FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | sleep_disorder_clini.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.0.0-ballot5&canonical=http://ontariohealth.ca/legacy/Questionnaire/sleep-disorder-clini |
| URL | http://ontariohealth.ca/legacy/Questionnaire/sleep-disorder-clini |
| Version | 0 |
| Status | active |
| Title | Sleep Disorder Clinic eReferral Form [FINAL JULY 2024] |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "sleep-disorder-clini",
"contained": [
{
"resourceType": "Library",
"id": "liquid",
"status": "active",
"type": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/library-types",
"code": "qr-narrative-liquid"
}
]
},
"description": "HTML with embedded [FHIRPath Liquid](https://confluence.hl7.org/spaces/FHIR/pages/66938964/FHIR+Liquid+Profile) that is intended to be executed against QuestionnaireResponses based on this Questionnaire.",
"content": [
{
"contentType": "text/html",
"data": "<div>{% for currentItem in QuestionnaireResponse.item.where((linkId = 'KidneyWiseForm')) %}{% if currentItem.linkId = 'KidneyWiseForm' %}{% for currentItem in currentItem.item.where((linkId = 'body')) %}{% if currentItem.linkId = 'body' %}{% for currentItem in currentItem.item.where((linkId = 'AdditionalPatientInfo') or (linkId = 'PreferredLoc') or (linkId = 'section9816307') or (linkId = 'reasonforreferralsec') or (linkId = 'section11292337') or (linkId = 'section61428617') or (linkId = 'section79119148')) %}{% if currentItem.linkId = 'AdditionalPatientInfo' %}Additional Patient Information<br/> {% for currentItem in currentItem.item.where((linkId = 'PreferredLanguage' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English')  or  %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true and answer.exists()) or (linkId = 'item55155068' and answer.exists()) or (linkId = 'Translator' and %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true and answer.exists(value.ofType(boolean)=true)) or (linkId = 'BestContactMethod' and answer.exists()) or (linkId = 'item73068595' and %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER')  or  %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME')  or  %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true and answer.exists(value.ofType(boolean)=true)) or (linkId = 'AlternateContact' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item6554535' and answer.exists()) or (linkId = 'item80027355' and answer.exists()) or (linkId = 'item38347402' and answer.exists())) %}{% if currentItem.linkId = 'PreferredLanguage' %}{% if %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English')  or  %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true %}{% if currentItem.answer.exists() %}Preferred Language: {% for answer in currentItem.answer %}{% if answer.value.code = 'eng' %}eng{% endif %}{% if answer.value.code = 'fre' %}fre{% endif %}{% if answer.value.code = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endif %}{% endif %}{% if currentItem.linkId = 'item55155068' %}{% if currentItem.answer.exists() %}Preferred Language: {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'Translator' %}{% if %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true %}Translator <b><span style="text-decoration:underline;">needed</span></b>{% endif %}{% endif %}{% if currentItem.linkId = 'BestContactMethod' %}{% if currentItem.answer.exists() %}Best Method of Contact: {% for answer in currentItem.answer %}{% if answer.value.code = 'OTHER' %}OTHER{% endif %}{% if answer.value.code = 'HOME' %}HOME{% endif %}{% if answer.value.code = 'BUSINESS' %}BUSINESS{% endif %}{% if answer.value.code = 'EMAIL' %}EMAIL{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item73068595' %}{% if %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER')  or  %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME')  or  %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true %}Voicemail acceptable: Yes{% endif %}{% endif %}{% if currentItem.linkId = 'AlternateContact' %}Appointment booking contact{% endif %}{% if currentItem.linkId = 'item6554535' %}{% if currentItem.answer.exists() %}Name: {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item80027355' %}{% if currentItem.answer.exists() %}Phone Number: {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item38347402' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Special Considerations: {{answer}}{% endif %}<br/><span/>{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'PreferredLoc' %}Preferred Location(s) {% for currentItem in currentItem.item.where((linkId = 'section95718570')) %}{% if currentItem.linkId = 'section95718570' %}{% for currentItem in currentItem.item.where((linkId = 'item7852115' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section31627363') or (linkId = 'item59448874' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section55723098') or (linkId = 'item44065286' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section18070968')) %}{% if currentItem.linkId = 'item7852115' %}Hamilton{% endif %}{% if currentItem.linkId = 'section31627363' %}{% for currentItem in currentItem.item.where() %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'item59448874' %}St. Catharines{% endif %}{% if currentItem.linkId = 'section55723098' %}{% for currentItem in currentItem.item.where() %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'item44065286' %}Cambridge Memorial Hospital{% endif %}{% if currentItem.linkId = 'section18070968' %}{% for currentItem in currentItem.item.where() %}{% 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 %}<br/><span/>{% endif %}{% if currentItem.linkId = 'section9816307' %}Service Request(s) {% for currentItem in currentItem.item.where((linkId = 'section68958263')) %}{% if currentItem.linkId = 'section68958263' %}{% for currentItem in currentItem.item.where((linkId = 'item84731201' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item45390734' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item46379923' and answer.exists(value.ofType(boolean)=true))) %}{% if currentItem.linkId = 'item84731201' %}• Sleep study; consult; treatment if required{% endif %}{% if currentItem.linkId = 'item45390734' %}• Diagnostic sleep study only, no consult, no treatment{% endif %}{% if currentItem.linkId = 'item46379923' %}• Consult; followed by diagnosis and treatment if required{% 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 %}<br/><span/>{% endif %}{% if currentItem.linkId = 'reasonforreferralsec' %}Reason for Referral {% for currentItem in currentItem.item.where((linkId = 'Urgency' and answer.exists()) or (linkId = 'item40810108' and answer.exists()) or (linkId = 'section75710709') or (linkId = 'section63116961')) %}{% if currentItem.linkId = 'Urgency' %}{% if currentItem.answer.exists() %}Urgency: {% for answer in currentItem.answer %}{% if answer.value.code = 'Routine' %}Routine{% endif %}{% if answer.value.code = 'High Priority' %}High Priority{% endif %}{% if answer.value.code = 'Urgent' %}Urgent{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item40810108' %}{% if currentItem.answer.exists() %}Rationale for Urgent Referral: {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'section75710709' %}Symptom(s) Leading to Referral {% for currentItem in currentItem.item.where((linkId = 'reason_for_referral')) %}{% if currentItem.linkId = 