FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | MI_SplittingExample.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.1.0-snapshot1&canonical=urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f |
| URL | urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f |
| Version | 1.1.0 |
| Status | active |
| Date | 2026-01-28T21:19:05.195+00:00 |
| Title | Medical Imaging - Standardized Provincial Form Template - Splitting Example |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "479ecda0-2b51-436a-8f78-1b3346b7e53b",
"language": "en",
"contained": [
{
"resourceType": "Library",
"id": "liquid",
"status": "active",
"experimental": true,
"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>{% capture childItems %}{% if QuestionnaireResponse.item.where(linkId = 'patient_header').exists() %}<span style="font-weight:bold;text-decoration:underline;">Patient Information</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'patient_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'patient_surname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_surname' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Surname</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_firstname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_firstname' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">First Name</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_date_of_birth' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_date_of_birth' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">DOB</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(date) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_gender' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_gender' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Gender</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'male' %}Male{% endif %}{% if answer.value.code = 'female' %}Female{% endif %}{% if answer.value.code = 'other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_hc_pc' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_hc_pc' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN PC</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_hc_number' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_hc_number' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_hc_vc' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_hc_vc' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">HN VC</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_line1' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_line1' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_line2' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_line2' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address Line 2</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_city' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_city' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_province' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_province' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_address_postalcode' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_address_postalcode' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_mobile' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_mobile' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Mobile #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_home' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_home' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Home #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_phone_business' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_phone_business' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Business #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patient_email' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'patient_email' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Email</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'additionalinfo_header').exists() %}<span style="font-weight:bold;text-decoration:underline;">[Optional] Additional Patient Information</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'additionalinfo_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_sexassignedatbirth' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Sex assigned at birth</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'LA3-6' %}Female{% endif %}{% if answer.value.code = 'LA2-8' %}Male{% endif %}{% if answer.value.display = 'Intersex' %}Intersex{% endif %}{% if answer.value.code = 'LA4489-6' %}Unknown{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_pronouns' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_pronouns' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Pronouns</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'LA29519-8' %}She/Her{% endif %}{% if answer.value.code = 'LA29518-0' %}He/Him{% endif %}{% if answer.value.code = 'LA29519-8' %}They/Them{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_pronouns_other' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_pronouns_other' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other Pronouns</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredlanguage' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredlanguage' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred language</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'en' %}English{% endif %}{% if answer.value.code = 'fr' %}French{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredlanguage_specify' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredlanguage_specify' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specify</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredlanguage_translatorrequired' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredlanguage_translatorrequired' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Translator required</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Translator Required' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredname_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredname_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred name</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred Name' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_preferredname' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_preferredname' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred Name:</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Best method of contact</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'phone' %}Mobile{% endif %}{% if answer.value.code = 'phone' %}Home{% endif %}{% if answer.value.code = 'phone' %}Business{% endif %}{% if answer.value.code = 'email' %}Email{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact_voicemails' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_bestmethodofcontact_voicemails' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Voicemails acceptable</span> {% for answer in currentItem.answer %}{% if answer.value.display = ' Voicemails acceptable' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Alternate contact</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Alternate contact' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_name' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_name' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Name</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_phone' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Alternate contact phone #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_relationship' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Relationship</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_alternatecontact_bookingcontact' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Is Alternate contact the appointment booking contact?