FHIR IG analytics| Package | example.fhir.ph.roadsafety |
| Resource Type | Questionnaire |
| Id | Questionnaire-RSOneissQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire-RSOneissQuestionnaire.html |
| URL | https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-oneiss |
| Version | 0.3.0 |
| Status | draft |
| Date | 2025-01-01 |
| Name | RSOneissQuestionnaire |
| Title | RS ONEISS Questionnaire |
| Description | Structured Data Capture questionnaire for the DOH ONEISS Patient Injury form. Captures patient demographics, encounter information, clinical findings, incident context, injuries, and financial data mapped to RS profiles, supporting SDC $extract. |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire RSOneissQuestionnaire
Profile: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  RSOneissQuestionnaire | Structured Data Capture questionnaire for the DOH ONEISS Patient Injury form. Captures patient demographics, encounter information, clinical findings, incident context, injuries, and financial data mapped to RS profiles, supporting SDC $extract. | Questionnaire | https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-oneiss#0.3.0 | |
  oneiss | ONEISS Patient Injury Form | 0..1 | group | |
  oneiss-patient | Patient Demographics | 0..1 | group | |
  oneiss-patient-name-family | Patient last name | 0..1 | string | Definition: Patient.name.family |
| oneiss-patient-name-given | Patient given name(s) | 0..* | string | Definition: Patient.name.given |
 oneiss-patient-birthdate | Date of birth | 0..1 | date | Definition: Patient.birthDate |
 oneiss-patient-gender | Sex | 0..1 | choice | Definition: Patient.gender Value Set: AdministrativeGender |
| oneiss-patient-hospital-id | Hospital patient ID number | 0..1 | string | Definition: Patient.identifier:patientHospitalID.value |
| oneiss-patient-telecom | Contact number | 0..1 | string | Definition: Patient.telecom.value |
| oneiss-patient-identifiers | Patient identifier | 0..* | group | |
 oneiss-patient-identifier-system | Identifier system (URI) | 0..1 | url | Definition: Patient.identifier.system |
| oneiss-patient-identifier-value | Identifier value | 0..1 | string | Definition: Patient.identifier.value |
| oneiss-patient-identifier-type | Identifier type | 0..1 | string | Definition: Patient.identifier.type.text |
| oneiss-patient-occupation | Occupation | 0..* | group | |
| oneiss-patient-occupation-classification | Occupation classification | 0..1 | choice | Definition: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationClassification.valueCodeableConcept Value Set: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/ValueSet/occupation-classifications |
 oneiss-patient-occupation-length | Length of time in occupation (years) | 0..1 | decimal | Definition: https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationLength.valueInteger |
| oneiss-patient-address | Address | 0..* | group | |
| oneiss-patient-address-use | Address use | 0..1 | choice | Definition: Patient.address.use Options: 3 options |
 oneiss-patient-address-line | House No. and Street | 0..1 | text | Definition: Patient.address.line |
| oneiss-patient-address-barangay | Barangay | 0..1 | string | Definition: Patient.address.extension:barangay.value[x] |
| oneiss-patient-address-city | City / Municipality | 0..1 | string | Definition: Patient.address.extension:cityMunicipality.value[x] |
| oneiss-patient-address-province | Province | 0..1 | string | Definition: Patient.address.extension:province.value[x] |
| oneiss-patient-address-region | Region | 0..1 | string | Definition: Patient.address.extension:region.value[x] |
| oneiss-encounter | Encounter Details | 0..1 | group | |
| oneiss-encounter-incident-number | Incident number | 0..1 | string | Definition: Encounter.identifier:incidentNumber.value |
| oneiss-encounter-hospital-case | Hospital case number | 0..1 | string | Definition: Encounter.identifier:hospitalCaseNo.value |
| oneiss-encounter-class | Type of patient | 0..1 | choice | Definition: Encounter.class Value Set: SILPH - Type of Patient (VS) |
 oneiss-encounter-period-start | Date/Time of consultation | 0..1 | dateTime | Definition: Encounter.period.start |
| oneiss-encounter-service-provider | Receiving medical facility | 0..1 | string | Definition: Encounter.serviceProvider.display |
| oneiss-encounter-originating-organization | Originating hospital | 0..1 | string | Definition: Encounter.hospitalization.origin.display |
| oneiss-encounter-originating-practitioner | Originating physician | 0..1 | string | Definition: Encounter.participant:receivedBy.individual.display |
| oneiss-encounter-disposition | Encounter disposition | 0..1 | choice | Definition: Encounter.hospitalization.dischargeDisposition Value Set: SILPH - Outpatient/ER Disposition (VS) |
| oneiss-encounter-disposition-other | Disposition – other (specify) | 0..1 | text | Definition: Encounter.hospitalization.dischargeDisposition.text |
| oneiss-encounter-transfer-destination | Transferred to (destination facility) | 0..1 | string | Definition: Encounter.hospitalization.destination.display |
| oneiss-clinical | Clinical Assessments | 0..1 | group | |
| oneiss-clinical-initial-impression | Initial impression | 0..1 | group | |
| oneiss-clinical-initial-impression-text | Initial impression (diagnosis text or code) | 0..1 | text | Definition: Condition.code.text |
| oneiss-clinical-final-diagnosis | Final diagnosis | 0..* | group | |
| oneiss-clinical-final-diagnosis-text | Final diagnosis (ICD-10 or text) | 0..1 | text | Definition: Condition.code.text |
| oneiss-clinical-icd10-nature | ICD-10 nature of injury | 0..* | group | |
| oneiss-clinical-icd10-nature-code | Nature of injury code | 0..1 | choice | Definition: Condition.code Value Set: SILPH - ICD10 Nature of Injury (VS) |
| oneiss-clinical-icd10-external | ICD-10 external cause | 0..* | group | |
| oneiss-clinical-icd10-external-code | External cause code | 0..1 | choice | Definition: Condition.code Value Set: SILPH - ICD10 External Cause of Injury (VS) |
| oneiss-clinical-condition-of-patient | Condition of patient | 0..1 | group | |
| oneiss-clinical-condition-of-patient-status | Patient condition | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - General Disposition (VS) |
| oneiss-clinical-status-on-arrival | Status on arrival | 0..1 | group | |
