FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | Questionnaire |
| Id | carefirst_family_hea.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.1.0-snapshot1&canonical=http://ontariohealth.ca/legacy/Questionnaire/carefirst-family-hea |
| URL | http://ontariohealth.ca/legacy/Questionnaire/carefirst-family-hea |
| Version | 1.1.0 |
| Status | active |
| Title | Carefirst Family Health Team Diabetes Education Program (DEP) eReferral Form [FINAL SEPT 2022] |
| Realm | ca |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "carefirst-family-hea",
"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 = 'questionnaire').exists() %}{% for currentItem in QuestionnaireResponse.item.where(linkId = 'questionnaire') %}<span style="font-style:italic;">* indicates required field</span><br/>{% capture childItems %}{% if currentItem.item.where(linkId = 'section54392738').exists() %}<span style="font-weight:bold;text-decoration:underline;">Additional Patient Information<br/></span> {% for currentItem in currentItem.item.where(linkId = 'section54392738') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'ax_language' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'ax_language' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{% if answer.value.code = 'English' %}English{% endif %}{% if answer.value.code = 'Cantonese' %}Cantonese{% endif %}{% if answer.value.code = 'Mandarin' %}Mandarin{% endif %}{% if forloop.last.not() %}{% if forloop.nextitem %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endcapture %}Language: {{answer}}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item66127845' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item66127845' and answer.exists()) %}{% if currentItem.answer.exists() %}Preferred Site: {% for answer in currentItem.answer %}{% if answer.value.code = 'No Preference' %}No Preference{% endif %}{% if answer.value.code = 'Richmond Hill' %}Richmond Hill{% endif %}{% if answer.value.code = 'Scarborough' %}Scarborough{% 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 %}<br/><span/>{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'patientInformationSection').exists() %}<span style="font-weight:bold;text-decoration:underline;">Referral Information</span> {% for currentItem in currentItem.item.where(linkId = 'patientInformationSection') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'diabetesType' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'diabetesType' and answer.exists()) %}{% if currentItem.answer.exists() %}Diabetes Type: {% for answer in currentItem.answer %}{% if answer.value.code = 'Type 2 Diabetes' %}Type 2 Diabetes{% endif %}{% if answer.value.code = 'Pre-Diabetes' %}Pre-Diabetes{% endif %}{% if answer.value.code = 'At Risk' %}At Risk{% endif %}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'diagnosisAcuity' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'diagnosisAcuity' and answer.exists()) %}{% if currentItem.answer.exists() %}Duration of diagnosis: {% for answer in currentItem.answer %}{% if answer.value.code = 'New (&lt;6 months)' %}New (&lt;6 months){% endif %}{% if answer.value.code = 'Established (&gt;6 months)' %}Established (&gt;6 months){% endif %}{% endfor %}{% endif %}{% endfor %}<br/><span/>$SEP${% 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 = 'section25948514').exists() %}<span style="font-weight:bold;text-decoration:underline;">Service(s) Requested/Reason for Referral</span> {% for currentItem in currentItem.item.where(linkId = 'section25948514') %}<span style="font-style:italic;">Select all that apply:</span><br/>{% capture childItems %}{% if currentItem.item.where(linkId = 'item76597097' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item76597097' and answer.exists(value.ofType(boolean)=true)) %}Nutrition and Lifestyle Counselling{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item93032788' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93032788' and answer.exists(value.ofType(boolean)=true)) %}Foot Screening{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item84430472' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item84430472' and answer.exists(value.ofType(boolean)=true)) %}Glucometer/ Flash Glucose Monitoring System Teaching{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item90036939' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item90036939' and answer.exists(value.ofType(boolean)=true)) %}Insulin Initiation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section69126798').exists() %}<span/> {% for currentItem in currentItem.item.where(linkId = 'section69126798') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item49066272' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49066272' and answer.exists()) %}{% if currentItem.answer.exists() %}Insulin Type: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item2940501' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item2940501' and answer.exists()) %}{% if currentItem.answer.exists() %}Insulin dose and time: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='item49444401').answer.empty() %}<br/>{% if %resource.repeat(item).where(linkId='item49444401').answer.empty() %}Diabetes educator to teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate.{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item49444401' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item49444401' and answer.exists()) %}{% if currentItem.answer.exists() %}Comments: {% 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 currentItem.item.where(linkId = 'item88820032' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item88820032' and answer.exists(value.ofType(boolean)=true)) %}Insulin Review{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section84443654').exists() %}<span/> {% for currentItem in currentItem.item.where(linkId = 'section84443654') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item86370967' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item86370967' and answer.exists()) %}{% if currentItem.answer.exists() %}Insulin type: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item15694571' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item15694571' and answer.exists()) %}{% if currentItem.answer.exists() %}Insulin dose and time: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}{% if %resource.repeat(item).where(linkId='item46409807').answer.empty() %}<br/>{% if %resource.repeat(item).where(linkId='item46409807').answer.empty() %}Diabetes educator to teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate.{% endif %}{% endif %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item46409807' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item46409807' and answer.exists()) %}{% if currentItem.answer.exists() %}Comments: {% 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 currentItem.item.where(linkId = 'item93616553' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item93616553' and answer.exists(value.ofType(boolean)=true)) %}GLP-1 Initiation{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section12645338').exists() %}<span/> {% for currentItem in currentItem.item.where(linkId = 'section12645338') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item65502346' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item65502346' and answer.exists()) %}{% if currentItem.answer.exists() %}Type: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98682076' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98682076' and answer.exists()) %}{% if currentItem.answer.exists() %}Dose &amp; Time: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item92523489' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item92523489' and answer.exists()) %}{% if currentItem.answer.exists() %}Comments: {% 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 currentItem.item.where(linkId = 'item91333221' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item91333221' and answer.exists(value.ofType(boolean)=true)) %}GLP-1 Review{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section89575935').exists() %}<span/> {% for currentItem in currentItem.item.where(linkId = 'section89575935') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item42590803' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item42590803' and answer.exists()) %}{% if currentItem.answer.exists() %}Type: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item82165747' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item82165747' and answer.exists()) %}{% if currentItem.answer.exists() %}Dose &amp; Time: {% for answer in currentItem.answer %}{{ answer.value.extension('').extension('').value.ofType(string) }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68490745' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68490745' and answer.exists()) %}{% if currentItem.answer.exists() %}Comments: {% 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 currentItem.item.where(linkId = 'item61998839' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item61998839' and answer.exists(value.ofType(boolean)=true)) %}Referral to Social Worker at Carefirst Diabetes Education Program{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item4180826' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item4180826' and answer.exists(value.ofType(boolean)=true)) %}Endocrinologist Consult (if available on site){% 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 %}<br/><span/>{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section89867293').exists() %}<span style="font-weight:bold;text-decoration:underline;">Clinical Information<br/></span> {% for currentItem in currentItem.item.where(linkId = 'section89867293') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'section43618734').exists() %}<span style="font-weight:bold;">Relevant Medical History<br/></span> {% for currentItem in currentItem.item.where(linkId = 'section43618734') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item91541128' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item91541128' and answer.exists(value.ofType(boolean)=true)) %}Hypertension{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item6554969' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item6554969' and answer.exists(value.ofType(boolean)=true)) %}Nephropathy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item50650995' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item50650995' and answer.exists(value.ofType(boolean)=true)) %}Dyslipidemia{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item77998616' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item77998616' and answer.exists(value.ofType(boolean)=true)) %}Exercise restrictions{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item98913171' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item98913171' and answer.exists(value.ofType(boolean)=true)) %}CAD{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item74309838' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item74309838' and answer.exists(value.ofType(boolean)=true)) %}Retinopathy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89731593' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89731593' and answer.exists(value.ofType(boolean)=true)) %}Obesity{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item13585452' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item13585452' and answer.exists(value.ofType(boolean)=true)) %}PAD{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item38016186' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item38016186' and