'reason_for_referral' %}{% for currentItem in currentItem.item.where((linkId = 'item72495479' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item83826274' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item3849613' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item97391358' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item49869991' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item74170896' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item9633588' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item92573517' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item55426052' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item22456535' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item65409751' and %resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y')  and  %resource.repeat(item).where(linkId='item24344238').answer.empty() and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item24344238' and answer.exists()) or (linkId = 'section8708662') or (linkId = 'section27575149')) %}{% if currentItem.linkId = 'item72495479' %}Snoring{% endif %}{% if currentItem.linkId = 'item83826274' %}Snoring with apnea{% endif %}{% if currentItem.linkId = 'item3849613' %}Obesity{% endif %}{% if currentItem.linkId = 'item97391358' %}Unrefreshing sleep{% endif %}{% if currentItem.linkId = 'item49869991' %}Excessive daytime sleepiness{% endif %}{% if currentItem.linkId = 'item74170896' %}Frequent awakenings{% endif %}{% if currentItem.linkId = 'item9633588' %}Difficulty initiating or maintaining sleep{% endif %}{% if currentItem.linkId = 'item92573517' %}Restless legs{% endif %}{% if currentItem.linkId = 'item55426052' %}Unusual movement during sleep{% endif %}{% if currentItem.linkId = 'item22456535' %}Abnormal behaviour during sleep{% endif %}{% if currentItem.linkId = 'item65409751' %}{% if %resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y')  and  %resource.repeat(item).where(linkId='item24344238').answer.empty() %}Oxygen{% endif %}{% endif %}{% if currentItem.linkId = 'item24344238' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endcapture %}Oxygen ({{answer}} L/min){% endif %}{% endif %}{% if currentItem.linkId = 'section8708662' %}{% for currentItem in currentItem.item.where((linkId = 'item50097539' and answer.exists())) %}{% if currentItem.linkId = 'item50097539' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other: {{answer}}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'section27575149' %}Obesity Details {% for currentItem in currentItem.item.where((linkId = 'htFeet' and answer.exists()) or (linkId = 'htInches' and answer.exists()) or (linkId = 'htCm' and answer.exists()) or (linkId = 'wtKgs' and answer.exists()) or (linkId = 'wtLbs' and answer.exists())) %}{% if currentItem.linkId = 'htFeet' %}{% if currentItem.answer.exists() %}Feet: {% for answer in currentItem.answer %}{% if answer.value.code = '1'' %}1'{% endif %}{% if answer.value.code = '2'' %}2'{% endif %}{% if answer.value.code = '3'' %}3'{% endif %}{% if answer.value.code = '4'' %}4'{% endif %}{% if answer.value.code = '5'' %}5'{% endif %}{% if answer.value.code = '6'' %}6'{% endif %}{% if answer.value.code = '7'' %}7'{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'htInches' %}{% if currentItem.answer.exists() %}Inches: {% for answer in currentItem.answer %}{% if answer.value.code = '0&quot;' %}0&quot;{% endif %}{% if answer.value.code = '1&quot;' %}1&quot;{% endif %}{% if answer.value.code = '2&quot;' %}2&quot;{% endif %}{% if answer.value.code = '3&quot;' %}3&quot;{% endif %}{% if answer.value.code = '4&quot;' %}4&quot;{% endif %}{% if answer.value.code = '5&quot;' %}5&quot;{% endif %}{% if answer.value.code = '6&quot;' %}6&quot;{% endif %}{% if answer.value.code = '7&quot;' %}7&quot;{% endif %}{% if answer.value.code = '8&quot;' %}8&quot;{% endif %}{% if answer.value.code = '9&quot;' %}9&quot;{% endif %}{% if answer.value.code = '10&quot;' %}10&quot;{% endif %}{% if answer.value.code = '11&quot;' %}11&quot;{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'htCm' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Height: {{answer}} cm{% endif %}{% endif %}{% if currentItem.linkId = 'wtKgs' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Weight: {{answer}} kg{% endif %}{% endif %}{% if currentItem.linkId = 'wtLbs' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value.ofType(decimal) }}{% endfor %}{% endcapture %}Weight: {{answer}} lb{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='item41557024').answer.value.weight()!=''  and  %resource.repeat(item).where(linkId='item86156137').answer.value.weight()!='' %}<br/>{% if %resource.repeat(item).where(linkId='item41557024').answer.value.weight()!=''  and  %resource.repeat(item).where(linkId='item86156137').answer.value.weight()!='' %}{% endif %}{% 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 currentItem.linkId = 'section63116961' %}Other Medical Diagnosis: {% for currentItem in currentItem.item.where((linkId = 'item71421940' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section84703123')) %}{% if currentItem.linkId = 'item71421940' %}None{% endif %}{% if currentItem.linkId = 'section84703123' %}{% for currentItem in currentItem.item.where((linkId = 'item49626582' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item35200400' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item15402985' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item80087810' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section10143812')) %}{% if currentItem.linkId = 'item49626582' %}Cardiac History{% endif %}{% if currentItem.linkId = 'item35200400' %}Diabetes Mellitus{% endif %}{% if currentItem.linkId = 'item15402985' %}Hypertension{% endif %}{% if currentItem.linkId = 'item80087810' %}Medically Stable{% endif %}{% if currentItem.linkId = 'section10143812' %}{% for currentItem in currentItem.item.where((linkId = 'item73008812' and answer.exists())) %}{% if currentItem.linkId = 'item73008812' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other: {{answer}}{% endif %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}<br/><span/>{% endif %}{% if currentItem.linkId = 'section11292337' %}Medical History<br/> {% for currentItem in currentItem.item.where((linkId = 'section80683868') or (linkId = 'item29958538' and answer.exists()) or (linkId = 'item83627595' and answer.exists()) or (linkId = 'item94706514' and answer.exists()) or (linkId = 'item24476567' and answer.exists()) or (linkId = 'item49202473' and answer.exists()) or (linkId = 'item36684397' and answer.exists()) or (linkId = 'item23042001' and answer.exists()) or (linkId = 'item18617737' and answer.exists()) or (linkId = 'section26623026')) %}{% if currentItem.linkId = 'section80683868' %}Please Note<br/> {% for currentItem in currentItem.item.where() %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endif %}{% if currentItem.linkId = 'item29958538' %}{% if currentItem.answer.exists() %}Has the patient had a previous sleep study: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item83627595' %}{% if currentItem.answer.exists() %}Sleep Study Date: {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item94706514' %}{% if currentItem.answer.exists() %}Patient has had a CPAP titration within past 2 years: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item24476567' %}{% if