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Packageuz.dhp.integrations
Resource TypeQuestionnaire
IdQuestionnaire-screening-intake-template.json
FHIR VersionR5
Sourcehttps://build.fhir.org/ig/uzinfocom-org/digital-health-integration/Questionnaire-screening-intake-template.html
URLhttps://terminology.dhp.uz/screening-intake-template
Version1.1
Statusactive
Date2017-01-01
NameComplaints
TitleComplaints

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source


English


Generated Narrative: Questionnaire screening-intake-template

Profile: UZ Core Questionnaire version: 0.6.0

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ComplaintsQuestionnairehttps://terminology.dhp.uz/screening-intake-template#1.1
... cervical-groupCervical complaints0..1group
.... 1.1Bleeding after sexual intercourse0..1boolean
.... 1.2Bleeding unrelated to the menstrual cycle0..1boolean
.... 1.3Watery vaginal discharge0..1boolean
.... 1.4Swelling of the lower extremities0..1boolean
.... 1.5Menstrual dysfunction0..1boolean
.... 1.6Vaginal bleeding during menopause0..1boolean
.... 1.7Pain in the lower abdomen or lower back0..1boolean
.... 1.8When did the above complaints begin?0..1stringOptions: 3 options
... breast-groupBreast complaints0..1group
.... 2.1Lump or mass in the breast or armpit area0..1boolean
.... 2.2Skin color changes: redness, thickening, firmness, or swelling0..1boolean
.... 2.3Crusting of the nipple skin0..1boolean
.... 2.4Changes in breast shape: deformation or enlargement0..1boolean
.... 2.5Skin changes: retraction, swelling, or orange-peel appearance0..1boolean
.... 2.6Nipple changes: retraction or flattening0..1boolean
.... 2.7Serous or bloody nipple discharge0..1boolean
.... 2.8Breast pain0..1boolean
.... 2.9When did the above complaints begin?0..1stringOptions: 3 options

doco Documentation for this format

Options Sets

Answer options for 1.8

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Answer options for 2.9

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Russian


Сгенерированный нарратив: Questionnaire screening-intake-template

Профиль: UZ Core Questionnaire версия: 0.6.0

Структура
LinkIDТекстКардинальностьТипОписание и ограниченияdoco
.. ComplaintsQuestionnairehttps://terminology.dhp.uz/screening-intake-template#1.1
... cervical-groupCervical complaints0..1group
.... 1.1Bleeding after sexual intercourse0..1boolean
.... 1.2Bleeding unrelated to the menstrual cycle0..1boolean
.... 1.3Watery vaginal discharge0..1boolean
.... 1.4Swelling of the lower extremities0..1boolean
.... 1.5Menstrual dysfunction0..1boolean
.... 1.6Vaginal bleeding during menopause0..1boolean
.... 1.7Pain in the lower abdomen or lower back0..1boolean
.... 1.8When did the above complaints begin?0..1stringПараметры: 3 options
... breast-groupBreast complaints0..1group
.... 2.1Lump or mass in the breast or armpit area0..1boolean
.... 2.2Skin color changes: redness, thickening, firmness, or swelling0..1boolean
.... 2.3Crusting of the nipple skin0..1boolean
.... 2.4Changes in breast shape: deformation or enlargement0..1boolean
.... 2.5Skin changes: retraction, swelling, or orange-peel appearance0..1boolean
.... 2.6Nipple changes: retraction or flattening0..1boolean
.... 2.7Serous or bloody nipple discharge0..1boolean
.... 2.8Breast pain0..1boolean
.... 2.9When did the above complaints begin?0..1stringПараметры: 3 options

doco Документация для этого формата

Наборы параметров

Варианты ответов для 1.8

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Варианты ответов для 2.9

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Uzbek


Generated Narrative: Questionnaire screening-intake-template

Profile: UZ Core Questionnaire version: 0.6.0

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. ComplaintsQuestionnairehttps://terminology.dhp.uz/screening-intake-template#1.1
... cervical-groupCervical complaints0..1group
.... 1.1Bleeding after sexual intercourse0..1boolean
.... 1.2Bleeding unrelated to the menstrual cycle0..1boolean
.... 1.3Watery vaginal discharge0..1boolean
.... 1.4Swelling of the lower extremities0..1boolean
.... 1.5Menstrual dysfunction0..1boolean
.... 1.6Vaginal bleeding during menopause0..1boolean
.... 1.7Pain in the lower abdomen or lower back0..1boolean
.... 1.8When did the above complaints begin?0..1stringOptions: 3 options
... breast-groupBreast complaints0..1group
.... 2.1Lump or mass in the breast or armpit area0..1boolean
.... 2.2Skin color changes: redness, thickening, firmness, or swelling0..1boolean
.... 2.3Crusting of the nipple skin0..1boolean
.... 2.4Changes in breast shape: deformation or enlargement0..1boolean
.... 2.5Skin changes: retraction, swelling, or orange-peel appearance0..1boolean
.... 2.6Nipple changes: retraction or flattening0..1boolean
.... 2.7Serous or bloody nipple discharge0..1boolean
.... 2.8Breast pain0..1boolean
.... 2.9When did the above complaints begin?0..1stringOptions: 3 options

