NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/nhdr-fhir-ig-review-project-2/ and changes regularly. See the Directory of published versions

## : Konsulta-Health-Screening-FPE - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="Konsulta-Health-Screening-FPE"/>
      <identifier>
        <system value="http://nhdr.gov.ph/fhir/ValueSet-form-type"/>
        <value value="Konsulta-Availment-Slip"/>
      </identifier>
      <type value="transaction"/>
      <entry>
        <fullUrl value="urn:uuid:patient-5"/>
        <resource>
          <Patient>
            <id value="K5-Patient"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_K5-Patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient K5-Patient</b></p><a name="K5-Patient"> </a><a name="hcK5-Patient"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Patient.html">PH Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Quinn Ry Senilla  (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">ph: 09456469323</td></tr><tr><td style="background-color: #f3f5da" title="Patient Type"><a href="StructureDefinition-PatientType.html">Patient Type</a></td><td colspan="3"><span title="Codes:{https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS MM}">Member</span></td></tr><tr><td style="background-color: #f3f5da" title="Extension to capture the sex of a patient, practitioner, or person."><a href="StructureDefinition-Sex.html">Sex at birth</a></td><td colspan="3"><span title="Codes:{https://nhdr.gov.ph/fhir/ValueSet/Sex M}">Male</span></td></tr></table></div>
            </text>
            <extension
                       url="https://nhdr.gov.ph/fhir/StructureDefinition/PatientType">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="https://nhdr.gov.ph/fhir/ValueSet/PatientTypeVS"/>
                  <code value="MM"/>
                  <display value="Member"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension url="https://nhdr.gov.ph/fhir/StructureDefinition/Sex">
              <valueCodeableConcept>
                <coding>
                  <system value="https://nhdr.gov.ph/fhir/ValueSet/Sex"/>
                  <code value="M"/>
                  <display value="Male"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <identifier>
              <type>
                <text value="PhilHealth ID"/>
              </type>
              <system value="http://nhdr.gov.ph/fhir/Identifier/philhealth-id"/>
              <value value="PH-00001"/>
            </identifier>
            <name>
              <family value="Senilla"/>
              <given value="Quinn"/>
              <given value="Ry"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="09456469323"/>
            </telecom>
            <birthDate value="1998-07-08"/>
            <photo>
              <contentType value="image/jpeg"/>
              <url value="input/images/CF1.png"/>
            </photo>
          </Patient>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Patient"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:encounter-5"/>
        <resource>
          <Encounter>
            <id value="K5-Encounter"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter"/>
            </meta>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_K5-Encounter"> </a><p class="res-header-id"><b>Generated Narrative: Encounter K5-Encounter</b></p><a name="K5-Encounter"> </a><a name="hcK5-Encounter"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Encounter.html">PH Encounter</a></p></div><p><b>Age in Years</b>: 35</p><p><b>identifier</b>: <code>https://nhdr.gov.ph/fhir/Identifier/encounter-id</code>/EN-0001</p><p><b>status</b>: booked</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB">ActCode: AMB</a> (ambulatory)</p><p><b>subject</b>: <a href="Bundle-Konsulta-Health-Screening-FPE.html#Patient_K5-Patient">Quinn Ry Senilla  (no stated gender), DoB: 1998-07-08 ( PhilHealth ID: PH-00001)</a></p><p><b>period</b>: 2026-03-02 09:00:00+0800 --&gt; (ongoing)</p><p><b>reasonReference</b>: <a href="Bundle-Konsulta-Health-Screening-FPE.html#Observation_K5-Observation-PPE">Observation Pertinent Physical Examination</a></p></div>
            </text>
            <extension
                       url="https://nhdr.gov.ph/fhir/StructureDefinition/AgeYears">
              <valueInteger value="35"/>
            </extension>
            <identifier>
              <system value="https://nhdr.gov.ph/fhir/Identifier/encounter-id"/>
              <value value="EN-0001"/>
            </identifier>
            <status value="booked"/>
            <class>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="AMB"/>
            </class>
            <subject>
              <reference value="Patient/K5-Patient"/>
            </subject>
            <period>
              <start value="2026-03-02T09:00:00+08:00"/>
            </period>
            <reasonReference>
              <reference value="Observation/K5-Observation-PPE"/>
            </reasonReference>
          </Encounter>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Encounter"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:observation-5"/>
        <resource>
          <Observation>
            <id value="K5-Observation-Female-Physiology"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_K5-Observation-Female-Physiology"> </a><p class="res-header-id"><b>Generated Narrative: Observation K5-Observation-Female-Physiology</b></p><a name="K5-Observation-Female-Physiology"> </a><a name="hcK5-Observation-Female-Physiology"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 11111}">Female Physiology</span></p><p><b>value</b>: Lower abdominal pain and dizziness</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">First menstrual Period</span></p><p><b>value</b>: 2026-02-20 08:30:00+0800 --&gt; (ongoing)</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Last menstrual Period</span></p><p><b>value</b>: ?? --&gt; 2026-02-20 08:45:00+0800</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Number of Pregnancies</span></p><p><b>value</b>: 3</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="11111"/>