currentItem.answer.exists() %}Patient is currently on CPAP: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item49202473' %}{% if currentItem.answer.exists() %}Current Pressure: {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item36684397' %}{% if currentItem.answer.exists() %}BIPAP: {% for answer in currentItem.answer %}{% if answer.value.code = 'Y' %}Yes{% endif %}{% if answer.value.code = 'N' %}No{% endif %}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item23042001' %}{% if currentItem.answer.exists() %}IPAP (cm H2O): {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item18617737' %}{% if currentItem.answer.exists() %}EPAP (cm H2O): {% for answer in currentItem.answer %}{{ answer.value.ofType(string) }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'section26623026' %}Patient Condition(s): {% for currentItem in currentItem.item.where((linkId = 'item14347288' and answer.exists()) or (linkId = 'item29873156' and answer.exists()) or (linkId = 'section1950903')) %}{% if currentItem.linkId = 'item14347288' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'TB' %}TB{% endif %}{% if answer.value.code = 'MRSA' %}MRSA{% endif %}{% if answer.value.code = 'VRE' %}VRE{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endcapture %}Infectious Disease ({{answer}}){% endif %}{% endif %}{% if currentItem.linkId = 'item29873156' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'Urinary' %}Urinary{% endif %}{% if answer.value.code = 'Fecal' %}Fecal{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endcapture %}{{answer}} Continence{% endif %}{% endif %}{% if currentItem.linkId = 'section1950903' %}{% for currentItem in currentItem.item.where((linkId = 'item72394837' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item46214380' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item68588107' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item96864328' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item24665256' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'item2388556' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section27925817')) %}{% if currentItem.linkId = 'item72394837' %}Problems with mobility{% endif %}{% if currentItem.linkId = 'item46214380' %}Communication (Hearing impaired, language, etc.){% endif %}{% if currentItem.linkId = 'item68588107' %}Developmental / Psychological Disorder{% endif %}{% if currentItem.linkId = 'item96864328' %}History of Violence{% endif %}{% if currentItem.linkId = 'item24665256' %}History of Seizure Disorder{% endif %}{% if currentItem.linkId = 'item2388556' %}Neuromuscular Disorder{% endif %}{% if currentItem.linkId = 'section27925817' %}{% for currentItem in currentItem.item.where((linkId = 'item67848934' and answer.exists())) %}{% if currentItem.linkId = 'item67848934' %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other: {{answer}}{% 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 %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}<br/><span/>{% endif %}{% if currentItem.linkId = 'section61428617' %}Cumulative Patient Profile<br/> {% for currentItem in currentItem.item.where((linkId = 'CPPAttachment' and answer.exists(value.ofType(boolean)=true)) or (linkId = 'section58148321')) %}{% if currentItem.linkId = 'CPPAttachment' %}CPP Attached Separately{% endif %}{% if currentItem.linkId = 'section58148321' %}{% for currentItem in currentItem.item.where((linkId = 'rx' and answer.exists()) or (linkId = 'prob' and answer.exists()) or (linkId = 'pmhx' and answer.exists()) or (linkId = 'item19532475' and answer.exists())) %}{% if currentItem.linkId = 'rx' %}{% if currentItem.answer.exists() %}Current Medications: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'prob' %}{% if currentItem.answer.exists() %}Current Problems: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'pmhx' %}{% if currentItem.answer.exists() %}Past Medical History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endif %}{% if currentItem.linkId = 'item19532475' %}{% if currentItem.answer.exists() %}Allergies: {% 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 forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}<br/><span/>{% endif %}{% if currentItem.linkId = 'section79119148' %}Supporting Documentation<br/> <span/><br/>{% for currentItem in currentItem.item.where() %}{% 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 %}{% 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://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "patient"
}
},
{
"url": "type",
"valueCode": "Patient"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptEmergencyContactPhone",
"language": "text/fhirpath",
"expression": "%patient.contact.where(relationship.coding.exists(code='E' and system='http://terminology.hl7.org/CodeSystem/v2-0131')).telecom.where(system='phone').value.first()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptPmoc",
"language": "text/fhirpath",
"expression": "{}"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "query-ptLatestVal.ht",
"language": "application/x-fhir-query",
"expression": "Observation?patient={{%patient.id}}&code=http%3A//loinc.org|8302-2&status=final,ammended&_sort=-date&_count=1"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptLatestVal.ht",
"language": "text/fhirpath",
"expression": "%`query-ptLatestVal.ht`.entry.resource.ofType(Observation).first().value.where(code='cm').value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "query-ptLatestVal.wt",
"language": "application/x-fhir-query",
"expression": "Observation?patient={{%patient.id}}&code=http%3A//loinc.org|29463-7&status=final,ammended&_sort=-date&_count=1"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptLatestVal.wt",
"language": "text/fhirpath",
"expression": "%`query-ptLatestVal.wt`.entry.resource.ofType(Observation).first().value.where(code='kg').value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "query-ips",
"language": "application/x-fhir-query",
"expression": "Bundle?composition.patient={{%patient.id}}&composition.code=http%3A//loinc.org|60591-5&composition.status=final,ammended&_sort=-composition.date&_count=1"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.pmhx",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='47519-4')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.allg",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='48765-2')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptEmergencyContact",
"language": "text/fhirpath",
"expression": "%patient.contact.where(relationship.coding.exists(code='E' and system='http://terminology.hl7.org/CodeSystem/v2-0131')).name.first().select(given.first() | family).join(' ')"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptLanguage",
"language": "text/fhirpath",
"expression": "%patient.communication.where(preferred='true').language.select(text | coding.display).first()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.rx",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='46264-8')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.prob",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='11450-4')).text.div"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
}
],
"url": "http://ontariohealth.ca/legacy/Questionnaire/sleep-disorder-clini",
"version": "0",
"title": "Sleep Disorder Clinic eReferral Form [FINAL JULY 2024]",
