Generated Narrative: Questionnaire questionnaire-sdc-profile-example-form-behavior

LinkID	Text	Cardinality	Type	Flags	Description & Constraints
SDCAdvancedRenderingExample			Questionnaire		http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-form-behavior#4.0.0-ballot
1	Value constraints	0..1	group
1.1	First Name	0..1	string		Max Length: 50
1.2	Last Name	0..1	string
1.3	Postal Code (A1A 1A1)	0..1	string
1.4	Enter your weight in kg	0..1	decimal
1.5	Body Weight	0..1	quantity
1.6	Attach Proof of Citizenship	0..1	attachment
2	Value constraints	0..1	group
2.1	(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.	0..1	choice		Options: 4 options
2.3	Activity Level	0..1	choice		Value Set: http://loinc.org/vs/LL4882-8
2.5	Applicable health conditions	0..*	choice		Value Set: #vsConditionsAll
2.6	Email*	1..1	string
2.7	Current Date:	0..1	date
2.7.1	null	0..1	display
2.8	Heart History (check all that applies)	0..*	open-choice		Options: 5 options
2.9	Heart History (check at least 2):	1..*	choice		Options: 5 options
2.10	Heart History (check no more than 3):	1..*	choice		Options: 5 options
2.11	What treatments do you now have for heart disease? (select all that applies)	0..*	choice		Options: 6 options
2.12	Dosage	0..1	quantity
2.13	Specify age:	0..1	quantity
2.14	Select your preferred practitioner:	0..1	reference
3	Calculation	0..1	group
3.1	Deadline for submission (7 days from now)	0..1	date
3.2	null	0..1	group
3.2.1	Last Name:	0..1	string
3.2.2	First Name:	0..1	string
3.2.3	Gender:	0..1	string
3.3	Calculated Expression	0..1	group
3.3.1	Weight (kg)	0..1	decimal
3.3.2	Body Height (inches)	0..1	decimal
3.3.3	Your Body Mass Index (BMI)	0..1	decimal
3.4	CQF-related Example	0..1	group
3.4.1	Enter weight in kg	0..1	decimal
3.4.2	Enter email address	0..1	string
3.5	null	0..1	display
4	Other Controls	0..1	group
4.1	Marital Status	0..1	choice		Value Set: MaritalStatus Initial Value: Coding = MaritalStatus#D "Divorced"
4.2	null	0..1	group
4.2.1	Choose Gender	0..1	choice		Value Set: AdministrativeGender
4.2.2	Are you pregnant? (enableWhen = gender is Female, disableDisplay=protected)	0..1	choice		Enable When: 4.2.1 = Value Set: Yes/No/Don't Know
4.2.3	Are you diabetic? (enableWhen = gender is Female, disableDisplay=hidden)	0..1	choice		Enable When: 4.2.1 = Value Set: Yes/No/Don't Know
4.2.4	Have you been diagnosed with Gestational Diabetes? (enableBehavior = only when pregnant and diabetic, disableDisplay=protected)	0..1	choice		Enable When: 4.2.2 = 4.2.3 = Value Set: Yes/No/Don't Know
4.2.5	Enter your birthdate (MM/DD/YYYY)	0..1	date		Value Set: AdministrativeGender
4.2.6	Have you had mammogram before?(enableWhenExpression = only when gender is female and age > 40, disableDisplay=protected)	0..1	choice		Value Set: Yes/No/Don't Know
4.4	Signature of Patient	1..1	attachment
4.5	All the practitioners below can speak the patient's language. Choose all preferred practioners:	0..*	reference
4.6	null	0..1	group
4.6.1	Home Address	0..1	display
4.6.2	Address	0..1	string		Definition: Patient.address.line
4.6.3	City	0..1	string		Definition: Patient.address.city
4.6.4	Province	0..1	choice		Definition: Patient.address.state Options: 10 options
4.6.5	Postal Code	0..1	string		Definition: Patient.address.postalCode
Documentation for this format

Options Sets

Answer options for 2.1

• http://loinc.org#LA28397-0 ("Often true")
• http://loinc.org#LA6729-3 ("Sometimes true")
• http://loinc.org#LA28398-8 ("Never true")
• http://loinc.org#LA15775-2 ("Don't know/refused")

Answer options for 2.8

• http://example.org/CodeSystem/procedures#U1 ("Heart attack")
• http://example.org/CodeSystem/procedures#U2 ("Heart surgery")
• http://example.org/CodeSystem/procedures#U3 ("Cardiac catheterization")
• http://example.org/CodeSystem/procedures#U4 ("Coronary angioplasty (PTCA)")
• http://example.org/CodeSystem/procedures#U5 ("Cardiac pacemaker")

Answer options for 2.9

• http://example.org/CodeSystem/procedures#U1 ("Heart attack")
• http://example.org/CodeSystem/procedures#U2 ("Heart surgery")
• http://example.org/CodeSystem/procedures#U3 ("Cardiac catheterization")
• http://example.org/CodeSystem/procedures#U4 ("Coronary angioplasty (PTCA)")
• http://example.org/CodeSystem/procedures#U5 ("Cardiac pacemaker")

Answer options for 2.10

• http://example.org/CodeSystem/procedures#U1 ("Heart attack")
• http://example.org/CodeSystem/procedures#U2 ("Heart surgery")
• http://example.org/CodeSystem/procedures#U3 ("Cardiac catheterization")
• http://example.org/CodeSystem/procedures#U4 ("Coronary angioplasty (PTCA)")
• http://example.org/CodeSystem/procedures#U5 ("Cardiac pacemaker")

Answer options for 2.11

• http://example.org/CodeSystem/treatments#noTreatment ("NoTreatment")
• http://example.org/CodeSystem/treatments#aspirin ("Aspirin")
• http://example.org/CodeSystem/treatments#otherMeds ("Other medicines, tablets, or pills")
• http://example.org/CodeSystem/treatments#diet ("Diet")
• http://example.org/CodeSystem/treatments#exercise ("Exercise")
• http://example.org/CodeSystem/treatments#none ("None of the above")

Answer options for 4.6.4

• http://example.org/CodeSystem/provinces#Alberta ("Alberta")
• http://example.org/CodeSystem/provinces#BritishColumbia ("British Columbia")
• http://example.org/CodeSystem/provinces#Manitoba ("Manitoba")
• http://example.org/CodeSystem/provinces#NewBrunswick ("New Brunswick")
• http://example.org/CodeSystem/provinces#NewfoundlandAndLabrador ("Newfoundland and Labrador")
• http://example.org/CodeSystem/provinces#NovaScotia ("Nova Scotia")
• http://example.org/CodeSystem/provinces#Ontario ("Ontario")
• http://example.org/CodeSystem/provinces#PrinceEdwardIsland ("Prince Edward Island")
• http://example.org/CodeSystem/provinces#Quebec ("Quebec")
• http://example.org/CodeSystem/provinces#Saskatchewan ("Saskatchewan")