answer.exists(value.ofType(boolean)=true)) %}Neuropathy{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item42057249' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item42057249' and answer.exists(value.ofType(boolean)=true)) %}Foot problems{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'cm_mentalHealth' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'cm_mentalHealth' and answer.exists()) %}{% if currentItem.answer.exists() %}Psychosocial: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'hxOther' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'hxOther' and answer.exists()) %}{% if currentItem.answer.exists() %}Other: {% 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 %}; {% else %}; {% endif %}{% endif %}{% endfor %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section83252400').exists() %}<span style="font-weight:bold;">Current Medications</span> {% for currentItem in currentItem.item.where(linkId = 'section83252400') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item68855638' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68855638' and answer.exists(value.ofType(boolean)=true)) %}None{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section50744744').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section50744744') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item30369286' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item30369286' and answer.exists(value.ofType(boolean)=true)) %}Oral Hypoglycemic Agents{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item17146365' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item17146365' and answer.exists(value.ofType(boolean)=true)) %}ACEi/ARB{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item89954867' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89954867' and answer.exists(value.ofType(boolean)=true)) %}Statin{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item91202442' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item91202442' and answer.exists(value.ofType(boolean)=true)) %}Insulin/GLP-1 analog{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item28596480' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item28596480' and answer.exists()) %}{% if currentItem.answer.exists() %}{% capture answer %}{% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endcapture %}Other: {{answer}}{% 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 %}{% 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 %}<br/><span/>{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section61428617').exists() %}<span style="font-weight:bold;text-decoration:underline;">Cumulative Patient Profile<br/></span> {% for currentItem in currentItem.item.where(linkId = 'section61428617') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'CPPAttachment' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'CPPAttachment' and answer.exists(value.ofType(boolean)=true)) %}CPP Attached Separately{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section58148321').exists() %}{% for currentItem in currentItem.item.where(linkId = 'section58148321') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'prob' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'prob' and answer.exists()) %}{% if currentItem.answer.exists() %}Current Problems: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item19532475' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item19532475' and answer.exists()) %}{% if currentItem.answer.exists() %}Allergies: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'rx' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'rx' and answer.exists()) %}{% if currentItem.answer.exists() %}Current Medications: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'pmhx' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'pmhx' and answer.exists()) %}{% if currentItem.answer.exists() %}Past Medical History: {% for answer in currentItem.answer %}{{ answer.value }}{% endfor %}{% endif %}{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'item68613367' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item68613367' and answer.exists()) %}{% if currentItem.answer.exists() %}Family History: {% 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 %}{% 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 %}<br/><span/>{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section55489124').exists() %}Additional Information / Comments: {% for currentItem in currentItem.item.where(linkId = 'section55489124') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item35752766' and answer.exists()).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item35752766' and answer.exists()) %}{% if currentItem.answer.exists() %} {% 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 %}<br/><span/>{% endfor %}$SEP${% endif %}{% if currentItem.item.where(linkId = 'section79119148').exists() %}<span style="font-weight:bold;text-decoration:underline;">Supporting Documentation<br/></span> {% for currentItem in currentItem.item.where(linkId = 'section79119148') %}{% capture childItems %}{% if currentItem.item.where(linkId = 'item89395197' and answer.exists(value.ofType(boolean)=true)).exists() %}{% for currentItem in currentItem.item.where(linkId = 'item89395197' and answer.exists(value.ofType(boolean)=true)) %}Lab report including <b><span style="text-decoration:underline;">A1C</span></b> completed within the last 3-6 months, and <b><span style="text-decoration:underline;">latest lipid profile, renal function and ACR</span></b> attached{% 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 %}{% 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://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension": [
{
"url": "name",
"valueCoding": {
"system": "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext",