"status": "active",
"experimental": false,
"subjectType": [
"Patient"
],
"item": [
{
"linkId": "KidneyWiseForm",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "body",
"type": "group",
"item": [
{
"linkId": "item47143865",
"text": "* Indicates a required field",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "AdditionalPatientInfo",
"text": "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/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptLanguage`"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "PreferredLanguage.r.includes('English') || PreferredLanguage.r.includes('French') == true",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('English') or %resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('French') = true"
}
},
{
"url": "text",
"valueString": "Preferred Language:"
}
]
}
],
"linkId": "PreferredLanguage",
"text": "Preferred Language:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_PreferredLanguage",
"code": "eng",
"display": "eng"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_PreferredLanguage",
"code": "fre",
"display": "fre"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_PreferredLanguage",
"code": "Other",
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptLanguage`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred Language:"
}
]
}
],
"linkId": "item55155068",
"text": "Preferred Language",
"type": "string",
"enableWhen": [
{
"question": "PreferredLanguage",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item55155068",
"code": "Other",
"display": "Other"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "PreferredLanguage.r.includes('Other') == true",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='PreferredLanguage').answer.value.contains('Other') = true"
}
},
{
"url": "text",
"valueString": "Translator NOT needed",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Translator <b><span style=\"text-decoration:underline;\">NOT</span></b> needed"
}
]
}
},
{
"url": "positiveText",
"valueString": "Translator needed",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Translator <b><span style=\"text-decoration:underline;\">needed</span></b>"
}
]
}
}
]
}
],
"linkId": "Translator",
"text": "Translator Required",
"type": "boolean",
"enableWhen": [
{
"question": "PreferredLanguage",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_Translator",
"code": "Other",
"display": "Other"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptPmoc`"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Best Method of Contact:"
}
]
}
],
"linkId": "BestContactMethod",
"text": "Best Method of Contact:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_BestContactMethod",
"code": "OTHER",
"display": "OTHER"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_BestContactMethod",
"code": "HOME",
"display": "HOME"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_BestContactMethod",
"code": "BUSINESS",
"display": "BUSINESS"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_BestContactMethod",
"code": "EMAIL",
"display": "EMAIL"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "BestContactMethod.r.includes('OTHER') || BestContactMethod.r.includes('HOME') || BestContactMethod.r.includes('BUSINESS')== true",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('OTHER') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('HOME') or %resource.repeat(item).where(linkId='BestContactMethod').answer.value.contains('BUSINESS')= true"
}
},
{
"url": "text",
"valueString": "Voicemail acceptable: No"
},
{
"url": "positiveText",
"valueString": "Voicemail acceptable: Yes"
}
]
}
],
"linkId": "item73068595",
"text": "Voicemails acceptable",
"type": "boolean",
"enableWhen": [
{
"question": "BestContactMethod",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item73068595",
"code": "OTHER",
"display": "OTHER"
}
},
{
"question": "BestContactMethod",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item73068595",
"code": "HOME",
"display": "HOME"
}
},
{
"question": "BestContactMethod",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item73068595",
"code": "BUSINESS",
"display": "BUSINESS"
}
}
],
"enableBehavior": "all"
},
{
"linkId": "item95810306",
"text": "Where appropriate, please provide:",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Appointment booking contact"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
}
]
}
],
"linkId": "AlternateContact",
"text": "Appointment booking contact (if not patient)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptEmergencyContact`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Name: "
}
]
}
],
"linkId": "item6554535",
"text": "Contact Name:",
"type": "string",
"enableWhen": [
{
"question": "AlternateContact",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptEmergencyContactPhone`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Phone Number:"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item80027355"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "answer.all(value.matches('^(\\\\+\\\\d{1,2}\\\\s?)?\\\\(?\\\\d{3}\\\\)?[\\\\s.-]?\\\\d{3}[\\\\s.-]?\\\\d{4}[%content%]#39;))"
}
}
]
}
],
"linkId": "item80027355",
"text": "Phone Number (if different than patient):",
"type": "string",
"enableWhen": [
{
"question": "AlternateContact",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "Special Considerations:"
}
]
}
],
"linkId": "SpecialConsiderations",
"text": "Special considerations (3rd party insurance, accessibility, barriers, tips for care delivery)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Special Considerations: {{answer}}"
}
]
}
],
"linkId": "item38347402",
"text": "Details of special considerations:",
"type": "text",
"enableWhen": [
{
"question": "SpecialConsiderations",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item25397237",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item10476570"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( PreferredLoc) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='PreferredLoc').select(item.where(linkId='item10476570').exists(answer) | item.where(linkId='section95718570').exists(answer) | item.where(linkId='item74312441').exists(answer)).count() * 100 / 3 != 0"
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred Location(s)"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "PreferredLoc",
"text": "Preferred Location(s) *",
"type": "group",
"item": [
{
"linkId": "item10476570",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<i>Select all that apply</i>:"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section95718570",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item7852115",
"text": "Hamilton",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
}
],
"linkId": "section31627363",
"type": "group",
"enableWhen": [
{
"question": "item7852115",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item42030680",
"text": "Telephone: 905 529 2259 Fax: 905 529 2262",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Telephone:</b> 905 529 2259<br/><b>Fax:</b> 905 529 2262"
}
]
},
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item59448874",
"text": "St. Catharines",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
}
],
"linkId": "section55723098",
"type": "group",
"enableWhen": [
{
"question": "item59448874",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item90358461",