| oneiss-clinical-status-on-arrival-value | Status on arrival | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Status (VS) |
| oneiss-clinical-psychosocial-support | Psychosocial support/condition | 0..1 | group | |
| oneiss-clinical-psychosocial-support-status | Psychosocial support provided? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-psychosocial-support-notes | Psychosocial support notes | 0..1 | text | Definition: Procedure.note.text |
| oneiss-clinical-transport-coordination | Transport coordination with receiving hospital | 0..1 | group | |
| oneiss-clinical-transport-coordination-status | Transport coordination done? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-transport-coordination-notes | Transport coordination notes | 0..1 | text | Definition: Procedure.note.text |
| oneiss-clinical-first-aid | First aid provided | 0..1 | group | |
| oneiss-clinical-first-aid-status | First aid given? | 0..1 | choice | Definition: Procedure.status Options: 2 options |
| oneiss-clinical-first-aid-what | If yes, what first aid was given? | 0..1 | text | Definition: Procedure.code.text |
| oneiss-clinical-first-aid-by-whom | If yes, by whom? | 0..1 | text | Definition: Procedure.performer.actor.display |
| oneiss-clinical-blood-alcohol | Blood alcohol concentration | 0..1 | group | |
| oneiss-clinical-blood-alcohol-value | Blood alcohol concentration | 0..1 | decimal | Definition: Observation.valueQuantity.value |
| oneiss-clinical-other-risk-factors | Other risk factors at time of incident | 0..* | group | |
| oneiss-clinical-other-risk-factors-code | Risk factor | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Risk Factors (VS) |
| oneiss-clinical-other-risk-factors-other | Risk factor – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-clinical-safety-accessories | Safety accessories used | 0..* | group | |
| oneiss-clinical-safety-accessories-code | Safety accessory | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Safety Devices (VS) |
| oneiss-clinical-safety-accessories-other | Safety accessory – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident | Incident Details | 0..1 | group | |
| oneiss-incident-injury-datetime | Date and time of injury | 0..1 | group | |
| oneiss-incident-injury-datetime-value | Date/Time of injury | 0..1 | dateTime | Definition: Observation.valueDateTime |
| oneiss-incident-injury-intent | Injury intent | 0..1 | group | |
| oneiss-incident-injury-intent-value | Intent of injury | 0..1 | choice | Definition: Observation.code Value Set: SILPH - Injury Intent (VS) |
| oneiss-incident-transport-vehicular | Transport/vehicular accident? | 0..1 | group | |
 oneiss-incident-transport-vehicular-value | Transport accident? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-incident-mode-of-transport | Mode of transport to facility | 0..1 | group | |
| oneiss-incident-mode-of-transport-value | Mode of transport | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Mode of Transport (VS) |
| oneiss-incident-mode-of-transport-other | Mode of transport – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-triage-priority | Triage priority | 0..1 | group | |
| oneiss-incident-triage-priority-value | Triage priority category | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Triage (VS) |
| oneiss-incident-urgency | Priority level (urgency) | 0..1 | group | |
| oneiss-incident-urgency-value | Urgency level | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Status (VS) |
| oneiss-incident-place | Place of occurrence | 0..1 | group | |
| oneiss-incident-place-value | Place of occurrence | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Place of Occurrence (VS) |
| oneiss-incident-activity | Activity at time of incident | 0..1 | group | |
| oneiss-incident-activity-value | Activity at time | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Activity (VS) |
| oneiss-incident-collision-type | Collision vs non-collision | 0..1 | group | |
| oneiss-incident-collision-type-value | Collision classification | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Transport Accident: Collision or Noncollision (VS) |
| oneiss-incident-patient-vehicle | Patient's vehicle | 0..1 | group | |
| oneiss-incident-patient-vehicle-code | Patient's vehicle | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Patient's Vehicle (VS) |
| oneiss-incident-patient-vehicle-other | Patient's vehicle – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-other-vehicle | Other vehicle/object involved | 0..* | group | |
| oneiss-incident-other-vehicle-code | Other vehicle/object | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Other Vehicle in Collision (VS) |
| oneiss-incident-other-vehicle-other | Other vehicle/object – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-position-of-patient | Position of patient | 0..1 | group | |
| oneiss-incident-position-of-patient-value | Position | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Position of Patient (VS) |
| oneiss-incident-position-of-patient-other | Position – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-incident-place-name | Place of occurrence – workplace name | 0..1 | string | Definition: Observation.note.text |
| oneiss-incident-activity-other | Activity – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries | Nature of Injuries | 0..1 | group | |
| oneiss-injuries-multiple | Multiple injuries? | 0..1 | group | |
| oneiss-injuries-multiple-flag | Multiple injuries present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-abrasion | Abrasion | 0..1 | group | |
| oneiss-injuries-abrasion-present | Abrasion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-abrasion-site | Abrasion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-abrasion-details | Abrasion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-avulsion | Avulsion | 0..1 | group | |
| oneiss-injuries-avulsion-present | Avulsion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-avulsion-site | Avulsion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-avulsion-details | Avulsion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-burn | Burn | 0..1 | group | |
| oneiss-injuries-burn-present | Burn present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-burn-degree | Burn degree | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Burns (VS) |
