Generated Narrative: Questionnaire RSRunReportQuestionnaire Profile: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire Structure LinkID Text Cardinality Type Description & Constraints RSRunReportQuestionnaire Structured Data Capture questionnaire for the MMDA run report form. Captures workflow, incident, clinical, and vital sign data aligned with RS profiles so SDC $extract can populate Encounter, Observation, Location, Procedure, and ServiceRequest resources. Questionnaire https://build.fhir.org/ig/UPM-NTHC/PH-RoadSafetyIG/Questionnaire/rs-run-report#0.2.0 #xD; runreport Run Report Form 0..1 group #xD; runreport-encounter Encounter Workflow Participants 0..1 group #xD; runreport-encounter-status Encounter status 0..1 choice Definition: Encounter.status Options: 3 options Initial Value: Coding = EncounterStatus#finished "Finished" #xD; runreport-encounter-received-by Received by (Practitioner name) 0..1 string Definition: Encounter.participant:receivedBy.individual.display #xD; runreport-encounter-team-leader Team leader (Practitioner name) 0..1 string Definition: Encounter.participant:teamLeader.individual.display #xD; runreport-encounter-treatment-officer Treatment officer (Practitioner name) 0..1 string Definition: Encounter.participant:treatmentOfficer.individual.display #xD; runreport-encounter-transport-officer Transport officer (Practitioner name) 0..1 string Definition: Encounter.participant:transportOfficer.individual.display #xD; runreport-encounter-assistants Assistant(s) (Practitioner names) 0..* string Definition: Encounter.participant:assistant.individual.display #xD; runreport-encounter-medical-facility Receiving medical facility 0..1 string Definition: Encounter.hospitalization.destination.display #xD; runreport-encounter-vehicle-used Vehicle used 0..* string Definition: Encounter.extension:vehicleUsed.valueCodeableConcept.text #xD; runreport-refusal-to-admit Refusal to Admit 0..1 group #xD; runreport-refusal-flag Refusal to admit? 0..1 boolean Definition: ServiceRequest.doNotPerform #xD; runreport-refusal-occurrence Date/Time of refusal 0..1 dateTime Definition: ServiceRequest.occurrenceDateTime #xD; runreport-refusal-hospital Hospital 0..1 string Definition: ServiceRequest.supportingInfo:reportingOrganization.display #xD; runreport-refusal-physician Physician 0..1 string Definition: ServiceRequest.supportingInfo:contactPractitioner.display #xD; runreport-workflow-timeline Workflow Timeline Events 0..1 group #xD; runreport-workflow-date-received Date received by EMS 0..1 group #xD; runreport-workflow-date-received-status Observation status 0..1 choice Definition: Observation.status Options: 3 options Initial Value: Coding = ObservationStatus#final "Final" Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-workflow-date-received-value Date/Time received 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-workflow-time-on-scene Time on scene 0..1 group #xD; runreport-workflow-time-on-scene-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-workflow-time-on-scene-value Time on scene 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-workflow-time-departed-scene Time departed scene 0..1 group #xD; runreport-workflow-time-departed-scene-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-workflow-time-departed-scene-value Departure time 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-workflow-time-hospital-arrival Hospital arrival time 0..1 group #xD; runreport-workflow-time-hospital-arrival-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-workflow-time-hospital-arrival-value Hospital arrival 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-workflow-time-station-arrival Emergency station arrival time 0..1 group #xD; runreport-workflow-time-station-arrival-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-workflow-time-station-arrival-value Station arrival 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-workflow-time-enroute Time enroute 0..1 group #xD; runreport-workflow-time-enroute-status Observation status 0..1 choice Definition: Observation.status Options: 1 option #xD; runreport-workflow-time-enroute-value Time enroute 0..1 dateTime Definition: Observation.valueDateTime #xD; runreport-incident Incident 0..1 group #xD; runreport-incident-reported-complaint Reported complaint 0..1 group #xD; runreport-incident-reported-complaint-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-incident-reported-complaint-value Reported complaint (free text) 0..1 text Definition: Observation.valueString #xD; runreport-incident-call-source Call source 0..1 group #xD; runreport-incident-call-source-status Observation status 0..1 choice Definition: Observation.status Options: 2 options Initial Value: Coding = ObservationStatus#final "Final" #xD; runreport-incident-call-source-value Call source 0..1 text Definition: Observation.valueString #xD; runreport-incident-location Incident location 0..1 group #xD; runreport-incident-location-street House no. and street 0..1 text Definition: Location.address.line #xD; runreport-incident-location-barangay Barangay 0..1 text Definition: Location.address.extension:barangay.value[x] #xD; runreport-incident-location-city City / Municipality 0..1 text Definition: Location.address.extension:cityMunicipality.value[x] #xD; runreport-incident-location-province Province 0..1 text Definition: Location.address.extension:province.value[x] #xD; runreport-incident-location-region Region 0..1 text Definition: Location.address.extension:region.value[x] #xD; runreport-incident-location-longitude Longitude 0..1 decimal Definition: Location.position.longitude #xD; runreport-incident-location-latitude Latitude 0..1 decimal Definition: Location.position.latitude #xD; runreport-clinical Clinical 0..1 group #xD; runreport-clinical-medical-history Medical history 0..1 group #xD; runreport-clinical-medical-history-text Medical history detail 0..1 text Definition: Condition.code.text #xD; runreport-clinical-current-medication Current medication 0..1 group #xD; runreport-clinical-current-medication-text Medication name 0..1 text Definition: MedicationStatement.medicationCodeableConcept.text #xD; runreport-clinical-known-allergies Known allergies 0..1 group #xD; runreport-clinical-known-allergies-text Allergy description 0..1 text Definition: AllergyIntolerance.code.text #xD; runreport-clinical-interventions Procedures / interventions 0..