"text": "Telephone: 905 529 2259 Fax: 905 529 2262",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Telephone:</b> 905 529 2259<br/><b>Fax:</b> 905 529 2262"
}
]
},
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item44065286",
"text": "Cambridge Memorial Hospital",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
}
],
"linkId": "section18070968",
"type": "group",
"enableWhen": [
{
"question": "item44065286",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item8918930",
"text": "Telephone: 905 529 2259 Fax: 905 529 2262",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Telephone:</b> 905 529 2259<br/><b>Fax:</b> 905 529 2262"
}
]
},
"type": "display"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item74312441",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item3508830"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section9816307) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='section9816307').select(item.where(linkId='item53780705').exists(answer) | item.where(linkId='section68958263').exists(answer) | item.where(linkId='item3508830').exists(answer)).count() * 100 / 3 != 0"
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Service Request(s)"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section9816307",
"text": "Service Request(s) *",
"type": "group",
"item": [
{
"linkId": "item3508830",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<i>Select all that apply</i>:"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section68958263",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item45390734.r==''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item45390734').answer.empty()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "• Sleep study; consult; treatment if required"
}
]
}
],
"linkId": "item84731201",
"text": "Sleep study; consult; treatment if required",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item84731201.r==''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item84731201').answer.empty()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "• Diagnostic sleep study only, no consult, no treatment"
}
]
}
],
"linkId": "item45390734",
"text": "Diagnostic sleep study only, no consult, no treatment",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "• Consult; followed by diagnosis and treatment if required"
}
]
}
],
"linkId": "item46379923",
"text": "Consult; followed by diagnosis and treatment if required",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item53780705",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for Referral"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "reasonforreferralsec",
"text": "Reason for Referral",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Urgency:"
}
]
}
],
"linkId": "Urgency",
"text": "Urgency:",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;color:#008800;"
}
]
}
],
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_Urgency",
"code": "Routine",
"display": "Routine"
},
"initialSelected": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;color:#EE6B00;"
}
]
}
],
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_Urgency",
"code": "High Priority",
"display": "High Priority"
}
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;color:#AA0000;"
}
]
}
],
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_Urgency",
"code": "Urgent",
"display": "Urgent"
}
}
]
},
{
"linkId": "item40810108",
"text": "Rationale for Urgent Referral:",
"type": "string",
"enableWhen": [
{
"question": "Urgency",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item40810108",
"code": "Urgent",
"display": "Urgent"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item54277157"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section75710709 ) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='section75710709').select(item.where(linkId='item54277157').exists(answer) | item.where(linkId='reason_for_referral').exists(answer)).count() * 100 / 2 != 0"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Symptom(s) Leading to Referral"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section75710709",
"text": "Symptom(s) Leading to Referral *",
"type": "group",
"item": [
{
"linkId": "item54277157",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-style:italic;"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "reason_for_referral",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 11
}
]
}
],
"linkId": "item72495479",
"text": "Snoring",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 12
}
]
}
],
"linkId": "item83826274",
"text": "Snoring with apnea",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 13
}
]
}
],
"linkId": "item3849613",
"text": "Obesity",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Obesity Details"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "sortIndex",
"valuePositiveInt": 24
}
]
}
],
"linkId": "section27575149",
"type": "group",
"enableWhen": [
{
"question": "item3849613",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item86156137",
"text": "Height:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item86156137",
"code": "cm",
"display": "cm"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item86156137",
"code": "ft",
"display": "ft"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
}
],
"linkId": "htFeet",
"text": "Feet:",
"type": "choice",
"enableWhen": [
{
"question": "item86156137",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "ft",
"display": "ft"
}
}
],
"enableBehavior": "any",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "1'",
"display": "1'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "2'",
"display": "2'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "3'",
"display": "3'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "4'",
"display": "4'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "5'",
"display": "5'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 6
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "6'",
"display": "6'"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 7
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htFeet",
"code": "7'",
"display": "7'"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
}
],
"linkId": "htInches",
"text": "Inches:",
"type": "choice",
"enableWhen": [
{
"question": "item86156137",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "ft",
"display": "ft"
}
}
],
"enableBehavior": "any",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 0
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "0\"",
"display": "0\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "1\"",
"display": "1\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "2\"",
"display": "2\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "3\"",
"display": "3\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "4\"",
"display": "4\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "5\"",
"display": "5\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 6
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "6\"",
"display": "6\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 7
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "7\"",
"display": "7\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 8
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "8\"",
"display": "8\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 9