                <display value="Female Physiology"/>
              </coding>
            </code>
            <valueString value="Lower abdominal pain and dizziness"/>
            <component>
              <code>
                <text value="First menstrual Period"/>
              </code>
              <valuePeriod>
                <start value="2026-02-20T08:30:00+08:00"/>
              </valuePeriod>
            </component>
            <component>
              <code>
                <text value="Last menstrual Period"/>
              </code>
              <valuePeriod>
                <end value="2026-02-20T08:45:00+08:00"/>
              </valuePeriod>
            </component>
            <component>
              <code>
                <text value="Number of Pregnancies"/>
              </code>
              <valueInteger value="3"/>
            </component>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:observation-5"/>
        <resource>
          <Observation>
            <id value="K5-Observation-PPE"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_K5-Observation-PPE"> </a><p class="res-header-id"><b>Generated Narrative: Observation K5-Observation-PPE</b></p><a name="K5-Observation-PPE"> </a><a name="hcK5-Observation-PPE"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 22222}">Pertinent Physical Examination</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Blood Pressure</span></p><p><b>value</b>: 120/80 mmHg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Heart Rate</span></p><p><b>value</b>: 72 beats/minute</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Respiratory Rate</span></p><p><b>value</b>: 18 breaths/minute</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Visual Acuity</span></p><p><b>value</b>: 20/20</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Height (cm)</span></p><p><b>value</b>: 165 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Height (in)</span></p><p><b>value</b>: 64.96 in</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Weight (kg)</span></p><p><b>value</b>: 60 kg</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Weight (lb)</span></p><p><b>value</b>: 132.28 lb</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">BMI</span></p><p><b>value</b>: 22</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Temperature</span></p><p><b>value</b>: 36.8</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="22222"/>
                <display value="Pertinent Physical Examination"/>
              </coding>
            </code>
            <component>
              <code>
                <text value="Blood Pressure"/>
              </code>
              <valueString value="120/80 mmHg"/>
            </component>
            <component>
              <code>
                <text value="Heart Rate"/>
              </code>
              <valueQuantity>
                <value value="72"/>
                <unit value="beats/minute"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Respiratory Rate"/>
              </code>
              <valueQuantity>
                <value value="18"/>
                <unit value="breaths/minute"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Visual Acuity"/>
              </code>
              <valueRatio>
                <numerator>
                  <value value="20"/>
                </numerator>
                <denominator>
                  <value value="20"/>
                </denominator>
              </valueRatio>
            </component>
            <component>
              <code>
                <text value="Height (cm)"/>
              </code>
              <valueQuantity>
                <value value="165"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Height (in)"/>
              </code>
              <valueQuantity>
                <value value="64.96"/>
                <unit value="in"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Weight (kg)"/>
              </code>
              <valueQuantity>
                <value value="60"/>
                <unit value="kg"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Weight (lb)"/>
              </code>
              <valueQuantity>
                <value value="132.28"/>
                <unit value="lb"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="BMI"/>
              </code>
              <valueQuantity>
                <value value="22"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Temperature"/>
              </code>
              <valueQuantity>
                <value value="36.8"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:observation-5"/>
        <resource>
          <Observation>
            <id value="K5-Observation-Pediatric-Client"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_K5-Observation-Pediatric-Client"> </a><p class="res-header-id"><b>Generated Narrative: Observation K5-Observation-Pediatric-Client</b></p><a name="K5-Observation-Pediatric-Client"> </a><a name="hcK5-Observation-Pediatric-Client"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 33333}">Pediatric Client aged 0-24 months</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Length</span></p><p><b>value</b>: 75 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Head Circumference</span></p><p><b>value</b>: 46 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Skinfold Thickness</span></p><p><b>value</b>: 1.2 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Body Circumference - Waist</span></p><p><b>value</b>: 48 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Body Circumference - Hip</span></p><p><b>value</b>: 50 cm</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:">Body Circumference - Middle and Upper Arm</span></p><p><b>value</b>: 14 cm</p></blockquote></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="33333"/>