</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Yes' %}Yes{% endif %}{% if answer.value.display = 'No' %}No{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Unsafe contact persons (do not speak with)</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Unsafe contact persons (do not speak with)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_speakwithpatientdirectly' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Only speak with patient directly</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Only speak with patient directly' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_unsafecontacts_donotspeakwith' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Do not speak with:</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability_selectt' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Accessibility concerns or disability</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Accessibility concerns or disability' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_accessibilityconcernsordisability' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Specific</span> {% for answer in currentItem.answer %}{% if answer.value.code = '129839007' %}Falls risk{% endif %}{% if answer.value.code = '301621006' %}Patient requires lift{% endif %}{% if answer.value.code = '105503008' %}Wheelchair{% endif %}{% if answer.value.code = '15188001' %}Hearing impaired{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %};{% else %}and{% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_specialconsiderations_select' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Special considerations</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'additionalinfo_specialconsiderations' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'additionalinfo_specialconsiderations' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Details of special considerations</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '780152781664' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '780152781664' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Payer Type</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'OHIP' %}OHIP{% endif %}{% if answer.value.display = 'WSIB Case' %}WSIB Case{% endif %}{% if answer.value.display = 'DND' %}DND{% endif %}{% if answer.value.display = 'IFH' %}IFH{% endif %}{% if answer.value.display = 'RAMQ' %}RAMQ{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '273459321091' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '273459321091' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other payer</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '274716928898').exists() %}<span style="font-weight:bold;text-decoration:underline;">Select Exam Request(s)</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '274716928898') %}{% capture childItems %}{% if currentItem.item.where(linkId = '966479448516' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '966479448516' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;">Radiology modality selection</span> {% for answer in currentItem.answer %}{% if answer.value.code = '77477000' %}Computerized axial tomography{% endif %}{% if answer.value.code = '113091000' %}Magnetic resonance imaging{% endif %}{% if answer.value.code = '363680008' %}Radiographic imaging procedure{% endif %}{% if answer.value.code = '16310003' %}Ultrasound Requisition{% endif %}{% if answer.value.code = '241686001' %}Dual energy X-ray absorptiometry (procedure){% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '324277291256').exists() %}<span style="font-weight:bold;">Triage Considerations</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '324277291256') %}{% capture childItems %}{% if currentItem.item.where(linkId = '649843000897' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '649843000897' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Requested Priority</span> {% for answer in currentItem.answer %}{% if answer.value.code = 'routine' %}Routine{% endif %}{% if answer.value.code = 'urgent' %}Urgent{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = '871328372177' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '871328372177' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for urgent triage</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '751330438729').exists() %}<span style="font-weight:bold;text-decoration:underline;">CT Request: Clinical History / Indication</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '751330438729') %}{% capture childItems %}{% if currentItem.item.where(linkId = '573180718837' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '573180718837' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '234264354051').exists() %}<span style="font-weight:bold;text-decoration:underline;">MRI Request: Clinical History / Indication</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '234264354051') %}{% capture childItems %}{% if currentItem.item.where(linkId = '980027687215' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '980027687215' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '674405234837').exists() %}<span style="font-weight:bold;text-decoration:underline;">X-Ray Request: Clinical History / Indication</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '674405234837') %}{% capture childItems %}{% if currentItem.item.where(linkId = '510703120136' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '510703120136' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '536888455666').exists() %}<span style="font-weight:bold;text-decoration:underline;">Ultrasound Request: Clinical History / Indication</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '536888455666') %}{% capture childItems %}{% if currentItem.item.where(linkId = '296349058128' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '296349058128' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '189996950901').exists() %}<span style="font-weight:bold;text-decoration:underline;">BMD Request: Clinical History / Indication</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '189996950901') %}{% capture childItems %}{% if currentItem.item.where(linkId = '799876967585' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '799876967585' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = '351905130587').exists() %}<span style="font-weight:bold;text-decoration:underline;">Supporting Documentation</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = '351905130587') %}{% capture childItems %}{% if currentItem.item.where(linkId = '707642937857' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = '707642937857' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Reason for exam:</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'cpp_header').exists() %}<span style="font-weight:bold;text-decoration:underline;">Cumulative Patient Profile</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'cpp_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'cpp_separate' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_separate' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">CPP attached separately</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'CPP attached separately (if not entered below)' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_currentprob' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_currentprob' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Problem List</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_pastmedicalhistory' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_pastmedicalhistory' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Past Medical History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_currentmedications' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_currentmedications' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Current Medication</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_familyhistory' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_familyhistory' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Family History</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cpp_allergies' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cpp_allergies' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Allergies</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'preferredconsultlocation_header').exists() %}<span