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "9\"",
"display": "9\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 10
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "10\"",
"display": "10\""
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 11
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htInches",
"code": "11\"",
"display": "11\""
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptLatestVal.ht`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Height: {{answer}} cm"
}
]
}
],
"linkId": "htCm",
"text": "Height (cm):",
"type": "decimal",
"enableWhen": [
{
"question": "item86156137",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_htCm",
"code": "cm",
"display": "cm"
}
}
],
"enableBehavior": "any"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/on-item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item41557024",
"text": "Weight:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item41557024",
"code": "kg",
"display": "kg"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item41557024",
"code": "lb",
"display": "lb"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptLatestVal.wt`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Weight: {{answer}} kg"
}
]
}
],
"linkId": "wtKgs",
"text": "Weight (kg):",
"type": "decimal",
"enableWhen": [
{
"question": "item41557024",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_wtKgs",
"code": "kg",
"display": "kg"
}
}
],
"enableBehavior": "any"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Weight: {{answer}} lb"
}
]
}
],
"linkId": "wtLbs",
"text": "Weight (lb):",
"type": "decimal",
"enableWhen": [
{
"question": "item41557024",
"operator": "=",
"answerCoding": {
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_wtLbs",
"code": "lb",
"display": "lb"
}
}
],
"enableBehavior": "any"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "(htCm.p!='' || (htFeet.p!='' && htInches.p!='')) && (wtLbs.p!='' || wtKgs.p!='')",
"language": "text/fhirpath",
"expression": "(%resource.repeat(item).where(linkId='htCm').answer.exists() or (%resource.repeat(item).where(linkId='htFeet').answer.value.weight()!='' and %resource.repeat(item).where(linkId='htInches').answer.value.weight()!='')) and (%resource.repeat(item).where(linkId='wtLbs').answer.exists() or %resource.repeat(item).where(linkId='wtKgs').answer.exists())"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "item41557024.p!='' && item86156137.p!=''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item41557024').answer.value.weight()!='' and %resource.repeat(item).where(linkId='item86156137').answer.value.weight()!=''"
}
}
]
}
],
"linkId": "item45612156",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() { var ht = 0; var wt = 0; var BMI = 0; if (htCm.p != 0) { ht = htCm.p / 100; } else if (htFeet.p != 0 && htInches.p != '') { ht = (0.3048*htFeet.p) + (0.0254*htInches.p); } if (wtLbs.p && wtLbs.p != 0) { wt = wtLbs.p * 0.453592; } else { wt = wtKgs.p; } BMI = wt / (ht * ht); return Math.round(BMI*10/10); })();",
"language": "text/fhirpath",
"expression": "iif(\r\n %resource.item.where(linkId = 'htCm').answer.valueDecimal != 0,\r\n %resource.item.where(linkId = 'htCm').answer.valueDecimal / 100,\r\n iif(\r\n %resource.item.where(linkId = 'htFeet').answer.valueDecimal != 0\r\n and %resource.item.where(linkId = 'htInches').answer.valueDecimal != '',\r\n (0.3048 * %resource.item.where(linkId = 'htFeet').answer.valueDecimal)\r\n + (0.0254 * %resource.item.where(linkId = 'htInches').answer.valueDecimal),\r\n 0\r\n )\r\n).select(\r\n $this.power(-1).select(\r\n iif(\r\n %resource.item.where(linkId = 'wtLbs').answer.valueDecimal.exists()\r\n and %resource.item.where(linkId = 'wtLbs').answer.valueDecimal != 0,\r\n %resource.item.where(linkId = 'wtLbs').answer.valueDecimal * 0.453592,\r\n %resource.item.where(linkId = 'wtKgs').answer.valueDecimal\r\n ) * $this * $this\r\n )\r\n).round(0)"
}
}
]
},
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 14
}
]
}
],
"linkId": "item97391358",
"text": "Unrefreshing sleep",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 15
}
]
}
],
"linkId": "item49869991",
"text": "Excessive daytime sleepiness",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 16
}
]
}
],
"linkId": "item74170896",
"text": "Frequent awakenings",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 17
}
]
}
],
"linkId": "item9633588",
"text": "Difficulty initiating or maintaining sleep",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 18
}
]
}
],
"linkId": "item92573517",
"text": "Restless legs",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 19
}
]
}
],
"linkId": "item55426052",
"text": "Unusual movement during sleep",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 20
}
]
}
],
"linkId": "item22456535",
"text": "Abnormal behaviour during sleep",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "item65409751.r=='Y' && item24344238.r==''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y') and %resource.repeat(item).where(linkId='item24344238').answer.empty()"
}
},
{
"url": "sortIndex",
"valuePositiveInt": 21
}
]
}
],
"linkId": "item65409751",
"text": "Oxygen",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Oxygen ({{answer}} L/min)"
},
{
"url": "sortIndex",
"valuePositiveInt": 22
}
]
}
],
"linkId": "item24344238",
"text": "Oxygen (L/min):",
"type": "string",
"enableWhen": [
{
"question": "item65409751",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item12442891",
"text": "Other",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 23
}
]
}
],
"linkId": "section8708662",
"type": "group",
"enableWhen": [
{
"question": "item12442891",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other: {{answer}}"
}
]
}
],
"linkId": "item50097539",
"text": "Specify:",
"type": "text",
"required": true
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item38973554"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section63116961 ) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='section63116961').select(item.where(linkId='item38973554').exists(answer) | item.where(linkId='section84703123').exists(answer) | item.where(linkId='item71421940').exists(answer)).count() * 100 / 3 != 0"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Other Medical Diagnosis:"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "listSeparator",
"valueString": "; "
}
]
}
],
"linkId": "section63116961",
"text": "Other Medical Diagnosis *",
"type": "group",
"item": [
{
"linkId": "item38973554",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<i>Select all that apply</i>:"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item71421940",
"text": "None",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"description": "item71421940.r==''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item71421940').answer.empty()"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "listSeparator",
"valueString": "; "
}
]
}
],
"linkId": "section84703123",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item49626582",
"text": "Cardiac History",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item35200400",
"text": "Diabetes Mellitus",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item15402985",
"text": "Hypertension",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item80087810",
"text": "Medically Stable",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item3393239",