| oneiss-injuries-burn-degree-other | Burn degree – other (specify) | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-concussion | Concussion | 0..1 | group | |
| oneiss-injuries-concussion-present | Concussion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-concussion-site | Concussion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-concussion-details | Concussion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-contusion | Contusion | 0..1 | group | |
| oneiss-injuries-contusion-present | Contusion present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-contusion-site | Contusion site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-contusion-details | Contusion details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-fracture | Fracture | 0..1 | group | |
| oneiss-injuries-fracture-type | Fracture type | 0..1 | choice | Definition: Observation.valueCodeableConcept Value Set: SILPH - Fracture Type (VS) |
| oneiss-injuries-fracture-site | Fracture site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-fracture-details | Fracture details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-open-wound | Open wound | 0..1 | group | |
| oneiss-injuries-open-wound-present | Open wound present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-open-wound-site | Open wound site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-open-wound-type | Open wound type | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-open-wound-details | Open wound details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-traumatic-amputation | Traumatic amputation | 0..1 | group | |
| oneiss-injuries-traumatic-amputation-present | Traumatic amputation present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-injuries-traumatic-amputation-site | Traumatic amputation site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-traumatic-amputation-details | Traumatic amputation details | 0..1 | text | Definition: Observation.note.text |
| oneiss-injuries-other | Other specified injury | 0..1 | group | |
| oneiss-injuries-other-type | Other injury type | 0..1 | text | Definition: Observation.valueCodeableConcept.text |
| oneiss-injuries-other-site | Other injury site | 0..1 | choice | Definition: Observation.bodySite Value Set: SILPH - List of Body Sites (VS) |
| oneiss-injuries-other-details | Other injury details | 0..1 | text | Definition: Observation.note.text |
| oneiss-clinical-outcome-release | Outcome at release | 0..1 | group | |
| oneiss-clinical-outcome-release-status | Outcome at release | 0..1 | choice | Definition: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept Value Set: SILPH - Outcome (VS) |
| oneiss-clinical-outcome-discharge | Outcome at discharge | 0..1 | group | |
| oneiss-clinical-outcome-discharge-status | Outcome at discharge | 0..1 | choice | Definition: https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept Value Set: SILPH - Outcome (VS) |
| oneiss-postcrash | Post-crash Investigation | 0..1 | group | |
| oneiss-postcrash-collision-type | Collision type | 0..1 | group | |
| oneiss-postcrash-collision-type-value | Collision type | 0..1 | string | Definition: Observation.valueCodeableConcept.text |
| oneiss-postcrash-traffic-investigator | Traffic investigator present? | 0..1 | group | |
| oneiss-postcrash-traffic-investigator-flag | Traffic investigator present? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-postcrash-cctv | CCTV availability | 0..1 | group | |
| oneiss-postcrash-cctv-available | CCTV available? | 0..1 | boolean | Definition: Observation.valueBoolean |
| oneiss-postcrash-evidence | Post-crash evidence documents | 0..1 | group | |
| oneiss-postcrash-evidence-cause | Cause of crash document | 0..1 | group | |
| oneiss-postcrash-evidence-cause-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-fault | Party at fault document | 0..1 | group | |
| oneiss-postcrash-evidence-fault-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-traffic-management | Traffic incident management log | 0..1 | group | |
| oneiss-postcrash-evidence-traffic-management-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-postcrash-evidence-road-network | Road network shape files | 0..1 | group | |
| oneiss-postcrash-evidence-road-network-url | Document URL | 0..1 | url | Definition: DocumentReference.content.attachment.url |
| oneiss-finance | Finance | 0..1 | group | |
| oneiss-finance-cost | Cost of care | 0..1 | decimal | Definition: Claim.total.value |
| oneiss-comments | Comments | 0..1 | group | |
| oneiss-comments-text | Comments | 0..1 | text | Definition: Observation.valueString |
| Documentation for this format | ||||
Options Sets
Answer options for oneiss-patient-address-use
Answer options for oneiss-clinical-psychosocial-support-status
Answer options for oneiss-clinical-transport-coordination-status
Answer options for oneiss-clinical-first-aid-status
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "RSOneissQuestionnaire",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-oneiss",
"version": "0.3.0",
"name": "RSOneissQuestionnaire",
"title": "RS ONEISS Questionnaire",
"status": "draft",
"experimental": false,
"subjectType": [
"Patient"
],
"date": "2025-01-01",
"publisher": "UP Manila - National Institutes of Health - National Telehealth Center",
"contact": [
{
"name": "UP Manila - National Institutes of Health - National Telehealth Center",
"telecom": [
{
"system": "url",
"value": "https://github.com/UPM-NTHC/PH-RoadSafetyIG"
}
]
},
{
"name": "PH Road Safety IG Repository",
"telecom": [
{
"system": "url",
"value": "https://github.com/UPM-NTHC/PH-RoadSafetyIG"
}
]
}
],
"description": "Structured Data Capture questionnaire for the DOH ONEISS Patient Injury form. Captures patient demographics, encounter information, clinical findings, incident context, injuries, and financial data mapped to RS profiles, supporting SDC $extract.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "PH",
"display": "Philippines"
}
]
}
],
"item": [
{
"linkId": "oneiss",
"text": "ONEISS Patient Injury Form",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Patient"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-patient",
"text": "Patient Demographics",
"type": "group",
"item": [
{