                <display value="Pediatric Client aged 0-24 months"/>
              </coding>
            </code>
            <component>
              <code>
                <text value="Length"/>
              </code>
              <valueQuantity>
                <value value="75"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Head Circumference"/>
              </code>
              <valueQuantity>
                <value value="46"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Skinfold Thickness"/>
              </code>
              <valueQuantity>
                <value value="1.2"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Body Circumference - Waist"/>
              </code>
              <valueQuantity>
                <value value="48"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Body Circumference - Hip"/>
              </code>
              <valueQuantity>
                <value value="50"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
            <component>
              <code>
                <text value="Body Circumference - Middle and Upper Arm"/>
              </code>
              <valueQuantity>
                <value value="14"/>
                <unit value="cm"/>
              </valueQuantity>
            </component>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:observation-5"/>
        <resource>
          <Observation>
            <id value="K5-Observation-Blood-Type"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_K5-Observation-Blood-Type"> </a><p class="res-header-id"><b>Generated Narrative: Observation K5-Observation-Blood-Type</b></p><a name="K5-Observation-Blood-Type"> </a><a name="hcK5-Observation-Blood-Type"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 882-1}">ABO and Rh blood group</span></p><p><b>value</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0004 O+}">O Positive</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="882-1"/>
                <display value="ABO and Rh blood group"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0004"/>
                <code value="O+"/>
                <display value="O Positive"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:observation-5"/>
        <resource>
          <Observation>
            <id value="K5-Observation-General-Survey"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_K5-Observation-General-Survey"> </a><p class="res-header-id"><b>Generated Narrative: Observation K5-Observation-General-Survey</b></p><a name="K5-Observation-General-Survey"> </a><a name="hcK5-Observation-General-Survey"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Observation.html">PH Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 89205-8}">General Survey</span></p><p><b>value</b>: <span title="Codes:{https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVS AbdominalCrampPain}">ABDOMINAL CRAMP/PAIN</span></p></div>
            </text>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://loinc.org"/>
                <code value="89205-8"/>
                <display value="General Survey"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system
                        value="https://nhdr.gov.ph/fhir/ValueSet/ObservationValueVS"/>
                <code value="AbdominalCrampPain"/>
                <display value="ABDOMINAL CRAMP/PAIN"/>
              </coding>
            </valueCodeableConcept>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:questionnaire-5"/>
        <resource>
          <Questionnaire>
            <id value="K5-Questionnaire"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Questionnaire_K5-Questionnaire"> </a><p class="res-header-id"><b>Generated Narrative: Questionnaire K5-Questionnaire</b></p><a name="K5-Questionnaire"> </a><a name="hcK5-Questionnaire"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-Questionnaire.html">PH Questionnaire</a></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> K5-Q1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you experience any of the following: fever, cough, colds, or headache?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> K5-Q2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If yes, please explain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.K5-Q1">K5-Q1</a> = true</span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> K5-Q3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> K5-Q4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If yes, please explain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.K5-Q3">K5-Q3</a> = true</span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> K5-Q5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you experience any of the following: chest pain or difficulty in breathing?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> K5-Q6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If yes, please explain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.K5-Q5">K5-Q5</a> = true</span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> K5-Q7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> K5-Q8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If yes, please explain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.K5-Q7">K5-Q7</a> = true</span></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.K5-Q9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> K5-Q9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.K5-Q10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> K5-Q10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If yes, please explain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.K5-Q9">K5-Q9</a> = true</span></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