"code": "patient"
}
},
{
"url": "type",
"valueCode": "Patient"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "query-ips",
"language": "application/x-fhir-query",
"expression": "Bundle?composition.patient={{%patient.id}}&composition.code=http%3A//loinc.org|60591-5&composition.status=final,ammended&_sort=-composition.date&_count=1"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.allg",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='48765-2')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.pmhx",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='47519-4')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptLanguage",
"language": "text/fhirpath",
"expression": "%patient.communication.where(preferred='true').language.select(text | coding.display).first()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.prob",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='11450-4')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.rx",
"language": "text/fhirpath",
"expression": "%`query-ips`.entry.resource.first().section.where(code.coding.exists(code='http%3A//loinc.org' and code='46264-8')).text.div"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "query-ptCpp.fhx",
"language": "application/x-fhir-query",
"expression": "Observation?patient={{%patient.id}}&code=http%3A//loinc.org|10157-6&status=final,ammended&_sort=-date&_count=1"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "var-ptCpp.fhx",
"language": "text/fhirpath",
"expression": "%`query-ptCpp.fhx`.entry.resource.ofType(Observation).first().value"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/sdc-responseRenderingLiquid",
"valueReference": {
"reference": "#liquid"
}
}
],
"url": "http://ontariohealth.ca/legacy/Questionnaire/carefirst-family-hea",
"version": "1.1.0",
"title": "Carefirst Family Health Team Diabetes Education Program (DEP) eReferral Form [FINAL SEPT 2022]",
"status": "active",
"experimental": true,
"subjectType": [
"Patient"
],
"useContext": [
{
"code": {
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code": "topic"
},
"valueCodeableConcept": {
"text": "referral diabetes"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "questionnaire",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Community Diabetes Education Programs of Ottawa Referral Form"
}
]
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "* indicates required field"
},
{
"url": "style",
"valueString": "font-style:italic;"
}
]
}
],
"linkId": "item84851356",
"text": "* Indicates required field",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "* indicates required field",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "* indicates required field"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;font-style:italic;"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section54392738",
"text": "Additional Patient Information",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptLanguage`"
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Language: {{answer}}"
}
]
}
],
"linkId": "ax_language",
"text": "Language (select all that apply):",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Language <i>(select all that apply)</i>:"
}
]
},
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_ax_language",
"code": "English",
"display": "English"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_ax_language",
"code": "Cantonese",
"display": "Cantonese"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_ax_language",
"code": "Mandarin",
"display": "Mandarin"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "vertical"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
"code": "push-button"
}
]
}
}
],
"linkId": "item66127845",
"text": "Preferred Site:",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_item66127845",
"code": "No Preference",
"display": "No Preference"
},
"initialSelected": true
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_item66127845",
"code": "Richmond Hill",
"display": "Richmond Hill"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_item66127845",
"code": "Scarborough",
"display": "Scarborough"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item64299713",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Referral Information"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "patientInformationSection",
"text": "Referral Information",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Diabetes Type:"
}
]
}
],
"linkId": "diabetesType",
"text": "Diagnosis:",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_diabetesType",
"code": "Type 2 Diabetes",
"display": "Type 2 Diabetes"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_diabetesType",
"code": "Pre-Diabetes",
"display": "Pre-Diabetes"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_diabetesType",
"code": "At Risk",
"display": "At Risk"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://ontariohealth.ca/fhir/eforms/CodeSystem/item-controls",
"code": "push-button"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Duration of diagnosis:"
}
]
}
],
"linkId": "diagnosisAcuity",
"text": "Duration of Diagnosis:",
"type": "choice",
"required": true,
"repeats": false,
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_diagnosisAcuity",
"code": "New (<6 months)",
"display": "New (<6 months)"
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"system": "http://ontariohealth.ca/legacy/CodeSystem/carefirst-family-hea_diagnosisAcuity",
"code": "Established (>6 months)",
"display": "Established (>6 months)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item67223917",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/targetConstraint",
"extension": [
{
"url": "key",
"valueId": "item77678973"
},
{
"url": "severity",
"valueCode": "error"
},
{
"url": "human",
"valueString": "Please obey rules specified in instructions"
