:"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Accessibility concerns or disability",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Accessibility concerns or disability"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"text": "Accessibility concerns or disability",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Specific"
},
{
"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": "Special considerations"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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-style",
"valueString": "display:none;"
}
]
},
"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": "Details of special considerations"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Send copies of reports to additional providers",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Send copies of reports to additional providers"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_sendcopiestoadditionalproviders",
"text": "Send copies of reports to additional providers",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Send copies of reports to additional providers"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Name(s)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_sendcopiestoadditionalproviders_names",
"text": "Name(s):",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_sendcopiestoadditionalproviders",
"operator": "=",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Contact information"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_sendcopiestoadditionalproviders_contactinfo",
"text": "Contact information:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_sendcopiestoadditionalproviders",
"operator": "=",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
}
],
"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": "This is the Primary Care Provider",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "<strong>This is the Primary Care Provider</strong>"
}
]
}
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_sendcopiestoadditionalproviders_ispcp",
"text": "This is the Primary Care Provider",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_sendcopiestoadditionalproviders",
"operator": "=",
"answerCoding": {
"display": "Send copies of reports to additional providers"
}
}
],
"enableBehavior": "all",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "This is the Primary Care Provider"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 3
},
{
"url": "text",
"valueString": "Referral Details"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "274716928898",
"text": "Referral Details",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Triage Considerations"
},
{
"url": "groupItems",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "836886186557",
"text": "Triage Considerations",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"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": "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": "referral_requestedpriority",
"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": "Reason for urgent triage"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referral_requestedpriority_urgentreason",
"text": "Reason for urgent triage:",
"type": "string",
"enableWhen": [
{
"question": "referral_requestedpriority",
"operator": "=",
"answerCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Urgent"
}
}
],
"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": "Second Opinion"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referral_secondopinion",
"text": "Second Opinion",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"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": {
"system": "http://snomed.info/sct",
"code": "77406008",
"display": "Second Opinion"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for second opinion"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referral_secondopinion_reason",
"text": "Reason for second opinion:",
"type": "text",
"enableWhen": [
{
"question": "referral_secondopinion",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77406008",
"display": "Second Opinion"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Name of the suspected diagnosis/problem triggering referral",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Name of the suspected diagnosis/problem triggering referral"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "200848944281",
"text": "Name of the suspected diagnosis/problem triggering referral:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "text",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Brief Description of Referral, History, Management, and Investigations",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>Brief Description of Referral, History, Management, and Investigations"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "602158378622",
"text": "Brief Description of Referral, History, Management, and Investigations",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "text",
"required": true
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 4
},
{
"url": "text",
"valueString": "Cumulative Patient Profile"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_header",
"text": "Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cumulative Patient Profile<br/><i>Please delete any sensitive information you do not intend to share from the CPP</i>"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"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": "CPP attached separately"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_separate",
"text": "CPP attached separately (if not entered below)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Current Problem List"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Past Medical History"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Current Medication"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Family History"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Allergies"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": 5
},
{
"url": "text",
"valueString": "Preferred Consultant or Location"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_header",
"text": "Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Preferred Consultant or Location</b><br/>All 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": "Preferred consultant or location"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
},
{
"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-style",
"valueString": "display:none;"
}
]
},
"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": "Consultant"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_consultant",
"text": "Consultant:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Location"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Patient willing to travel for shorter wait time"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_willingtotravel",
"text": "Patient willing to travel for shorter wait time",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"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": "Other"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_otherconsiderations",
"text": "Other considerations:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 6
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_header",
"text": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Supporting Documentation</b><br/>Please attach all <b><span style=\"text-decoration: underline\">relevant</span></b> laboratory and diagnostic investigations."
}
]
},
"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": "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-style",
"valueString": "display:none;"
}
]
},
"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": 7
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_attachment",
"text": "Add Attachments",
"type": "attachment"
},
{
"linkId": "feedbacksurvey_universal",
"text": "Click here to provide feedback on this form",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<a href=\"https://www.surveymonkey.com/r/universalSRF\" rel=\"noopener noreferrer\" target=\"_blank\">Click here to provide feedback on this form</a>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 9
},
{
"url": "text",
"valueString": "Referrer's Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_header",
"text": "Referrer's Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Site Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_sitename",
"text": "Site Name:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address (Line 1)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Address (Line 2)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "City"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Province"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "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": "Postal Code"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Phone #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Fax #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_fax",
"text": "Fax #:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Billing Number"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_billing",
"text": "Billing Number:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Professional ID"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_professionalid",
"text": "Professional ID:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Signed"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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": "Role"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"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"
}
}
]
}
]
},
{
"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"
}
]
},
{
"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
},
{
"linkId": "795936157017",
"text": "Question 3",
"type": "string"
}
]
}
]
}
]
}