FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | QuestionnaireResponse |
| Id | 2026-02_Ocean-Ontario-Cardiology-SRF-1.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "CardiologyFormQRConverted",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://ontariohealth.ca/legacy/Questionnaire/ONPF-d7176d16-5fd4-48a7-b7e6-b488e8df763d|1",
"status": "completed",
"subject": {
"reference": "Patient/pat-60442",
"display": "TRENTON ABEDI"
},
"authored": "2026-03-13T05:03:13.889Z",
"author": {
"reference": "Practitioner/smart-Practitioner-71482713",
"type": "Practitioner",
"display": "Susan Clark"
},
"item": [
{
"linkId": "mainSection__section",
"item": [
{
"linkId": "body",
"item": [
{
"linkId": "id_102173268919_ocean_section",
"item": [
{
"linkId": "id_306135170795_ocean_section",
"item": [
{
"linkId": "referral_requestedpriority_ocean_section",
"item": [
{
"linkId": "referral_requestedpriority",
"text": "Requested Priority:",
"answer": [
{
"valueString": "Routine"
}
]
}
]
},
{
"linkId": "referral_secondopinion",
"text": "Second Opinion",
"answer": [
{
"valueBoolean": false
}
]
}
]
},
{
"linkId": "id_695991571585_ocean_section",
"item": [
{
"linkId": "id_223886162384",
"text": "Cardiac Testing",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "id_660331267409_ocean_section",
"item": [
{
"linkId": "id_960455115596",
"text": "Coronary Angiogram",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "id_297634898828",
"text": "Echocardiogram - Resting",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "id_443484577720_ocean_section",
"item": [
{
"linkId": "id_165530569567",
"text": "Echocardiogram (2D)",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "id_657824763133",
"text": "Pediatric Echocardiogram",
"answer": [
{
"valueBoolean": false
}
]
}
]
},
{
"linkId": "id_159161544747",
"text": "Stress Testing",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "id_370275060390_ocean_section",
"item": [
{
"linkId": "id_814218498309",
"text": "ECG - Exercise Stress Test",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "id_193586908489",
"text": "Echocardiogram - Dobutamine/Persantine Stress Test",
"answer": [
{
"valueBoolean": false
}
]
}
]
}
]
}
]
},
{
"linkId": "id_186952778859_ocean_section",
"item": [
{
"linkId": "id_459737733395",
"text": "Chest Pain or Angina",
"answer": [
{
"valueBoolean": true
}
]
}
]
},
{
"linkId": "id_127224908991",
"text": "Brief Description of Referral, History, Management, and Investigations",
"answer": [
{
"valueString": "58M, exertional chest tightness x 6 weeks, resolves with rest. BP poorly controlled on ramipril 10mg + amlodipine 5mg. Father MI age 62. Please assess for ischemia and optimize CV risk."
}
]
}
]
},
{
"linkId": "cpp_header_ocean_section",
"item": [
{
"linkId": "cpp_separate",
"text": "CPP attached separately (if not entered below)",
"answer": [
{
"valueBoolean": false
}
]
},
{
"linkId": "cpp_currentprob_ocean_section",
"item": [
{
"linkId": "cpp_currentprob",
"text": "Current Problem List:",
"answer": [
{
"valueString": "Hypertension (diagnosed 2019)\nExertional chest tightness (onset Jan 2026)\nHyperlipidemia\nObesity (BMI 29)"
}
]
}
]
},
{
"linkId": "cpp_pastmedicalhistory_ocean_section",
"item": [
{
"linkId": "cpp_pastmedicalhistory",
"text": "Past Medical History:",
"answer": [
{
"valueString": "Appendectomy (1992)\nRight knee meniscus repair (2011)\nNo prior cardiac history\nNo diabetes"
}
]
}
]
},
{
"linkId": "cpp_currentmedications_ocean_section",
"item": [
{
"linkId": "cpp_currentmedications",
"text": "Current Medications:",
"answer": [
{
"valueString": "Ramipril 10 mg PO daily\nAmlodipine 5 mg PO daily\nRosuvastatin 20 mg PO daily\nASA 81 mg PO daily"
}
]
}
]
},
{
"linkId": "cpp_familyhistory_ocean_section",
"item": [
{
"linkId": "cpp_familyhistory",
"text": "Family History:",
"answer": [
{
"valueString": "Father: MI at age 62, deceased age 71 (stroke)\nMother: Type 2 diabetes, hypertension, alive age 82\nBrother: Hypertension, age 55"
}
]
}
]
},
{
"linkId": "cpp_allergies_ocean_section",
"item": [
{
"linkId": "cpp_allergies",
"text": "Allergies:",
"answer": [
{
"valueString": "Sulfa (rash)\nNKDA otherwise"
}
]
}
]
}
]
}
]
}
]
}
]
}