            </text>
            <status value="active"/>
            <item>
              <linkId value="K5-Q1"/>
              <text
                    value="Do you experience any of the following: fever, cough, colds, or headache?"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="K5-Q2"/>
              <text value="If yes, please explain"/>
              <type value="string"/>
              <enableWhen>
                <question value="K5-Q1"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
            </item>
            <item>
              <linkId value="K5-Q3"/>
              <text
                    value="Do you experience any of the following: unexplained change in weight, loss of appetite, change in bowel movement, or abdominal pain?"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="K5-Q4"/>
              <text value="If yes, please explain"/>
              <type value="string"/>
              <enableWhen>
                <question value="K5-Q3"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
            </item>
            <item>
              <linkId value="K5-Q5"/>
              <text
                    value="Do you experience any of the following: chest pain or difficulty in breathing?"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="K5-Q6"/>
              <text value="If yes, please explain"/>
              <type value="string"/>
              <enableWhen>
                <question value="K5-Q5"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
            </item>
            <item>
              <linkId value="K5-Q7"/>
              <text
                    value="Do you experience any of the following: frequent urination, frequent eating, frequent intake of fluids, smoking, and drinking alcohol?"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="K5-Q8"/>
              <text value="If yes, please explain"/>
              <type value="string"/>
              <enableWhen>
                <question value="K5-Q7"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
            </item>
            <item>
              <linkId value="K5-Q9"/>
              <text
                    value="For male and female, do you experience any of the following: pain or discomfort on urination or frequency of urination?"/>
              <type value="boolean"/>
            </item>
            <item>
              <linkId value="K5-Q10"/>
              <text value="If yes, please explain"/>
              <type value="string"/>
              <enableWhen>
                <question value="K5-Q9"/>
                <operator value="="/>
                <answerBoolean value="true"/>
              </enableWhen>
            </item>
          </Questionnaire>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Questionnaire"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:questionnaireresponse-5"/>
        <resource>
          <QuestionnaireResponse>
            <id value="K5-QuestionnaireResponse"/>
            <meta>
              <profile
                       value="https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="QuestionnaireResponse_K5-QuestionnaireResponse"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse K5-QuestionnaireResponse</b></p><a name="K5-QuestionnaireResponse"> </a><a name="hcK5-QuestionnaireResponse"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PH-QuestionnaireResponse.html">PH QuestionnaireResponse</a></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> K5-QuestionnaireResponse</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:None specified</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> K5-Q1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> K5-Q2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Fever and headache for 2 days</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> K5-Q3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">false</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> K5-Q5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">false</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> K5-Q7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">true</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> K5-Q8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Occasional drinking alcohol</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> K5-Q9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">false</td></tr>
    <tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
            </text>
            <status value="completed"/>
            <item>
              <linkId value="K5-Q1"/>
              <answer>
                <valueBoolean value="true"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q2"/>
              <answer>
                <valueString value="Fever and headache for 2 days"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q3"/>
              <answer>
                <valueBoolean value="false"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q5"/>
              <answer>
                <valueBoolean value="false"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q7"/>
              <answer>
                <valueBoolean value="true"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q8"/>
              <answer>
                <valueString value="Occasional drinking alcohol"/>
              </answer>
            </item>
            <item>
              <linkId value="K5-Q9"/>
              <answer>
                <valueBoolean value="false"/>
              </answer>
            </item>
          </QuestionnaireResponse>
        </resource>
        <request>
          <method value="POST"/>
          <url value="QuestionnaireResponse"/>
        </request>
      </entry>
    </Bundle>