FHIR IG analytics| Package | hl7.fhir.uv.sdc.r4 |
| Resource Type | Questionnaire |
| Id | Questionnaire-questionnaire-sdc-profile-example-framingham-hchd-lhc.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire questionnaire-sdc-profile-example-framingham-hchd-lhc
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  FraminghamHCHD | A form for calculating the 10-year-risk of Hard Coronary Heart Disease. The constants used in the formula match those in https://www.framinghamheartstudy.org/fhs-risk-functions/hard-coronary-heart-disease-10-year-risk/, but the actual formulas are not listed there, and so we have not been able to verify them. However, the output of this form matches the output of a perl program (from which the formulas were taken) which matched the output of a calculator on a website, which regrettably no longer exists. So, while this form is good enough or a demo, it should not be relied on for real purposes without first verifying its formulas or its output against some other source. | Questionnaire | http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-framingham-hchd-lhc#4.0.0-ballot | ||
  /age | Age (in years) | 1..1 | decimal | ||
 /age_requirement_notice | Sorry, but the formulas are only valid for ages in the range 30 to 79. | 0..1 | display | Enable When: | |
 /46098-0 | Gender | 1..1 | choice | Options: 2 options | |
| /smokes | Do you smoke? | 1..1 | choice | Options: 2 options | |
| /8480-6 | Systolic blood pressure | 1..1 | decimal | ||
| /2093-3 | Cholesterol [Mass/Vol] | 1..1 | decimal | ||
| /2085-9 | Cholesterol in HDL [Mass/Vol] | 1..1 | decimal | ||
| /antihypertensive | Are you taking medication for high blood pressure? | 1..1 | choice | Options: 2 options | |
| /all_answers_required_notice | All answers are required before the risk probability can be computed. | 0..1 | display | ||
| riskDecimal | 10-year HCHD Risk Probabilily as a decimal (0 to 1) | 0..1 | decimal |  | |
  riskPercentage | 10-year HCHD Risk Probabilily | 0..1 | string | ||
| Documentation for this format | |||||
Options Sets
Answer options for /46098-0
Answer options for /smokes
Answer options for /antihypertensive
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "questionnaire-sdc-profile-example-framingham-hchd-lhc",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "age",
"language": "text/fhirpath",
"expression": "item.where(linkId='/age').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "gender",
"language": "text/fhirpath",
"expression": "item.where(linkId='/46098-0').answer.value.display"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "smokesCode",
"language": "text/fhirpath",
"expression": "item.where(linkId='/smokes').answer.value.code"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "smokes",
"language": "text/fhirpath",
"expression": "iif(%smokesCode.exists(), iif(%smokesCode = 'Y', 1, 0), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "systolic",
"language": "text/fhirpath",
"expression": "item.where(linkId='/8480-6').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "tChol",
"language": "text/fhirpath",
"expression": "item.where(linkId='/2093-3').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "hdl",
"language": "text/fhirpath",
"expression": "item.where(linkId='/2085-9').answer.value"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "antihypertCode",
"language": "text/fhirpath",
"expression": "item.where(linkId='/antihypertensive').answer.value.code"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "antihypert",
"language": "text/fhirpath",
"expression": "iif(%antihypertCode.exists(), iif(%systolic >= 120, iif(%antihypertCode = 'Y', 1, 0), 0), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "allQuestionsAnswered",
"language": "text/fhirpath",
"expression": "%age.exists() and %gender.exists() and %smokes.exists() and %systolic.exists() and %tChol.exists() and %hdl.exists() and %antihypert.exists()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "femaleOver78",
"language": "text/fhirpath",
"expression": "iif(%allQuestionsAnswered, iif(%gender = 'Female', iif(%age>78, 1 - (0.98767).power((31.764001 * (%age.ln() - 3.9213204) + 22.465206 * (%tChol.ln() - 5.3628984) - 1.187731 * (%hdl.ln() - 4.0146369) + 2.552905 * (%systolic.ln() - 4.8376494) + 0.420251 * (%antihypert - 0.142802) + 13.07543 * (%smokes - 0.3236202) - 5.060998 * (%age.ln() * %tChol.ln() - 21.0557746) - 2.996945 * (78.ln() * %smokes - 1.2519882)).exp()), {}), {}), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "femaleNotOver78",
"language": "text/fhirpath",
"expression": "iif(%allQuestionsAnswered, iif(%gender = 'Female', iif(%age<=78, 1 - (0.98767).power((31.764001 * (%age.ln() - 3.9213204) + 22.465206 * (%tChol.ln() - 5.3628984) - 1.187731 * (%hdl.ln() - 4.0146369) + 2.552905 * (%systolic.ln() - 4.8376494) + 0.420251 * (%antihypert - 0.142802) + 13.07543 * (%smokes - 0.3236202) - 5.060998 * (%age.ln() * %tChol.ln() - 21.0557746) - 2.996945 * (%age.ln() * %smokes - 1.2519882)).exp()), {}), {}), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "maleOver70",
"language": "text/fhirpath",