style="font-weight:bold;text-decoration:underline;">Preferred Consultant or Location</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'preferredconsultlocation_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_selector' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_selector' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Preferred consultant or location</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Preferred consultant or location' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_specify').exists() %}Please specify either a <b>preferred</b> consultant or location<br/> {% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_specify') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_consultant' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_consultant' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Consultant</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_location' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_location' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Location</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_willingtotravel' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Patient willing to travel for shorter wait time</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Patient willing to travel for shorter wait time' %}Yes{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'preferredconsultlocation_otherconsiderations' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Other</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_header').exists() %}<span style="font-weight:bold;"><b>Supporting Documentation</b><br/>Please attach all <b><span style="text-decoration: underline">relevant</span></b> laboratory and diagnostic investigations.<br/></span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'supportingdocumentation_details' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'supportingdocumentation_details' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="display:none;">Personal Health Information that is medically relevant has not been disclosed at the request of the patient.</span> {% for answer in currentItem.answer %}{% if answer.value.display = 'Personal Health Information that is medically relevant has not been disclosed at the request of the patient.' %}Personal Health Information that is medically relevant has not been disclosed at the request of the patient.{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_attachment' and answer.exists()).exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'supportingdocumentation_attachment' and answer.exists()) %}{% if currentItem.answer.exists() %}Add Attachments {% endif %}{% endfor %}$SEP${% endif %}{% if QuestionnaireResponse.item.where(linkId = 'referrer_header').exists() %}<span style="font-weight:bold;text-decoration:underline;">Referrer's Information</span> {% for currentItem in QuestionnaireResponse.item.where(linkId = 'referrer_header') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'referrer_sitename' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_sitename' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Site Name</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_line1' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_line1' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 1)</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_line2' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_line2' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Address (Line 2)</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_city' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_city' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">City</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_province' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_province' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Province</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_address_postalcode' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_address_postalcode' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Postal Code</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_phone' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_phone' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Phone #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_fax' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_fax' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Fax #</span> {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_billing' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_billing' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Billing Number</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_professionalid' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_professionalid' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Professional ID</span> {% for answer in currentItem.answer %}{{ answer.value.ofType(integer) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_signature' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_signature' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Signed</span> {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'referrer_role' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'referrer_role' and answer.exists()) %}{% if currentItem.answer.exists() %}<span style="font-weight:bold;">Role</span> {% for answer in currentItem.answer %}{% if answer.value.code = '309398001' %}Allied Health Professional{% endif %}{% if answer.value.code = '62247001' %}Family Physician{% endif %}{% if answer.value.code = '449161006' %}Physician Assistant{% endif %}{% if answer.value.code = '398130009' %}Medical Student{% endif %}{% if answer.value.code = '106292003' %}Nurse{% endif %}{% if answer.value.code = '224571005' %}Nurse Practitioner{% endif %}{% if answer.value.code = '405277009' %}Resident{% endif %}{% if answer.value.code = '69280009' %}Specialist{% endif %}{% if answer.value.display = 'Other' %}Other{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% endcapture %}{% assign itemList = childItems || remove_last: '$SEP$' || split: '$SEP$' %}{% for listItem in itemList %}{{ listItem }}{% if forloop.last.not() %}{% if forloop.nextitem %}<br/>{% else %}<br/>{% endif %}{% endif %}{% endfor %}</div>"
}
]
}
],
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
"valueCode": "random"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
}
],
"url": "urn:uuid:ae47a011-027d-43f6-9855-1029fcc0944f",
"version": "1.1.0",
"title": "Medical Imaging - Standardized Provincial Form Template - Splitting Example",
"_title": {
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test short string"
}
]
},
"status": "active",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2026-01-28T21:19:05.195+00:00",
"publisher": "Ontario Health & Amplify Care",
"_description": {
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/core-short-string",
"valueString": "test description"
}
]
},
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166:-2",
"code": "CA-ON"
}
],
"text": "Ontario"
}
],
"effectivePeriod": {
"start": "2025-07-29"
},
"item": [
{
"linkId": "283714301370",
"text": "Please note that screening programs such the Ontario Breast Screening Program (OBSP) and Ontario Lung Screening Program (OLSP) have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please note that screening programs such the <a href=\"https://www.cancercareontario.ca/en/cancer-care-ontario/programs/screening-programs/ontario-breast-obsp\" rel=\"noopener noreferrer\" target=\"_blank\">Ontario Breast Screening Program (OBSP)</a> and <a href=\"https://www.cancercareontario.ca/en/cancer-care-ontario/programs/screening-programs/ontario-lung-screening-program\" rel=\"noopener noreferrer\" target=\"_blank\">Ontario Lung Screening Program (OLSP)</a> have dedicated provincial intake forms and eligibility criteria. Please check program website for referral forms."
