Generated Narrative: StructureDefinition ViralHepatitisCaseReportFormModel Name Flags Card. Type Description & Constraints ViralHepatitisCaseReportFormModel 0..* Base VH Case Report Form Logical Model #xD; ConsultDate 1..1 dateTime Consult Date (MM/DD/YYYY) #xD; PatientCode 1..1 Identifier Patient Code #xD; TestingFacilityName 1..1 Reference() Testing Facility Name #xD; ContactNo 0..* ContactPoint Contact Number #xD; FacilityAddress 1..1 Address Facility Address #xD; ClientType 1..1 code Client Type #xD; TestedPositiveForHepatitisB 0..1 BackboneElement If patient tested positive for Hepatitis B #xD; TestedPositiveForHepatitisC 0..1 BackboneElement If patient tested positive for Hepatitis C #xD; DateofBaselineHBsAgTest 0..1 dateTime Date of Baseline HBsAgTest (MM/DD/YYYY) #xD; DateofBaselineAnti-HCVTest 0..1 dateTime Date of Baseline Anti-HCV test (MM/DD/YYYY) #xD; FirstName 0..* HumanName First Name #xD; MiddleName 0..* HumanName Middle Name #xD; LastName 1..1 HumanName Last Name #xD; Suffix 0..* HumanName Suffix #xD; UniqueIdentifierCode 1..1 id Unique Identifier Code for the patient #xD; FirstTwoLetterOfMothersName 1..1 id First two letters of mother's name #xD; FirstTwoLetterOfFathersName 1..1 id First two letters of father's name #xD; BirthOrder 1..1 integer Birth Order #xD; BirthDate 1..1 date Birth Date #xD; SexAssignedAtBirth 0..1 code Sex Assigned at Birth #xD; SelfIdentity 0..1 code Patient Self Identity #xD; IsShePregnant 0..* code If female, is she pregnant? #xD; IsShePregnant 0..* CodeableConcept If female, is she pregnant? #xD; NumberOfChildren 0..* integer Number of Children #xD; CivilStatus 0..* CodeableConcept Civil Status #xD; Nationality 0..* CodeableConcept Nationality #xD; AgeInYears 1..1 Age Age of Patient in Years #xD; PhilHealthNo 1..1 Identifier PhilHealth Number of the Patient #xD; CurrentAddressCityMunicipality 1..* Address Current City/Municipality Address of the Patient #xD; CurrentAddressProvince 1..* Address Current Province Address of the Patient #xD; CurrentAddressRegion 1..* Address Current Region Address of the Patient #xD; PermanentAddressCityMunicipality 1..* Address Permanent City/Municipality Address of the Patient #xD; PermanentAddressProvince 1..* Address Permanent Province Address of the Patient #xD; PermanentAddressRegion 1..* Address Permanent Region Address of the Patient #xD; DidTheClientsMotherTestPositiveForHepatitisB 1..1 BackboneElement History of Client's mother for Hepatitis B #xD; DidTheClientsMotherTestPositiveForHepatitisC 1..1 BackboneElement History of Client's mother for Hepatitis C #xD; DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB 1..1 BackboneElement History of Client's Spouse/Partner for Hepatitis B #xD; DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC 1..1 BackboneElement History of Client's Spouse/Partner for Hepatitis C #xD; DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers 1..1 CodeableConcept History of client of using/sharing needle or syringe with others #xD; DoesTheClientHaveHistoryOfInjectingDrugs 1..1 CodeableConcept Does the client have history of injecting drugs? #xD; HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood 1..1 CodeableConcept Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood? #xD; DidTheClientReceiveATattoo 1..1 CodeableConcept Did the client receive a tattoo? #xD; WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale 1..1 CodeableConcept Was there a history(past year) of sexual intercourse with a male? #xD; WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale 1..1 CodeableConcept Was there a history(past year) of sexual intercourse with a female? #xD; DoesTheClientPayInCashOrInKindForSex 1..1 CodeableConcept Does the client pay (in cash or in kind) for sex? #xD; DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex 1..1 CodeableConcept Does the client accept payment (in cash or in kind) in exchange for sex? #xD; WasThereAHistoryOfEmploymentAbroadInThePast 1..1 CodeableConcept Was there a history of employment abroad in the past? #xD; IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer 1..1 BackboneElement History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer #xD; DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis 1..1 CodeableConcept Client's History of having Hepatocellular Carcinoma #xD; DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts 1..1 CodeableConcept Client's History of Receiving Blood or Blood Products #xD; DoesTheClientHaveHistoryOfUndergoingHemodialysis 1..1 CodeableConcept Client's History of undergoing hemodialysis #xD; WasThereAHistoryOfBeingVaccinatedForHepatitisA 1..1 CodeableConcept Client's History of Being Vaccinated for Hepatitis A #xD; WasThereAHistoryOfBeingVaccinatedForHepatitisB 1..1 CodeableConcept Client's History of Being Vaccinated for Hepatitis B #xD; DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment 1..1 CodeableConcept Client's History of Undergoing HIV Treatment Prior to Enrollment #xD; HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV 1..1 BackboneElement The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis #xD; NoYesHIVMedsTaken 1..1 BackboneElement List of Antiretroviral Drugs for HIV Taken #xD; HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB 1..1 BackboneElement The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis #xD; NoYesHepatitisBMedsTaken 1..1 BackboneElement List of Antiviral Drugs for Hepatitis B Taken #xD; HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC 1..1 BackboneElement The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis #xD; NoYesHepatitisCMedsTaken 1..1 BackboneElement List of Antiviral Drugs for Hepatitis C Taken #xD; Documentation for this format
Viral Hepatitis Case Report Form Logical Model
The location where the encounter takes place.
Physical location where the encounter takes place
If patient tested positive for Hepatitis B
If patient tested positive for Hepatitis C
Date of Baseline Anti-HCV test (MM/DD/YYYY)
First two letters of mother's name, First two letters of father's name, birth order, and Birthdate (MM/FF/BO/MM/DD/YYYY)
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
unique id for the element within a resource (for internal references)
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
Current City/Municipality Address of the Patient
Permanent City/Municipality Address of the Patient
Permanent Province Address of the Patient
History of Client's mother for Hepatitis B
Did the client's mother test positive for Hepatitis B?
History of Client's mother for Hepatitis C
Did the client's mother test positive for Hepatitis C?
History of Client's Spouse/Partner for Hepatitis B
Did the client's spouse/partner test positive for Hepatitis B?
History of Client's Spouse/Partner for Hepatitis C
Did the client's spouse/partner test positive for Hepatitis C?
History of client of using/sharing needle or syringe with others
Does the client have history of sharing needle and/or syringe with others?
Does the client have history of injecting drugs?
Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?
Was there a history(past year) of sexual intercourse with a male?
Was there a history(past year) of sexual intercourse with a female?
Does the client pay (in cash or in kind) for sex?
Does the client accept payment (in cash or in kind) in exchange for sex?
Was there a history of employment abroad in the past?
History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer
Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?
Client's History of having Hepatocellular Carcinoma
Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?
Client's History of Receiving Blood or Blood Products
Does the client have history of receiving blood/blood products?
Client's History of undergoing hemodialysis
Does the client have history of undergoing hemodialysis?
Client's History of Being Vaccinated for Hepatitis A
Was there a history of being vaccinated for Hepatitis A?
Client's History of Being Vaccinated for Hepatitis B
Was there a history of being vaccinated for Hepatitis B?
Client's History of Undergoing HIV Treatment Prior to Enrollment
Does the client have history of HIV treatment prior to enrollment?
The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis
Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
List of Antiretroviral Drugs for HIV Taken
If the client has history of taking antiretroviral drugs, please specify the drug(s) used
The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis
Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?
List of Antiviral Drugs for Hepatitis B Taken
If the client has history of taking antiviral drugs for Hepatitis B, please specify the drug(s) used
The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis
Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?
List of Antiviral Drugs for Hepatitis C Taken
If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used