"linkId": "oneiss-patient-name-family",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.name.family",
"text": "Patient last name",
"type": "string"
},
{
"linkId": "oneiss-patient-name-given",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.name.given",
"text": "Patient given name(s)",
"type": "string",
"repeats": true
},
{
"linkId": "oneiss-patient-birthdate",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.birthDate",
"text": "Date of birth",
"type": "date"
},
{
"linkId": "oneiss-patient-gender",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.gender",
"text": "Sex",
"type": "choice",
"answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
},
{
"linkId": "oneiss-patient-hospital-id",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.identifier:patientHospitalID.value",
"text": "Hospital patient ID number",
"type": "string"
},
{
"linkId": "oneiss-patient-telecom",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.telecom.value",
"text": "Contact number",
"type": "string"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Patient.identifier"
}
}
],
"linkId": "oneiss-patient-identifiers",
"text": "Patient identifier",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-patient-identifier-system",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.identifier.system",
"text": "Identifier system (URI)",
"type": "url"
},
{
"linkId": "oneiss-patient-identifier-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.identifier.value",
"text": "Identifier value",
"type": "string"
},
{
"linkId": "oneiss-patient-identifier-type",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.identifier.type.text",
"text": "Identifier type",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Patient.extension.where(url='https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation')"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-patient-occupation",
"text": "Occupation",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-patient-occupation-classification",
"definition": "https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationClassification.valueCodeableConcept",
"text": "Occupation classification",
"type": "choice",
"answerValueSet": "https://build.fhir.org/ig/UP-Manila-SILab/ph-core/ValueSet/occupation-classifications"
},
{
"linkId": "oneiss-patient-occupation-length",
"definition": "https://build.fhir.org/ig/UP-Manila-SILab/ph-core/StructureDefinition/occupation#Extension.extension:occupationLength.valueInteger",
"text": "Length of time in occupation (years)",
"type": "decimal"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Patient.address"
}
}
],
"linkId": "oneiss-patient-address",
"text": "Address",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-patient-address-use",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.use",
"text": "Address use",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/address-use",
"code": "home"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/address-use",
"code": "temp"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/address-use",
"code": "work"
}
}
]
},
{
"linkId": "oneiss-patient-address-line",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.line",
"text": "House No. and Street",
"type": "text"
},
{
"linkId": "oneiss-patient-address-barangay",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.extension:barangay.value[x]",
"text": "Barangay",
"type": "string"
},
{
"linkId": "oneiss-patient-address-city",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.extension:cityMunicipality.value[x]",
"text": "City / Municipality",
"type": "string"
},
{
"linkId": "oneiss-patient-address-province",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.extension:province.value[x]",
"text": "Province",
"type": "string"
},
{
"linkId": "oneiss-patient-address-region",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-patient#Patient.address.extension:region.value[x]",
"text": "Region",
"type": "string"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Encounter"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-encounter",
"text": "Encounter Details",
"type": "group",
"item": [
{
"linkId": "oneiss-encounter-incident-number",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.identifier:incidentNumber.value",
"text": "Incident number",
"type": "string"
},
{
"linkId": "oneiss-encounter-hospital-case",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.identifier:hospitalCaseNo.value",
"text": "Hospital case number",
"type": "string"
},
{
"linkId": "oneiss-encounter-class",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.class",
"text": "Type of patient",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-TypeofPatient"
},
{
"linkId": "oneiss-encounter-period-start",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.period.start",
"text": "Date/Time of consultation",
"type": "dateTime"
},
{
"linkId": "oneiss-encounter-service-provider",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.serviceProvider.display",
"text": "Receiving medical facility",
"type": "string"
},
{
"linkId": "oneiss-encounter-originating-organization",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.hospitalization.origin.display",
"text": "Originating hospital",
"type": "string"
},
{
"linkId": "oneiss-encounter-originating-practitioner",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.participant:receivedBy.individual.display",
"text": "Originating physician",
"type": "string"
},
{
"linkId": "oneiss-encounter-disposition",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.hospitalization.dischargeDisposition",
"text": "Encounter disposition",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OutpatientERDisposition"
},
{
"linkId": "oneiss-encounter-disposition-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.hospitalization.dischargeDisposition.text",
"text": "Disposition – other (specify)",
"type": "text"
},
{
"linkId": "oneiss-encounter-transfer-destination",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-encounter#Encounter.hospitalization.destination.display",
"text": "Transferred to (destination facility)",
"type": "string"
}
]
},
{
"linkId": "oneiss-clinical",
"text": "Clinical Assessments",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Condition"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-initial-impression"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-initial-impression",