},
{
"url": "expression",
"valueExpression": {
"description": "ScriptUtil.percentComplete( section25948514 ) != 0",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='section25948514').select(item.where(linkId='item77678973').exists(answer) | item.where(linkId='item93616553').exists(answer) | item.where(linkId='section69126798').exists(answer) | item.where(linkId='item84430472').exists(answer) | item.where(linkId='item88820032').exists(answer) | item.where(linkId='item69855718').exists(answer) | item.where(linkId='item90036939').exists(answer) | item.where(linkId='section89575935').exists(answer) | item.where(linkId='section12645338').exists(answer) | item.where(linkId='item76597097').exists(answer) | item.where(linkId='item91333221').exists(answer) | item.where(linkId='item4180826').exists(answer) | item.where(linkId='item61998839').exists(answer) | item.where(linkId='section84443654').exists(answer) | item.where(linkId='item93032788').exists(answer)).count() * 100 / 15 != 0"
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Service(s) Requested/Reason for Referral"
},
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section25948514",
"text": "Service(s) Requested/Reason for Referral *",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Service(s) Requested"
}
]
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "Select all that apply:"
},
{
"url": "style",
"valueString": "font-style:italic;"
}
]
}
],
"linkId": "item77678973",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Select all that apply:",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Select all that apply:"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-style:italic;"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item76597097",
"text": "Nutrition and Lifestyle Counselling",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item93032788",
"text": "Foot Screening",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Diabetes Education and Support",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Diabetes Education and Support"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item84430472",
"text": "Glucometer/ Flash Glucose Monitoring System Teaching",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item90036939",
"text": "Insulin Initiation",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin Initiation",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Insulin Initiation"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "section69126798",
"text": "Request Details",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Request Details"
}
]
}
]
},
"type": "group",
"enableWhen": [
{
"question": "item90036939",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Insulin Type:"
}
]
}
],
"linkId": "item49066272",
"text": "Insulin type:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin type:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Insulin dose and time:"
}
]
}
],
"linkId": "item2940501",
"text": "Insulin dose and time:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin dose and time:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "item49444401.r == ''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item49444401').answer.empty()"
}
},
{
"url": "text",
"valueString": "Diabetes educator to teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate."
}
]
}
],
"linkId": "item57740093",
"text": "Unless indicated below, the diabetes educator will teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Adjust insulin dose up to 10% to achieve Diabetes Canada glycemic targets of ac 4-7 mmol/L and pc 5-10 mmol/L"
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "display"
},
{
"linkId": "item49444401",
"text": "Comments:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Adjust insulin dose to individual target of:"
}
]
}
]
},
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item88820032",
"text": "Insulin Review",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin Adjustment",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Insulin Adjustment"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "section84443654",
"text": "Request Details",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Request Details"
}
]
}
]
},
"type": "group",
"enableWhen": [
{
"question": "item88820032",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Insulin type:"
}
]
}
],
"linkId": "item86370967",
"text": "Insulin type:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin type:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Insulin dose and time:"
}
]
}
],
"linkId": "item15694571",
"text": "Insulin dose and time:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Insulin dose and time:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "item46409807.r == ''",
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId='item46409807').answer.empty()"
}
},
{
"url": "text",
"valueString": "Diabetes educator to teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate."
}
]
}
],
"linkId": "item3478785",
"text": "Unless indicated below, the diabetes educator will teach patient: insulin dose adjustment by 1-2 units or 10-20% of total daily dose as appropriate.",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "display"
},
{
"linkId": "item46409807",
"text": "Comments:",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item93616553",
"text": "GLP-1 Initiation",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "GLP-1 Initiation / Adjustment",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "GLP-1 Initiation / Adjustment"
}
]
}
}
]
},
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "section12645338",
"text": "Request Details",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Request Details"
}
]
}
]
},
"type": "group",
"enableWhen": [