* group #xD; runreport-clinical-interventions-code Intervention 0..1 text Definition: Procedure.code.text #xD; runreport-clinical-interventions-supplies Supplies used 0..1 text Definition: Procedure.usedCode.text #xD; runreport-clinical-interventions-supplies-reference Supply reference 0..1 string Definition: Procedure.usedReference.display #xD; runreport-clinical-interventions-notes Procedure notes 0..1 text Definition: Procedure.note.text #xD; runreport-clinical-remarks Clinical remarks 0..1 group #xD; runreport-clinical-remarks-text Clinical remarks 0..1 text Definition: Observation.note.text #xD; runreport-vitals Vital signs 0..1 group #xD; runreport-vitals-respiratory Respiratory rate 0..1 group #xD; runreport-vitals-respiratory-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-respiratory-value Respiratory rate 0..1 decimal Definition: Observation.valueQuantity.value #xD; runreport-vitals-respiratory-rhythm Respiratory rhythm 0..1 choice Definition: Observation.component:respiratory-rhythm.valueCodeableConcept Value Set: SILPH - RR - Rhythm (VS) #xD; runreport-vitals-respiratory-breath-sounds Breath sounds 0..1 choice Definition: Observation.component:breath-sounds.valueCodeableConcept Value Set: SILPH - RR - Breath Sounds (VS) #xD; runreport-vitals-pulse Pulse rate 0..1 group #xD; runreport-vitals-pulse-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-pulse-value Pulse rate 0..1 decimal Definition: Observation.valueQuantity.value #xD; runreport-vitals-pulse-rhythm Pulse rhythm 0..1 choice Definition: Observation.component:pulse-rhythm.valueCodeableConcept Value Set: SILPH - PR - Rhythm (VS) #xD; runreport-vitals-pulse-quality Pulse quality 0..1 choice Definition: Observation.component:pulse-quality.valueCodeableConcept Value Set: SILPH - PR - Quality (VS) #xD; runreport-vitals-blood-pressure Blood pressure 0..1 group #xD; runreport-vitals-blood-pressure-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-blood-pressure-systolic Systolic 0..1 decimal Definition: Observation.component:systolic.valueQuantity.value #xD; runreport-vitals-blood-pressure-diastolic Diastolic 0..1 decimal Definition: Observation.component:diastolic.valueQuantity.value #xD; runreport-vitals-temperature Body temperature 0..1 group #xD; runreport-vitals-temperature-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-temperature-value Temperature 0..1 decimal Definition: Observation.valueQuantity.value #xD; runreport-vitals-level-of-consciousness Level of consciousness 0..1 group #xD; runreport-vitals-level-of-consciousness-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-level-of-consciousness-value Level of consciousness 0..1 choice Definition: Observation.valueCodeableConcept Value Set: SILPH - Level of Consciousness (VS) #xD; runreport-vitals-pupils Pupils 0..1 group #xD; runreport-vitals-pupils-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-pupils-value Pupil assessment 0..1 choice Definition: Observation.valueCodeableConcept Value Set: SILPH - Pupils (VS) #xD; runreport-vitals-cyanosis Cyanosis 0..1 group #xD; runreport-vitals-cyanosis-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-cyanosis-value Cyanosis 0..1 choice Definition: Observation.valueCodeableConcept Value Set: SILPH - Cyanosis (VS) #xD; runreport-vitals-gcs Glasgow Coma Scale 0..1 group #xD; runreport-vitals-gcs-time Measurement time 0..1 dateTime Definition: Observation.effectiveDateTime #xD; runreport-vitals-gcs-total Total GCS score 0..1 integer Definition: Observation.valueInteger #xD; runreport-vitals-gcs-eyes GCS eye response 0..1 choice Definition: Observation.component:gcs-eyes.valueCodeableConcept Value Set: SILPH - GCS - Eyes (VS) #xD; runreport-vitals-gcs-verbal GCS verbal response 0..1 choice Definition: Observation.component:gcs-verbal.valueCodeableConcept Value Set: SILPH - GCS - Verbal (VS) #xD; runreport-vitals-gcs-motor GCS motor response 0..1 choice Definition: Observation.component:gcs-motor.valueCodeableConcept Value Set: SILPH - GCS - Motor (VS) #xD; runreport-comments Run report comments 0..1 group #xD; runreport-comments-text Comments 0..1 text Definition: Observation.valueString #xD; Documentation for this format Options Sets Answer options for runreport-encounter-status http://hl7.org/fhir/encounter-status#planned http://hl7.org/fhir/encounter-status#in-progress http://hl7.org/fhir/encounter-status#finished Answer options for runreport-workflow-date-received-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final http://hl7.org/fhir/observation-status#final Answer options for runreport-workflow-time-on-scene-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final Answer options for runreport-workflow-time-departed-scene-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final Answer options for runreport-workflow-time-hospital-arrival-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final Answer options for runreport-workflow-time-station-arrival-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final Answer options for runreport-workflow-time-enroute-status http://hl7.org/fhir/observation-status#preliminary Answer options for runreport-incident-reported-complaint-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final Answer options for runreport-incident-call-source-status http://hl7.org/fhir/observation-status#preliminary http://hl7.org/fhir/observation-status#final
UP Manila - National Institutes of Health - National Telehealth Center
Structured Data Capture questionnaire for the MMDA run report form. Captures workflow, incident, clinical, and vital sign data aligned with RS profiles so SDC $extract can populate Encounter, Observation, Location, Procedure, and ServiceRequest resources.