"text": "Initial impression",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-initial-impression-text",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-initial-impression#Condition.code.text",
"text": "Initial impression (diagnosis text or code)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Condition"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-final-diagnosis"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-final-diagnosis",
"text": "Final diagnosis",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-clinical-final-diagnosis-text",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-final-diagnosis#Condition.code.text",
"text": "Final diagnosis (ICD-10 or text)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Condition"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-nature-of-injury"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-icd10-nature",
"text": "ICD-10 nature of injury",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-clinical-icd10-nature-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-nature-of-injury#Condition.code",
"text": "Nature of injury code",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ICD10NatureofInjury"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Condition"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-external-cause"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-icd10-external",
"text": "ICD-10 external cause",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-clinical-icd10-external-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-condition-external-cause#Condition.code",
"text": "External cause code",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ICD10ExternalCauseofInjury"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-condition-of-patient"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-condition-of-patient",
"text": "Condition of patient",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-condition-of-patient-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-condition-of-patient#Observation.valueCodeableConcept",
"text": "Patient condition",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-GeneralDisposition"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-status-on-arrival"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-status-on-arrival",
"text": "Status on arrival",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-status-on-arrival-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-status-on-arrival#Observation.valueCodeableConcept",
"text": "Status on arrival",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Status"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Procedure"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-psychosocial-support",
"text": "Psychosocial support/condition",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-psychosocial-support-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure#Procedure.status",
"text": "Psychosocial support provided?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "completed"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "not-done"
}
}
]
},
{
"linkId": "oneiss-clinical-psychosocial-support-notes",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure#Procedure.note.text",
"text": "Psychosocial support notes",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Procedure"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure-transport-coordination"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-transport-coordination",
"text": "Transport coordination with receiving hospital",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-transport-coordination-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure-transport-coordination#Procedure.status",
"text": "Transport coordination done?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "completed"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "not-done"
}
}
]
},
{
"linkId": "oneiss-clinical-transport-coordination-notes",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure-transport-coordination#Procedure.note.text",
"text": "Transport coordination notes",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Procedure"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-first-aid",
"text": "First aid provided",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-first-aid-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure#Procedure.status",
"text": "First aid given?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "completed"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/event-status",
"code": "not-done"
}
}
]
},
{
"linkId": "oneiss-clinical-first-aid-what",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure#Procedure.code.text",
"text": "If yes, what first aid was given?",
"type": "text"
},
{
"linkId": "oneiss-clinical-first-aid-by-whom",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-procedure#Procedure.performer.actor.display",
"text": "If yes, by whom?",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-blood-alcohol"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-blood-alcohol",
"text": "Blood alcohol concentration",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-blood-alcohol-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-blood-alcohol#Observation.valueQuantity.value",
"text": "Blood alcohol concentration",
"type": "decimal"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-risk-factors"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-other-risk-factors",
"text": "Other risk factors at time of incident",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-clinical-other-risk-factors-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-risk-factors#Observation.valueCodeableConcept",
"text": "Risk factor",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-RiskFactors"
},
{
"linkId": "oneiss-clinical-other-risk-factors-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-risk-factors#Observation.valueCodeableConcept.text",
"text": "Risk factor – other (specify)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-safety-accessories"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-safety-accessories",