{
"question": "item93616553",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item65502346",
"text": "Type:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Type:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"linkId": "item98682076",
"text": "Dose & Time:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Dose:"
}
]
}
]
},
"type": "string",
"required": true
},
{
"linkId": "item92523489",
"text": "Comments:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Titration orders:"
}
]
}
]
},
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item91333221",
"text": "GLP-1 Review",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:grey;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "section89575935",
"text": "Request Details",
"type": "group",
"enableWhen": [
{
"question": "item91333221",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"linkId": "item42590803",
"text": "Type:",
"type": "string",
"required": true
},
{
"linkId": "item82165747",
"text": "Dose & Time:",
"type": "string",
"required": true
},
{
"linkId": "item68490745",
"text": "Comments:",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item61998839",
"text": "Referral to Social Worker at Carefirst Diabetes Education Program",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item4180826",
"text": "Endocrinologist Consult (if available on site)",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-weight:bold;"
}
]
},
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item69855718",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section89867293",
"text": "Clinical Information",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;"
},
{
"url": "listSeparator",
"valueString": "; "
}
]
}
],
"linkId": "section43618734",
"text": "Relevant Medical History",
"type": "group",
"item": [
{
"linkId": "item10352871",
"text": "Select all that apply:",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "font-style:italic;"
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item91541128",
"text": "Hypertension",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item6554969",
"text": "Nephropathy",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item50650995",
"text": "Dyslipidemia",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item77998616",
"text": "Exercise restrictions",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item98913171",
"text": "CAD",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item74309838",
"text": "Retinopathy",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item89731593",
"text": "Obesity",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item13585452",
"text": "PAD",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item38016186",
"text": "Neuropathy",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item42057249",
"text": "Foot problems",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item45647160",
"text": "Psychosocial",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Psychosocial:"
}
]
}
],
"linkId": "cm_mentalHealth",
"text": "Specify Psychosocial:",
"type": "text",
"enableWhen": [
{
"question": "item45647160",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item13680254",
"text": "Other",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other:"
}
]
}
],
"linkId": "hxOther",
"text": "Specify Other:",
"type": "text",
"enableWhen": [
{
"question": "item13680254",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true
}
]
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Current Medications"
},
{
"url": "style",
"valueString": "font-weight:bold;"
}
]
}
],
"linkId": "section83252400",
"text": "Current Medications *",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item68855638",
"text": "None",
"type": "boolean"
},
{
"linkId": "section50744744",
"type": "group",
"enableWhen": [
{
"question": "item68855638",
"operator": "!=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item30369286",
"text": "Oral Hypoglycemic Agents",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item17146365",
"text": "ACEi/ARB",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item89954867",
"text": "Statin",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item91202442",
"text": "Insulin/GLP-1 analog",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "item98391879",
"text": "Other",
"type": "boolean"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "text",
"valueString": "Other: {{answer}}"
}
]
}
],
"linkId": "item28596480",
"text": "Details:",
"type": "text",
"enableWhen": [
{
"question": "item98391879",
"operator": "=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"required": true
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item62682819",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section61428617",
"text": "Cumulative Patient Profile",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "CPPAttachment",
"text": "CPP Attached Separately",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/question-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"_valueString": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "<span/>"
}
]
}
}
]
}
],
"linkId": "CPPRemoved",
"text": "Do not send CPP",
"type": "boolean"
},
{
"linkId": "section58148321",
"type": "group",
"enableWhen": [
{
"question": "CPPAttachment",
"operator": "!=",
"answerBoolean": true
},
{
"question": "CPPRemoved",
"operator": "!=",
"answerBoolean": true
}
],
"enableBehavior": "all",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.prob`"
}
}
],
"linkId": "prob",
"text": "Current Problems:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.allg`"
}
}
],
"linkId": "item19532475",
"text": "Allergies:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.rx`"
}
}
],
"linkId": "rx",
"text": "Current Medications:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.pmhx`"