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 1
},
{
"url": "text",
"valueString": "Patient Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "patient_header",
"text": "Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Surname"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_surname",
"text": "Surname:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "First Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_firstname",
"text": "First Name:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/entryFormat",
"valueString": "yyyy/MM/dd"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "DOB"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_date_of_birth",
"text": "DOB:",
"type": "date",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Gender"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_gender",
"text": "Gender:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "other",
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "HN PC"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_hc_pc",
"text": "HN PC:",
"type": "string",
"maxLength": 2
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "HN"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_hc_number",
"text": "HN:",
"type": "string",
"maxLength": 10
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 10
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "HN VC"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_hc_vc",
"text": "HN VC:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_address_line1",
"text": "Address (Line 1):",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address Line 2"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_address_line2",
"text": "Address (Line 2):",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "City"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_address_city",
"text": "City:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Province"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_address_province",
"text": "Province:",
"type": "string",
"required": true,
"maxLength": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "postalcode1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9][%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid Canadian postal code in the format A1A 1A1."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Postal Code"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_address_postalcode",
"text": "Postal Code:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_mobile').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Mobile #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_phone_mobile",
"text": "Mobile #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone2"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_home').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Home #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_phone_home",
"text": "Home #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone3"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_phone_business').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Business #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_phone_business",
"text": "Business #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "email1"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='patient_email').answer.all(value.matches('(?:[a-z0-9!#$%&'*+/=?^_`{|}~-]+(?:\\.[a-z0-9!#$%&'*+/=?^_`{|}~-]+)*|\\\"(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21\\x23-\\x5b\\x5d-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])*\\\")@(?:(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?|\\\\[(?:(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9]))\\\\.){3}(?:(2(5[0-5]|[0-4][0-9])|1[0-9][0-9]|[1-9]?[0-9])|[a-z0-9-]*[a-z0-9]:(?:[\\x01-\\x08\\x0b\\x0c\\x0e-\\x1f\\x21-\\x5a\\x53-\\x7f]|\\\\[\\x01-\\x09\\x0b\\x0c\\x0e-\\x7f])+)\\])'))"
}
},
{
"url": "human",
"valueString": "Please enter a valid email address."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Email"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "patient_email",
"text": "Email:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 2
},
{
"url": "text",
"valueString": "[Optional] Additional Patient Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_header",
"text": "[Optional] Additional Patient Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Sex assigned at birth"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_sexassignedatbirth",
"text": "Sex assigned at birth:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
},
{
"valueCoding": {
"display": "Intersex"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4489-6",
"display": "Unknown"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Pronouns"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_pronouns",
"text": "Pronouns:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29519-8",
"display": "She/Her"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29518-0",
"display": "He/Him"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA29519-8",
"display": "They/Them"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other Pronouns"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_pronouns_other",
"text": "Other pronouns:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_pronouns",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred language"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredlanguage",
"text": "Preferred language:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English"
}
},
{
"valueCoding": {
"system": "urn:ietf:bcp:47",
"code": "fr",
"display": "French"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Specify"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredlanguage_specify",
"text": "Specify:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_preferredlanguage",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Translator required"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredlanguage_translatorrequired",
"text": "Translator required",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_preferredlanguage",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Translator Required"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredname_select",
"text": "Preferred name",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Preferred Name"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred Name:"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_preferredname",
"text": "Prefered name String",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_preferredname_select",
"operator": "=",
"answerCoding": {
"display": "Preferred Name"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Best method of contact"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_bestmethodofcontact",
"text": "Best method of contact:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Mobile"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Home"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "phone",
"display": "Business"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/contact-point-system",