doco Documentation for this format

Options Sets

Answer options for 1.8

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Answer options for 2.9

  • Up to 3 months ago
  • Up to 6 months ago
  • 1 year or more ago

Source1

{
  "resourceType": "Questionnaire",
  "id": "screening-intake-template",
  "meta": {
    "profile": [
      "https://dhp.uz/fhir/core/StructureDefinition/uz-core-questionnaire|0.6.0"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://terminology.dhp.uz/screening-intake-template",
  "identifier": [
    {
      "use": "usual",
      "system": "https://dhp.uz/fhir/core/sid/uz/screening",
      "value": "33333"
    }
  ],
  "version": "1.1",
  "name": "Complaints",
  "title": "Complaints",
  "status": "active",
  "date": "2017-01-01",
  "publisher": "Uzinfocom LLC",
  "contact": [
    {
      "name": "Uzinfocom LLC",
      "telecom": [
        {
          "system": "url",
          "value": "https://uzinfocom.uz"
        },
        {
          "system": "email",
          "value": "info@uzinfocom.uz"
        }
      ]
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "UZ",
          "display": "Uzbekistan"
        }
      ]
    }
  ],
  "item": [
    {
      "linkId": "cervical-group",
      "text": "Cervical complaints",
      "type": "group",
      "item": [
        {
          "linkId": "1.1",
          "text": "Bleeding after sexual intercourse",
          "type": "boolean"
        },
        {
          "linkId": "1.2",
          "text": "Bleeding unrelated to the menstrual cycle",
          "type": "boolean"
        },
        {
          "linkId": "1.3",
          "text": "Watery vaginal discharge",
          "type": "boolean"
        },
        {
          "linkId": "1.4",
          "text": "Swelling of the lower extremities",
          "type": "boolean"
        },
        {
          "linkId": "1.5",
          "text": "Menstrual dysfunction",
          "type": "boolean"
        },
        {
          "linkId": "1.6",
          "text": "Vaginal bleeding during menopause",
          "type": "boolean"
        },
        {
          "linkId": "1.7",
          "text": "Pain in the lower abdomen or lower back",
          "type": "boolean"
        },
        {
          "linkId": "1.8",
          "text": "When did the above complaints begin?",
          "type": "string",
          "answerOption": [
            {
              "valueString": "Up to 3 months ago"
            },
            {
              "valueString": "Up to 6 months ago"
            },
            {
              "valueString": "1 year or more ago"
            }
          ]
        }
      ]
    },
    {
      "linkId": "breast-group",
      "text": "Breast complaints",
      "type": "group",
      "item": [
        {
          "linkId": "2.1",
          "text": "Lump or mass in the breast or armpit area",
          "type": "boolean"
        },
        {
          "linkId": "2.2",
          "text": "Skin color changes: redness, thickening, firmness, or swelling",
          "type": "boolean"
        },
        {
          "linkId": "2.3",
          "text": "Crusting of the nipple skin",
          "type": "boolean"
        },
        {
          "linkId": "2.4",
          "text": "Changes in breast shape: deformation or enlargement",
          "type": "boolean"
        },
        {
          "linkId": "2.5",
          "text": "Skin changes: retraction, swelling, or orange-peel appearance",
          "type": "boolean"
        },
        {
          "linkId": "2.6",
          "text": "Nipple changes: retraction or flattening",
          "type": "boolean"
        },
        {
          "linkId": "2.7",
          "text": "Serous or bloody nipple discharge",
          "type": "boolean"
        },
        {
          "linkId": "2.8",
          "text": "Breast pain",
          "type": "boolean"
        },
        {
          "linkId": "2.9",
          "text": "When did the above complaints begin?",
          "type": "string",
          "answerOption": [
            {
              "valueString": "Up to 3 months ago"
            },
            {
              "valueString": "Up to 6 months ago"
            },
            {
              "valueString": "1 year or more ago"
            }
          ]
        }
      ]
    }
  ]
}