"text": "Safety accessories used",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-clinical-safety-accessories-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-safety-accessories#Observation.valueCodeableConcept",
"text": "Safety accessory",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-SafetyDevices"
},
{
"linkId": "oneiss-clinical-safety-accessories-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-safety-accessories#Observation.valueCodeableConcept.text",
"text": "Safety accessory – other (specify)",
"type": "text"
}
]
}
]
},
{
"linkId": "oneiss-incident",
"text": "Incident Details",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-injury-datetime"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-injury-datetime",
"text": "Date and time of injury",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-injury-datetime-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-injury-datetime#Observation.valueDateTime",
"text": "Date/Time of injury",
"type": "dateTime"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-injury-intent"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-injury-intent",
"text": "Injury intent",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-injury-intent-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-injury-intent#Observation.code",
"text": "Intent of injury",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-InjuryIntent"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-transport-vehicular-accident"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-transport-vehicular",
"text": "Transport/vehicular accident?",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-transport-vehicular-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-transport-vehicular-accident#Observation.valueBoolean",
"text": "Transport accident?",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-mode-of-transport"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-mode-of-transport",
"text": "Mode of transport to facility",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-mode-of-transport-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-mode-of-transport#Observation.valueCodeableConcept",
"text": "Mode of transport",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ModeofTransport"
},
{
"linkId": "oneiss-incident-mode-of-transport-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-mode-of-transport#Observation.valueCodeableConcept.text",
"text": "Mode of transport – other (specify)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-triage-priority"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-triage-priority",
"text": "Triage priority",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-triage-priority-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-triage-priority#Observation.valueCodeableConcept",
"text": "Triage priority category",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Triage"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-urgency"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-urgency",
"text": "Priority level (urgency)",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-urgency-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-urgency#Observation.valueCodeableConcept",
"text": "Urgency level",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Status"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-place-of-occurrence"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-place",
"text": "Place of occurrence",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-place-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-place-of-occurrence#Observation.valueCodeableConcept",
"text": "Place of occurrence",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-PlaceofOccurrence"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-activity-at-incident"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-activity",
"text": "Activity at time of incident",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-activity-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-activity-at-incident#Observation.valueCodeableConcept",
"text": "Activity at time",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Activity"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-collision-vs-noncollision"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-collision-type",
"text": "Collision vs non-collision",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-collision-type-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-collision-vs-noncollision#Observation.valueCodeableConcept",
"text": "Collision classification",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-TransportAccidentCollision"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-patients-vehicle"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-patient-vehicle",
"text": "Patient's vehicle",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-patient-vehicle-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-patients-vehicle#Observation.valueCodeableConcept",
"text": "Patient's vehicle",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-PatientsVehicle"
},
{
"linkId": "oneiss-incident-patient-vehicle-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-patients-vehicle#Observation.valueCodeableConcept.text",
"text": "Patient's vehicle – other (specify)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-vehicle"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-other-vehicle",
"text": "Other vehicle/object involved",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "oneiss-incident-other-vehicle-code",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-vehicle#Observation.valueCodeableConcept",
"text": "Other vehicle/object",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-OtherVehicle"
},
{
"linkId": "oneiss-incident-other-vehicle-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-vehicle#Observation.valueCodeableConcept.text",
"text": "Other vehicle/object – other (specify)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-position-of-patient"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-incident-position-of-patient",
"text": "Position of patient",
"type": "group",
"item": [
{
"linkId": "oneiss-incident-position-of-patient-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-position-of-patient#Observation.valueCodeableConcept",