"code": "email",
"display": "Email"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Voicemails acceptable"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId = 'additionalinfo_bestmethodofcontact').answer.value.where(display.lower() = 'home' or display.lower() = 'mobile' or display.lower() = 'business').exists()"
}
}
],
"linkId": "additionalinfo_bestmethodofcontact_voicemails",
"text": "Voicemails acceptable",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"enableBehavior": "any",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": " Voicemails acceptable"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Alternate contact"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_select",
"text": "Alternate contact",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Alternate contact"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_name",
"text": "Name:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone4"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='additionalinfo_alternatecontact_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Alternate contact phone #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_phone",
"text": "Alternate contact phone #:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Relationship"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_relationship",
"text": "Relationship:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Is Alternate contact the appointment booking contact?"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_alternatecontact_bookingcontact",
"text": "Is Alternate contact the appointment booking contact?:",
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_alternatecontact_select",
"operator": "=",
"answerCoding": {
"display": "Alternate contact"
}
}
],
"enableBehavior": "all",
"answerOption": [
{
"valueCoding": {
"display": "Yes"
}
},
{
"valueCoding": {
"display": "No"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Unsafe contact persons (do not speak with)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_select",
"text": "Unsafe contact persons (do not speak with)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Only speak with patient directly"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_speakwithpatientdirectly",
"text": "Only speak with patient directly",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_unsafecontacts_select",
"operator": "=",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
],
"enableBehavior": "all",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"valueCoding": {
"display": "Only speak with patient directly"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Do not speak with:"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_unsafecontacts_donotspeakwith",
"text": "Do not speak with:",
"type": "string",
"enableWhen": [
{
"question": "additionalinfo_unsafecontacts_select",
"operator": "=",
"answerCoding": {
"display": "Unsafe contact persons (do not speak with)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Accessibility concerns or disability"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_accessibilityconcernsordisability_selectt",
"text": "Accessibility concerns or disability",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Accessibility concerns or disability"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Specific"
},
{
"url": "listSeparator",
"valueString": ";"
},
{
"url": "lastSeparator",
"valueString": "and"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "additionalinfo_accessibilityconcernsordisability",
"text": "Accessibility concerns Options",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
},
"type": "choice",
"enableWhen": [
{
"question": "additionalinfo_accessibilityconcernsordisability_selectt",
"operator": "=",
"answerCoding": {
"display": "Accessibility concerns or disability"
}
}
],
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "129839007",
"display": "Falls risk"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "301621006",
"display": "Patient requires lift"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "105503008",
"display": "Wheelchair"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "15188001",
"display": "Hearing impaired"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Special considerations"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_specialconsiderations_select",
"text": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Details of special considerations"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "additionalinfo_specialconsiderations",
"text": "Details of special considerations:",
"type": "text",
"enableWhen": [
{
"question": "additionalinfo_specialconsiderations_select",
"operator": "=",
"answerCoding": {
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
}
}
],
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Payer Type"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "780152781664",
"text": "Payer Type",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"display": "OHIP"
},
"initialSelected": true
},
{
"valueCoding": {
"display": "WSIB Case"
}
},
{
"valueCoding": {
"display": "DND"
}
},
{
"valueCoding": {
"display": "IFH"
}
},
{
"valueCoding": {
"display": "RAMQ"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other payer"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "273459321091",
"text": "Other",
"type": "string",
"enableWhen": [
{
"question": "780152781664",
"operator": "=",
"answerCoding": {
"display": "Other"
}
}
],
"enableBehavior": "all"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "list",
"display": "List"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 3
},
{
"url": "text",
"valueString": "Select Exam Request(s)"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "274716928898",
"text": "Select Exam Request(s)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;color:#202035;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "966479448516",
"text": "Radiology modality selection",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"required": true,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasound Requisition"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 4
},
{
"url": "text",
"valueString": "Triage Considerations"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "324277291256",
"text": "Triage Considerations Information appear on summary note for ALL child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Triage Considerations </b>Information appear on summary note for ALL child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasonography"
}
},
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
],
"enableBehavior": "any",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Requested Priority",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "<strong>Requested Priority</strong>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "649843000897",
"text": "Requested Priority:",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "routine",
"display": "Routine"
},
"initialSelected": true