}
}
],
"linkId": "pmhx",
"text": "Past Medical History:",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%`var-ptCpp.fhx`"
}
}
],
"linkId": "item68613367",
"text": "Family History:",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item35858285",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "text",
"valueString": "Additional Information / Comments:"
}
]
}
],
"linkId": "section55489124",
"text": "Additional Information / Comments",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Additional Comments / Special Instructions"
}
]
}
]
},
"type": "group",
"item": [
{
"linkId": "item35752766",
"type": "text"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "text",
"valueString": "#blank_line#"
}
]
}
],
"linkId": "item61907286",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "background-color:white;border-style:solid;"
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "style",
"valueString": "font-weight:bold;text-decoration:underline;"
}
]
}
],
"linkId": "section79119148",
"text": "Supporting Documentation",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box"
}
]
}
}
],
"linkId": "item89395197",
"text": "Lab report including A1C completed within the last 3-6 months, and latest lipid profile, renal function and ACR attached",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
"valueString": "Lab report including <b><span style=\"text-decoration:underline;\">A1C</span></b> completed within the last 3-6 months, and <b><span style=\"text-decoration:underline;\">latest lipid profile, renal function and ACR</span></b> attached"
}
]
},
"type": "boolean",
"required": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/group-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "Export Analytics"
}
]
}
],
"linkId": "section46860664",
"text": "Export Analytics",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [
{
"url": "lang",
"valueCode": "fr"
},
{
"url": "content",
"valueString": "Export Analytics"
}
]
}
]
},
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "noAttachmentWarning",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "CPPAttachment.r == 'Y' || item89395197.r == 'Y' ? 'Did you forget to attach a file?' : ''",
"language": "text/fhirpath",
"expression": "iif((%resource.repeat(item).where(linkId='CPPAttachment').answer.exists(value = 'Y') or %resource.repeat(item).where(linkId='item89395197').answer.exists(value = 'Y') ), 'Did you forget to attach a file?', '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "referralService: {{answer}}"
}
]
}
],
"linkId": "referralService",
"text": "DIABETES_EDUCATION",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "referralDescription: {{answer}}"
}
]
}
],
"linkId": "referralDescription",
"text": "Diabetes Education Program",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "ax_diagnosis: {{answer}}"
}
]
}
],
"linkId": "ax_diagnosis",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (diabetesType.r == 'Pre-Diabetes') {descs+='Pre-Diabetes';} if (diabetesType.r == 'Type 2 Diabetes') {descs+='Type 2 Diabetes';} if (diabetesType.r == 'At Risk') {descs+='At Risk for Diabetes';} return descs.substring(0, (descs.length-0)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='diabetesType').answer.exists(value = 'Pre-Diabetes'),'Pre-Diabetes') | iif(%resource.repeat(item).where(linkId='diabetesType').answer.exists(value = 'Type 2 Diabetes'),'Type 2 Diabetes') | iif(%resource.repeat(item).where(linkId='diabetesType').answer.exists(value = 'At Risk'),'At Risk for Diabetes')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_reasonForReferral",
"_text": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
"valueExpression": {
"description": "(function() {; var descs = \"\"; if (item76597097.r == 'Y' || item84430472.r == 'Y') {descs+='Diabetes Education' + '; ';} if (item93032788.p) {descs+='Diabetes Foot Care' + '; ';} if (item90036939.p || item88820032.p || item93616553.p || item91333221.p) {descs+='Diabetes Medication Initiation/Review' + '; ';} if (item61998839.p) {descs+='Social Worker' + '; ';} if (item4180826.p) {descs+='Endocrinologist Consult' + '; ';} return descs.substring(0, (descs.length-2)); })()",
"language": "text/fhirpath",
"expression": "(iif(%resource.repeat(item).where(linkId='item76597097').answer.exists(value = 'Y') or %resource.repeat(item).where(linkId='item84430472').answer.exists(value = 'Y'),'Diabetes Education' + '; ') | iif(%resource.repeat(item).where(linkId='item93032788').answer.iif(value=true, 1, 0),'Diabetes Foot Care' + '; ') | iif(%resource.repeat(item).where(linkId='item90036939').answer.iif(value=true, 1, 0) or %resource.repeat(item).where(linkId='item88820032').answer.iif(value=true, 1, 0) or %resource.repeat(item).where(linkId='item93616553').answer.iif(value=true, 1, 0) or %resource.repeat(item).where(linkId='item91333221').answer.iif(value=true, 1, 0),'Diabetes Medication Initiation/Review' + '; ') | iif(%resource.repeat(item).where(linkId='item61998839').answer.iif(value=true, 1, 0),'Social Worker' + '; ') | iif(%resource.repeat(item).where(linkId='item4180826').answer.iif(value=true, 1, 0),'Endocrinologist Consult' + '; ')).aggregate($total & $this, '')"
}
}
]
},
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
},
{
"url": "text",
"valueString": "ax_diagnosis: {{answer}}"
}
]
}
],
"linkId": "ax_bodySite",
"text": "Pancreas",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://ontariohealth.ca/fhir/eforms/StructureDefinition/display-note-info",
"extension": [
{
"url": "enableWhenExpression",
"valueExpression": {
"description": "false",
"language": "text/fhirpath",
"expression": "false"
}
}
]
}
],
"linkId": "ax_v_bp",
"text": "Carefirst Family Health Team Diabetes Education Program (DEP) eReferral Form [FINAL SEPT 2022]; 2022.09.30",
"type": "display"
}
]
}
]
}
]
}