"text": "Position",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-PositionofPatient"
},
{
"linkId": "oneiss-incident-position-of-patient-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-position-of-patient#Observation.valueCodeableConcept.text",
"text": "Position – other (specify)",
"type": "text"
}
]
},
{
"linkId": "oneiss-incident-place-name",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-place-of-occurrence#Observation.note.text",
"text": "Place of occurrence – workplace name",
"type": "string"
},
{
"linkId": "oneiss-incident-activity-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-activity-at-incident#Observation.valueCodeableConcept.text",
"text": "Activity – other (specify)",
"type": "text"
}
]
},
{
"linkId": "oneiss-injuries",
"text": "Nature of Injuries",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-multiple-injuries"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-multiple",
"text": "Multiple injuries?",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-multiple-flag",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-multiple-injuries#Observation.valueBoolean",
"text": "Multiple injuries present?",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-abrasion"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-abrasion",
"text": "Abrasion",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-abrasion-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-abrasion#Observation.valueBoolean",
"text": "Abrasion present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-abrasion-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-abrasion#Observation.bodySite",
"text": "Abrasion site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-abrasion-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-abrasion#Observation.note.text",
"text": "Abrasion details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-avulsion"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-avulsion",
"text": "Avulsion",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-avulsion-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-avulsion#Observation.valueBoolean",
"text": "Avulsion present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-avulsion-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-avulsion#Observation.bodySite",
"text": "Avulsion site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-avulsion-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-avulsion#Observation.note.text",
"text": "Avulsion details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-nature-burns"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-burn",
"text": "Burn",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-burn-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-nature-burns#Observation.valueBoolean",
"text": "Burn present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-burn-degree",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-nature-burns#Observation.valueCodeableConcept",
"text": "Burn degree",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Burns"
},
{
"linkId": "oneiss-injuries-burn-degree-other",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-nature-burns#Observation.valueCodeableConcept.text",
"text": "Burn degree – other (specify)",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-concussion"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-concussion",
"text": "Concussion",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-concussion-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-concussion#Observation.valueBoolean",
"text": "Concussion present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-concussion-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-concussion#Observation.bodySite",
"text": "Concussion site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-concussion-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-concussion#Observation.note.text",
"text": "Concussion details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-contusion"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-contusion",
"text": "Contusion",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-contusion-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-contusion#Observation.valueBoolean",
"text": "Contusion present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-contusion-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-contusion#Observation.bodySite",
"text": "Contusion site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-contusion-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-contusion#Observation.note.text",
"text": "Contusion details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-fracture"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-fracture",
"text": "Fracture",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-fracture-type",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-fracture#Observation.valueCodeableConcept",
"text": "Fracture type",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-FractureType"
},
{
"linkId": "oneiss-injuries-fracture-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-fracture#Observation.bodySite",
"text": "Fracture site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-fracture-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-fracture#Observation.note.text",
"text": "Fracture details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-open-wound"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-open-wound",
"text": "Open wound",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-open-wound-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-open-wound#Observation.valueBoolean",
"text": "Open wound present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-open-wound-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-open-wound#Observation.bodySite",
"text": "Open wound site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-open-wound-type",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-open-wound#Observation.valueCodeableConcept.text",
"text": "Open wound type",
"type": "text"
},
{
"linkId": "oneiss-injuries-open-wound-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-open-wound#Observation.note.text",
"text": "Open wound details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traumatic-amputation"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-traumatic-amputation",