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Urgent"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for urgent triage"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "871328372177",
"text": "Reason for urgent triage",
"type": "string",
"enableWhen": [
{
"question": "649843000897",
"operator": "=",
"answerCoding": {
"system": "http://hl7.org/fhir/request-priority",
"code": "urgent",
"display": "Urgent"
}
}
],
"enableBehavior": "all",
"required": true
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 5
},
{
"url": "text",
"valueString": "CT Request: Clinical History / Indication"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "751330438729",
"text": "CT Request: Clinical History / Indication - Information appear on summary note for CT child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>CT Request: Clinical History / Indication</b> - Information appear on summary note for CT child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "77477000",
"display": "Computerized axial tomography"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "573180718837",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 6
},
{
"url": "text",
"valueString": "MRI Request: Clinical History / Indication"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "234264354051",
"text": "MRI Request: Clinical History / Indication - Information appear on summary note for MRI child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>MRI Request: Clinical History / Indication</b> - Information appear on summary note for MRI child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "113091000",
"display": "Magnetic resonance imaging"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "980027687215",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 7
},
{
"url": "text",
"valueString": "X-Ray Request: Clinical History / Indication"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "674405234837",
"text": "X-Ray Request: Clinical History / Indication - Information appear on summary note for XRAY child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>X-Ray Request: Clinical History / Indication</b> - Information appear on summary note for XRAY child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "363680008",
"display": "Radiographic imaging procedure"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "510703120136",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 8
},
{
"url": "text",
"valueString": "Ultrasound Request: Clinical History / Indication"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "536888455666",
"text": "Ultrasound Request: Clinical History / Indication - Information appear on summary note for Ultrasound child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Ultrasound Request: Clinical History / Indication</b> - Information appear on summary note for Ultrasound child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "16310003",
"display": "Ultrasonography"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "296349058128",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 9
},
{
"url": "text",
"valueString": "BMD Request: Clinical History / Indication"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "189996950901",
"text": "BMD Request: Clinical History / Indication - Information appear on summary note for BMD child referrals",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>BMD Request: Clinical History / Indication</b> - Information appear on summary note for BMD child referrals"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "966479448516",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "241686001",
"display": "Dual energy X-ray absorptiometry (procedure)"
}
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "799876967585",
"text": "Reason for exam (please also include presenting symptom(s), relevant underlying diagnosis and therapies, where applicable)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 10
},
{
"url": "text",
"valueString": "Supporting Documentation"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "351905130587",
"text": "Supporting Documentation",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Reason for exam:"
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "707642937857",
"text": "Previous Relevant Imaging (if applicable)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Previous Relevant Imaging<i> (if applicable)</i>"
}
]
},
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 11
},
{
"url": "text",
"valueString": "Cumulative Patient Profile"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "cpp_header",
"text": "Cumulative Patient Profile Please delete any sensitive information you do not intend to share from the CPP",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Cumulative Patient Profile<br/><i>Please delete any sensitive information you do not intend to share from the CPP</i>"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "CPP attached separately"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_separate",
"text": "CPP attached separately (if not entered below)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Current Problem List"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_currentprob",
"code": [
{
"system": "http://snomed.info/sct",
"code": "55607006",
"display": "Problem"
}
],
"text": "Current Problem List:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Past Medical History"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_pastmedicalhistory",
"code": [
{
"system": "http://snomed.info/sct",
"code": "417662000",
"display": "History of clinical finding in subject"
}
],
"text": "Past Medical History:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Current Medication"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_currentmedications",
"code": [
{
"system": "http://snomed.info/sct",
"code": "129019007",
"display": "Taking medication"
}
],
"text": "Current Medications:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Family History"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_familyhistory",
"code": [
{
"system": "http://snomed.info/sct",
"code": "57177007",
"display": "Family history with explicit context"
}
],
"text": "Family History:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Allergies"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "cpp_allergies",
"code": [
{
"system": "http://snomed.info/sct",
"code": "609328004",
"display": "Allergic disposition"
}
],
"text": "Allergies:",
"type": "text",
"enableWhen": [
{
"question": "cpp_separate",
"operator": "!=",
"answerCoding": {
"display": "CPP attached separately (if not entered below)"
}
}
],
"enableBehavior": "all"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 12
},
{
"url": "text",
"valueString": "Preferred Consultant or Location"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "preferredconsultlocation_header",
"text": "Preferred Consultant or Location All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Preferred Consultant or Location</b><br/>All patients will be triaged to the shortest wait time unless a preferred consultant or location is entered."
