| Package | hl7.fhir.uv.cpg |
| Resource Type | Questionnaire |
| Id | anc-quick-check |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/uv/cpg/https://build.fhir.org/ig/HL7/cqf-recommendations/Questionnaire-anc-quick-check.html |
| URL | http://example.org/Questionnaire/anc-quick-check |
| Version | 2.0.0 |
| Status | active |
| Date | 2024-11-26T06:42:34+00:00 |
| Name | ANCQuickCheck |
| Realm | uv |
| Authority | hl7 |
| Description | Example of a Questionnaire for an ANC Quick Check |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire anc-quick-check
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Example of a Questionnaire for an ANC Quick Check | Questionnaire | http://example.org/Questionnaire/anc-quick-check#2.0.0 | |
![]() ![]() | Why did you come? | 0..1 | choice | Options: 5 options |
Options Sets
Answer options for reason-for-visit
{
"resourceType": "Questionnaire",
"id": "anc-quick-check",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computablequestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "shareable"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "computable"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode": "publishable"
}
],
"url": "http://example.org/Questionnaire/anc-quick-check",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.48.35.2"
}
],
"version": "2.0.0",
"name": "ANCQuickCheck",
"status": "active",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2024-11-26T06:42:34+00:00",
"publisher": "HL7 International / Clinical Decision Support",
"contact": [
{
"name": "HL7 International / Clinical Decision Support",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description": "Example of a Questionnaire for an ANC Quick Check",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical": "http://hl7.org/fhir/uv/cpg/ValueSet/anc-reason-for-visit-vs"
},
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-itemImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit.png"
}
}
],
"linkId": "reason-for-visit",
"text": "Why did you come?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit-routine.png"
}
}
],
"valueString": "For a scheduled (routine) visit"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit-specific-complaint.png"
}
}
],
"valueString": "For specific complaints about you or your baby"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit-first.png"
}
}
],
"valueString": "First visit"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit-follow-up.png"
}
}
],
"valueString": "Follow-up visit"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-responseImage",
"valueAttachment": {
"url": "http://example.org/images/reason-for-visit-include-family-member.png"
}
}
],
"valueString": "Do you want to include your companion or other family member (parent if adolescent) in the examination and discussion?"
}
]
}
]
}