"expression": "iif(%allQuestionsAnswered, iif(%gender = 'Male', iif(%age>70, 1 - (0.9402).power((52.00961 * (%age.ln() - 3.8926095) + 20.014077 * (%tChol.ln() - 5.3441475) - 0.905964 * (%hdl.ln() - 3.7731132) + 1.305784 * (%systolic.ln() - 4.8618212) + 0.241549 * (%antihypert - 0.1180474) + 12.096316 * (%smokes - 0.335602) - 4.605038 * (%age.ln() * %tChol.ln() - 20.8111562) - 2.84367 * (70.ln() * %smokes - 1.2890301) - 2.93323 * (%age.ln() * %age.ln() - 15.2144965)).exp()), {}), {}), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "maleNotOver70",
"language": "text/fhirpath",
"expression": "iif(%allQuestionsAnswered, iif(%gender = 'Male', iif(%age<=70, 1 - (0.9402).power((52.00961 * (%age.ln() - 3.8926095) + 20.014077 * (%tChol.ln() - 5.3441475) - 0.905964 * (%hdl.ln() - 3.7731132) + 1.305784 * (%systolic.ln() - 4.8618212) + 0.241549 * (%antihypert - 0.1180474) + 12.096316 * (%smokes - 0.335602) - 4.605038 * (%age.ln() * %tChol.ln() - 20.8111562) - 2.84367 * (%age.ln() * %smokes - 1.2890301) - 2.93323 * (%age.ln() * %age.ln() - 15.2144965)).exp()), {}), {}), {})"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "risk",
"language": "text/fhirpath",
"expression": "%femaleOver78 | %femaleNotOver78 | %maleOver70 | %maleNotOver70"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-framingham-hchd-lhc",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.10"
}
],
"version": "4.0.0-ballot",
"name": "FraminghamHCHD",
"title": "Hard Coronary Heart Disease (10-year risk)",
"status": "active",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2024-12-17T01:55:34+00:00",
"publisher": "HL7 International / FHIR Infrastructure",
"contact": [
{
"name": "HL7 International / FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
},
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "A form for calculating the 10-year-risk of Hard Coronary Heart Disease. The constants used in the formula match those in https://www.framinghamheartstudy.org/fhs-risk-functions/hard-coronary-heart-disease-10-year-risk/, but the actual formulas are not listed there, and so we have not been able to verify them. However, the output of this form matches the output of a perl program (from which the formulas were taken) which matched the output of a calculator on a website, which regrettably no longer exists. So, while this form is good enough or a demo, it should not be relied on for real purposes without first verifying its formulas or its output against some other source.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"item": [
{
"linkId": "/age",
"code": [
{
"system": "http://loinc.org",
"code": "30525-0",
"display": "Age"
}
],
"text": "Age (in years)",
"type": "decimal",
"required": true
},
{
"linkId": "/age_requirement_notice",
"text": "Sorry, but the formulas are only valid for ages in the range 30 to 79.",
"type": "display",
"enableWhen": [
{
"question": "/age",
"operator": "<",
"answerDecimal": 30
},
{
"question": "/age",
"operator": ">",
"answerDecimal": 79
}
],
"enableBehavior": "any"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "/46098-0",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0",
"display": "Sex"
}
],
"text": "Gender",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA2-8",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA3-6",
"display": "Female"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
],
"text": "Radio Button"
}
}
],
"linkId": "/smokes",
"text": "Do you smoke?",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://example.org",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://example.org",
"code": "N",
"display": "No"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"display": "mm[Hg]"
}
}
],
"linkId": "/8480-6",
"code": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic blood pressure"
}
],
"text": "Systolic blood pressure",
"type": "decimal",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"display": "mg/dL"
}
}
],
"linkId": "/2093-3",
"code": [
{
"system": "http://loinc.org",
"code": "2093-3",
"display": "Cholesterol [Mass/volume] in Serum or Plasma"
}
],
"text": "Cholesterol [Mass/Vol]",
"type": "decimal",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"display": "mg/dL"
}
}
],
"linkId": "/2085-9",
"code": [
{
"system": "http://loinc.org",
"code": "2085-9",
"display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
}
],
"text": "Cholesterol in HDL [Mass/Vol]",
"type": "decimal",
"required": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
}
],
"text": "Radio Button"
}
}
],
"linkId": "/antihypertensive",
"text": "Are you taking medication for high blood pressure?",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://example.org",
"code": "Y",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://example.org",
"code": "N",
"display": "No"
}
}
]
},
{
"linkId": "/all_answers_required_notice",
"text": "All answers are required before the risk probability can be computed.",
"type": "display"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"description": "HCHD risk as decimal",
"language": "text/fhirpath",
"expression": "%risk"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}
],
"linkId": "riskDecimal",
"text": "10-year HCHD Risk Probabilily as a decimal (0 to 1)",
"type": "decimal",
"required": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"description": "HCHD risk as percentage",
"language": "text/fhirpath",
"expression": "iif(%risk.exists(), (%risk * 100).round(2).toString() & '%', {})"
}
}
],
"linkId": "riskPercentage",
"text": "10-year HCHD Risk Probabilily",
"type": "string",
"required": false
}
]
}