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Preferred consultant or location"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
}
],
"linkId": "preferredconsultlocation_selector",
"text": "Preferred consultant or location",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Preferred consultant or location"
}
}
]
},
{
"linkId": "preferredconsultlocation_specify",
"text": "Please specify either a preferred consultant or location",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Please specify either a <b>preferred</b> consultant or location"
}
]
},
"type": "group",
"enableWhen": [
{
"question": "preferredconsultlocation_selector",
"operator": "=",
"answerCoding": {
"display": "Preferred consultant or location"
}
}
],
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Consultant"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_consultant",
"text": "Consultant:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Location"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_location",
"text": "Location:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Patient willing to travel for shorter wait time"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_willingtotravel",
"text": "Patient willing to travel for shorter wait time",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/option-note-info",
"extension": [
{
"url": "text",
"valueString": "Yes"
}
]
}
],
"valueCoding": {
"display": "Patient willing to travel for shorter wait time"
}
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "preferredconsultlocation_otherconsiderations",
"text": "Other considerations:",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 13
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_header",
"text": "Supporting Documentation Please attach all relevant laboratory and diagnostic investigations.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<b>Supporting Documentation</b><br/>Please attach all <b><span style=\"text-decoration: underline\">relevant</span></b> laboratory and diagnostic investigations."
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check-box"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "horizontal"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_details",
"text": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "display:none;"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/gif"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/bmp"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "video/mp4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/csv"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/jpeg"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/png"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "text/plain"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mp4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "audio/mpeg"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "image/tiff"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 1024000
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 14
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
}
]
}
],
"linkId": "supportingdocumentation_attachment",
"text": "Add Attachments",
"type": "attachment"
},
{
"linkId": "feedbacksurvey_universal",
"text": "Click here to provide feedback on this form",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<a href=\"https://www.surveymonkey.com/r/universalSRF\" rel=\"noopener noreferrer\" target=\"_blank\">Click here to provide feedback on this form</a>"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "sortIndex",
"valuePositiveInt": 15
},
{
"url": "text",
"valueString": "Referrer's Information"
},
{
"url": "listSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "lastSeparator",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<br/>"
}
]
}
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
},
{
"url": "groupItems",
"valueBoolean": false
}
]
}
],
"linkId": "referrer_header",
"text": "Referrer's Information",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Site Name"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_sitename",
"text": "Site Name:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address (Line 1)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_address_line1",
"text": "Address (Line 1):",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Address (Line 2)"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_address_line2",
"text": "Address (Line 2):",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "City"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_address_city",
"text": "City:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Province"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_address_province",
"text": "Province:",
"type": "string",
"required": true,
"maxLength": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "postalcode2"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_address_postalcode').answer.all(value.matches('^(?!.*[DFIOQU])[A-VXY][0-9][A-Z] ?[0-9][A-Z][0-9][%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Must be a valid Canadian postal code"
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Postal Code"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_address_postalcode",
"text": "Postal Code:",
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone5"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_phone').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Phone #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_phone",
"text": "Phone #:",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "phone6"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "expression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='referrer_fax').answer.all(value.matches('^(\\+\\d{1,2}\\s?)?\\(?\\d{3}\\)?[\\s.-]?\\d{3}[\\s.-]?\\d{4}[%content%]#39;))"
}
},
{
"url": "human",
"valueString": "Please enter a valid north-american phone number. e.g. XXX-XXX-XXXX."
}
]
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Fax #"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_fax",
"text": "Fax #:",
"type": "string"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Billing Number"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_billing",
"text": "Billing Number:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Professional ID"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_professionalid",
"text": "Professional ID:",
"type": "integer"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Signed"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_signature",
"text": "Signed:",
"type": "text",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer",
"valueUrl": "https://tx.fhir.org/r4"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Role"
},
{
"url": "sameLine",
"valueBoolean": false
},
{
"url": "quoteAnswer",
"valueBoolean": false
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "referrer_role",
"text": "Role:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "309398001",
"display": "Allied Health Professional"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "62247001",
"display": "Family Physician"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "449161006",
"display": "Physician Assistant"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398130009",
"display": "Medical Student"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "106292003",
"display": "Nurse"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "224571005",
"display": "Nurse Practitioner"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "405277009",
"display": "Resident"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "69280009",
"display": "Specialist"
}
},
{
"valueCoding": {
"display": "Other"
}
}
]
}
]
}
]
}