"text": "Other",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
}
],
"linkId": "section10143812",
"type": "group",
"enableWhen": [
{
"question": "item3393239",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other: {{answer}}"
}
]
}
],
"linkId": "item73008812",
"text": "Specify:",
"type": "text",
"required": true
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item84855210",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section11292337",
"text": "Medical History",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
}
],
"linkId": "section80683868",
"text": "Please Note",
"type": "group",
"item": [
{
"linkId": "item94952908",
"text": "Patient should be able to care for self in sleep lab.",
"type": "display"
}
]
},
{
"linkId": "item29958538",
"text": "Has the patient had a previous sleep study:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "item83627595",
"text": "Sleep Study Date:",
"type": "date",
"enableWhen": [
{
"question": "item29958538",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
}
],
"enableBehavior": "all"
},
{
"linkId": "item94706514",
"text": "Patient has had a CPAP titration within past 2 years:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "item24476567",
"text": "Patient is currently on CPAP:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "item49202473",
"text": "Current Pressure:",
"type": "string",
"enableWhen": [
{
"question": "item24476567",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
}
],
"enableBehavior": "all"
},
{
"linkId": "item36684397",
"text": "BIPAP:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "item23042001",
"text": "IPAP (cm H2O):",
"type": "string",
"enableWhen": [
{
"question": "item36684397",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
}
],
"enableBehavior": "all"
},
{
"linkId": "item18617737",
"text": "EPAP (cm H2O):",
"type": "string",
"enableWhen": [
{
"question": "item36684397",
"operator": "=",
"answerCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"code": "Y",
"display": "Yes"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item80707057"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section26623026 ) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='section26623026').select(item.where(linkId='item14347288').exists(answer) | item.where(linkId='item80707057').exists(answer) | item.where(linkId='section1950903').exists(answer) | item.where(linkId='item29873156').exists(answer)).count() * 100 / 4 != 0"
}
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Patient Condition(s):"
},
{
"url": "style",
"valueString": "text-decoration:underline;"
},
{
"url": "listSeparator",
"valueString": "; "
}
]
}
],
"linkId": "section26623026",
"type": "group",
"item": [
{
"linkId": "item80707057",
"text": "Select all the patient conditions that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Select all the patient conditions that apply</b>:"
}
]
},
"type": "display"
},
{
"linkId": "section1950903",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 1
}
]
}
],
"linkId": "item72394837",
"text": "Problems with mobility",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 2
}
]
}
],
"linkId": "item46214380",
"text": "Communication (Hearing impaired, language, etc.)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 3
}
]
}
],
"linkId": "item68588107",
"text": "Developmental / Psychological Disorder",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 4
}
]
}
],
"linkId": "item96864328",
"text": "History of Violence",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 5
}
]
}
],
"linkId": "item24665256",
"text": "History of Seizure Disorder",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 6
}
]
}
],
"linkId": "item2388556",
"text": "Neuromuscular Disorder",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item42326652",
"text": "Other",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 9
}
]
}
],
"linkId": "section27925817",
"type": "group",
"enableWhen": [
{
"question": "item42326652",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other: {{answer}}"
}
]
}
],
"linkId": "item67848934",
"text": "Specify:",
"type": "text",
"required": true
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Infectious Disease ({{answer}})"
},
{
"url": "sortIndex",
"valuePositiveInt": 7
}
]
}
],
"linkId": "item14347288",
"text": "Infectious Disease:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item14347288",
"code": "TB",
"display": "TB"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item14347288",
"code": "MRSA",
"display": "MRSA"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item14347288",
"code": "VRE",
"display": "VRE"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "{{answer}} Continence"
},
{
"url": "sortIndex",
"valuePositiveInt": 8
}
]
}
],
"linkId": "item29873156",
"text": "Incontinence:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item29873156",
"code": "Urinary",
"display": "Urinary"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/sleep-disorder-clini_item29873156",
"code": "Fecal",
"display": "Fecal"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item39543350",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section61428617",
"text": "Cumulative Patient Profile",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "CPPAttachment",
"text": "CPP Attached Separately",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "CPPRemoved",
"text": "Do not send CPP",
"type": "boolean"
},
{
"linkId": "section58148321",
"type": "group",
"enableWhen": [
{
"question": "CPPAttachment",
"operator": "!=",
"answerBoolean": true
},
{
"question": "CPPRemoved",
"operator": "!=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.rx`"
}
}
],
"linkId": "rx",
"text": "Current Medications:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.prob`"
}
}
],
"linkId": "prob",
"text": "Current Problems:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.pmhx`"
}
}
],
"linkId": "pmhx",
"text": "Past Medical History:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.allg`"
}
}
],
"linkId": "item19532475",
"text": "Allergies:",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item31368171",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
}
]
}
],
"linkId": "section79119148",
"text": "Supporting Documentation",
"type": "group",
"item": [
{
"linkId": "item89395197",
"text": "Please attach all relevant laboratory and diagnostic investigations.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please attach all <b><span style=\"text-decoration:underline;\">relevant</span></b> laboratory and diagnostic investigations."
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item16476704",
"text": "Please provide studies done at other laboratories",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item2601597",
"type": "display"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "section98896179",
"text": "Export Analytics [PSM NOT REVIEWED]",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "noAttachmentWarning",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "CPPAttachment.r == 'Y' ? 'Did you forget to attach a file?' : ''",
"language": "text/fhirpath",
"expression": "iif((%resource.repeat(item).where(linkId='CPPAttachment').answer.exists(value = 'Y') ), 'Did you forget to attach a file?', '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referralService",