"text": "Traumatic amputation",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-traumatic-amputation-present",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traumatic-amputation#Observation.valueBoolean",
"text": "Traumatic amputation present?",
"type": "boolean"
},
{
"linkId": "oneiss-injuries-traumatic-amputation-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traumatic-amputation#Observation.bodySite",
"text": "Traumatic amputation site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-traumatic-amputation-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traumatic-amputation#Observation.note.text",
"text": "Traumatic amputation details",
"type": "text"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-injury"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-injuries-other",
"text": "Other specified injury",
"type": "group",
"item": [
{
"linkId": "oneiss-injuries-other-type",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-injury#Observation.valueCodeableConcept.text",
"text": "Other injury type",
"type": "text"
},
{
"linkId": "oneiss-injuries-other-site",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-injury#Observation.bodySite",
"text": "Other injury site",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-ListofBodySites"
},
{
"linkId": "oneiss-injuries-other-details",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-other-injury#Observation.note.text",
"text": "Other injury details",
"type": "text"
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-outcome-release",
"text": "Outcome at release",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-outcome-release-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept",
"text": "Outcome at release",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Outcome"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-clinical-outcome-discharge",
"text": "Outcome at discharge",
"type": "group",
"item": [
{
"linkId": "oneiss-clinical-outcome-discharge-status",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-outcome#Observation.valueCodeableConcept",
"text": "Outcome at discharge",
"type": "choice",
"answerValueSet": "http://www.roadsafetyph.doh.gov.ph/ValueSet/SILPH-Outcome"
}
]
},
{
"linkId": "oneiss-postcrash",
"text": "Post-crash Investigation",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-collision-type"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-collision-type",
"text": "Collision type",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-collision-type-value",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-collision-type#Observation.valueCodeableConcept.text",
"text": "Collision type",
"type": "string"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traffic-investigator"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-traffic-investigator",
"text": "Traffic investigator present?",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-traffic-investigator-flag",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-traffic-investigator#Observation.valueBoolean",
"text": "Traffic investigator present?",
"type": "boolean"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-cctv-available"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-cctv",
"text": "CCTV availability",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-cctv-available",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-cctv-available#Observation.valueBoolean",
"text": "CCTV available?",
"type": "boolean"
}
]
},
{
"linkId": "oneiss-postcrash-evidence",
"text": "Post-crash evidence documents",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "DocumentReference"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-evidence-cause",
"text": "Cause of crash document",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-evidence-cause-url",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference#DocumentReference.content.attachment.url",
"text": "Document URL",
"type": "url"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "DocumentReference"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-evidence-fault",
"text": "Party at fault document",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-evidence-fault-url",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference#DocumentReference.content.attachment.url",
"text": "Document URL",
"type": "url"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "DocumentReference"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-evidence-traffic-management",
"text": "Traffic incident management log",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-evidence-traffic-management-url",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference#DocumentReference.content.attachment.url",
"text": "Document URL",
"type": "url"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "DocumentReference"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-postcrash-evidence-road-network",
"text": "Road network shape files",
"type": "group",
"item": [
{
"linkId": "oneiss-postcrash-evidence-road-network-url",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-document-reference#DocumentReference.content.attachment.url",
"text": "Document URL",
"type": "url"
}
]
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Claim"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-claim"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-finance",
"text": "Finance",
"type": "group",
"item": [
{
"linkId": "oneiss-finance-cost",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-claim#Claim.total.value",
"text": "Cost of care",
"type": "decimal"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
"valueExpression": {
"language": "text/fhirpath",
"expression": "Observation"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContextProfile",
"valueCanonical": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-runreport-comments"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionRoot",
"valueBoolean": true
}
],
"linkId": "oneiss-comments",
"text": "Comments",
"type": "group",
"item": [
{
"linkId": "oneiss-comments-text",
"definition": "https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/StructureDefinition/rs-observation-runreport-comments#Observation.valueString",
"text": "Comments",
"type": "text"
}
]
}
]
}
]
}