"text": "SLEEP_MEDICINE",
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referralDescription",
"text": "Sleep Disorder Clinic",
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_reasonForReferral",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() { var descs = []; if(item84731201.p && !item45390734.p) {descs.push('Sleep Study and Consult');} if(item45390734.p && !item84731201.p) {descs.push('Sleep Study Only');} if(item46379923.p) {descs.push('Sleep Clinic Consult');} return descs.join('; '); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='item84731201').answer.iif(value=true, 1, 0) and %resource.repeat(item).where(linkId='item45390734').answer.iif(value=true, 0, 1),'Sleep Study and Consult') | iif(%resource.repeat(item).where(linkId='item45390734').answer.iif(value=true, 1, 0) and %resource.repeat(item).where(linkId='item84731201').answer.iif(value=true, 0, 1),'Sleep Study Only') | iif(%resource.repeat(item).where(linkId='item46379923').answer.iif(value=true, 1, 0),'Sleep Clinic Consult')).aggregate($total & iif($total='', $this, '; ' + $this), '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "priority",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='High Priority' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Urgent'),'Urgent' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.value.weight() = '3','High Priority' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Routine'),'Routine' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referrerUrgency",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='SemiUrgent' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Urgent'),'Urgent' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.value.weight() = '3','SemiUrgent' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Routine'),'Routine' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "referralUrgency",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (Urgency.r == 'Urgent') {descs+='Urgent' + '; ';} if (Urgency.p == '3') {descs+='SemiUrgent' + '; ';} if (Urgency.r == 'Routine') {descs+='Routine' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Urgent'),'Urgent' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.value.weight() = '3','SemiUrgent' + '; ') | iif(%resource.repeat(item).where(linkId='Urgency').answer.exists(value = 'Routine'),'Routine' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"linkId": "ax_diagnosis",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (item72495479.r == 'Y') {descs+='Snoring' + '; ';} if (item83826274.r == 'Y') {descs+='Snoring with apnea' + '; ';} if (item3849613.r == 'Y') {descs+='Obesity' + '; ';} if (item97391358.r == 'Y') {descs+='Unrefreshing sleep' + '; ';} if (item49869991.r == 'Y') {descs+='Excessive Daytime sleepiness' + '; ';} if (item74170896.r == 'Y') {descs+='Frequent awakenings' + '; ';} if (item9633588.r == 'Y') {descs+='Difficulty initiating or maintaining sleep' + '; ';} if (item92573517.r == 'Y') {descs+='Restless legs' + '; ';} if (item55426052.r == 'Y') {descs+='Unusual movement during sleep' + '; ';} if (item22456535.r == 'Y') {descs+='Abnormal behaviour during sleep' + '; ';} if (item65409751.r == 'Y') {descs+='Oxygen concerns' + '; ';} if (item49626582.r == 'Y') {descs+='Cardiac History' + '; ';} if (item35200400.r == 'Y') {descs+='Diabetes Mellitus' + '; ';} if (item15402985.r == 'Y') {descs+='Hypertension' + '; ';} if (item80087810.r == 'Y') {descs+='Medically stable' + '; ';} if (item72394837.r == 'Y') {descs+='Problems with mobility' + '; ';} if (item46214380.r == 'Y') {descs+='Communication issues' + '; ';} if (item68588107.r == 'Y') {descs+='Developmental / Psychological Disorder' + '; ';} if (item96864328.r == 'Y') {descs+='Violent Behaviour' + '; ';} if (item24665256.r == 'Y') {descs+='Seizure Disorder' + '; ';} if (item2388556.r == 'Y') {descs+='Neuromuscular Disorder' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='item72495479').answer.exists(value = 'Y'),'Snoring' + '; ') | iif(%resource.repeat(item).where(linkId='item83826274').answer.exists(value = 'Y'),'Snoring with apnea' + '; ') | iif(%resource.repeat(item).where(linkId='item3849613').answer.exists(value = 'Y'),'Obesity' + '; ') | iif(%resource.repeat(item).where(linkId='item97391358').answer.exists(value = 'Y'),'Unrefreshing sleep' + '; ') | iif(%resource.repeat(item).where(linkId='item49869991').answer.exists(value = 'Y'),'Excessive Daytime sleepiness' + '; ') | iif(%resource.repeat(item).where(linkId='item74170896').answer.exists(value = 'Y'),'Frequent awakenings' + '; ') | iif(%resource.repeat(item).where(linkId='item9633588').answer.exists(value = 'Y'),'Difficulty initiating or maintaining sleep' + '; ') | iif(%resource.repeat(item).where(linkId='item92573517').answer.exists(value = 'Y'),'Restless legs' + '; ') | iif(%resource.repeat(item).where(linkId='item55426052').answer.exists(value = 'Y'),'Unusual movement during sleep' + '; ') | iif(%resource.repeat(item).where(linkId='item22456535').answer.exists(value = 'Y'),'Abnormal behaviour during sleep' + '; ') | iif(%resource.repeat(item).where(linkId='item65409751').answer.exists(value = 'Y'),'Oxygen concerns' + '; ') | iif(%resource.repeat(item).where(linkId='item49626582').answer.exists(value = 'Y'),'Cardiac History' + '; ') | iif(%resource.repeat(item).where(linkId='item35200400').answer.exists(value = 'Y'),'Diabetes Mellitus' + '; ') | iif(%resource.repeat(item).where(linkId='item15402985').answer.exists(value = 'Y'),'Hypertension' + '; ') | iif(%resource.repeat(item).where(linkId='item80087810').answer.exists(value = 'Y'),'Medically stable' + '; ') | iif(%resource.repeat(item).where(linkId='item72394837').answer.exists(value = 'Y'),'Problems with mobility' + '; ') | iif(%resource.repeat(item).where(linkId='item46214380').answer.exists(value = 'Y'),'Communication issues' + '; ') | iif(%resource.repeat(item).where(linkId='item68588107').answer.exists(value = 'Y'),'Developmental / Psychological Disorder' + '; ') | iif(%resource.repeat(item).where(linkId='item96864328').answer.exists(value = 'Y'),'Violent Behaviour' + '; ') | iif(%resource.repeat(item).where(linkId='item24665256').answer.exists(value = 'Y'),'Seizure Disorder' + '; ') | iif(%resource.repeat(item).where(linkId='item2388556').answer.exists(value = 'Y'),'Neuromuscular Disorder' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"linkId": "ax_bodySite",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (item92573517.r == 'Y') {descs+='Leg(s)' + '; ';} if (item49626582.r == 'Y' || item15402985.r == 'Y') {descs+='Heart' + '; ';} if (item35200400.r == 'Y') {descs+='Pancreas' + '; ';} if (item2388556.r == 'Y') {descs+='Nervous System' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='item92573517').answer.exists(value = 'Y'),'Leg(s)' + '; ') | iif(%resource.repeat(item).where(linkId='item49626582').answer.exists(value = 'Y') or %resource.repeat(item).where(linkId='item15402985').answer.exists(value = 'Y'),'Heart' + '; ') | iif(%resource.repeat(item).where(linkId='item35200400').answer.exists(value = 'Y'),'Pancreas' + '; ') | iif(%resource.repeat(item).where(linkId='item2388556').answer.exists(value = 'Y'),'Nervous System' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"linkId": "ax_v_bp",
"text": "Sleep Disorder Clinic eReferral Form [FINAL JULY 2024]; 2024.07.25",
"type": "display"
}
]
}
]
}
]
}