CH IG (R4), published by HL7 Switzerland. 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/ahdis/ch-ig/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: Community-facing Questionnaire - JSON Representation

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{
  "resourceType" : "Questionnaire",
  "id" : "community-facing-questionnaire",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire community-facing-questionnaire</b></p><a name=\"community-facing-questionnaire\"> </a><a name=\"hccommunity-facing-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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html\">SDCBaseQuestionnaire</a></p></div><b>Structure</b><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,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\" 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\"/> CommunityFacingQuestionnaire</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\">FHIR Questionnaire based on the 'Heavy Menstrual Bleeding (HMB) Patient Questionnaire' from Women's Health Road (Australia)</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\">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\">http://fhir.ch/ig/ch-ig/Questionnaire/community-facing-questionnaire#0.1.0</td></tr>\r\n<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_bck11.png)\" id=\"item.1\" 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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 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\">PERSONAL INFORMATION</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-group\">group</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>\r\n<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_bck110.png)\" id=\"item.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 1.1</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\">First Name</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\">1..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\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.name.given\">Patient.name.given</a></td></tr>\r\n<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_bck110.png)\" id=\"item.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 1.2</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\">Surname</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\">1..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-string\">string</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\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.name.family\">Patient.name.family</a></td></tr>\r\n<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_bck110.png)\" id=\"item.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 1.3</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\">Preferred Name</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\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.name.given\">Patient.name.given</a></td></tr>\r\n<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_bck110.png)\" id=\"item.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 1.4</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\">DOB</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\">1..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-date\">date</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\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.birthDate\">Patient.birthDate</a></td></tr>\r\n<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_bck110.png)\" id=\"item.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 1.5</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\">Email</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\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.contact.telecom.value\">Patient.contact.telecom.value</a></td></tr>\r\n<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_bck100.png)\" id=\"item.1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 1.6</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\">Please outline your main health related concern(s)</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-string\">string</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>\r\n<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_bck11.png)\" id=\"item.2\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 2</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\">PAST MEDICAL HISTORY</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-group\">group</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.1</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\">Please check any past or current medical conditions that apply to you</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..*</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_medical-conditions.html\">medical-conditions</a></td></tr>\r\n<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_bck110.png)\" id=\"item.2.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 2.2</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\">Childhood Disease</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.2.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 2.3</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\">Cardiovascular Disease</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-string\">string</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>\r\n<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_bck110.png)\" id=\"item.2.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 2.4</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\">Cancer</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\"/></tr>\r\n<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_bck100.png)\" id=\"item.2.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 2.5</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\">Other</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-string\">string</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>\r\n<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_bck11.png)\" id=\"item.3\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3</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\">MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)</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-group\">group</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.1</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\">Age of first menstrual period</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-integer\">integer</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>\r\n<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_bck110.png)\" id=\"item.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 3.2</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\">Date your last period began</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-date\">date</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.3.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.3</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\">Duration of menstrual period</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-integer\">integer</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>\r\n<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_bck110.png)\" id=\"item.3.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.4</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\">Regularity of period</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_period-regularity.html\">period-regularity</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.5</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\">Flow Volume</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_period-flow-volume.html\">period-flow-volume</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.6</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\">Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)</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-integer\">integer</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.3.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.7</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\">No. days between periods</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-choice\">choice</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\">Options: <a href=\"#opt-item.3.7\">4 options</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.8</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\">Predictability (regularity) of cycle length</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-choice\">choice</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\">Options: <a href=\"#opt-item.3.8\">3 options</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.9</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 Intermenstrual Bleeding (IMB) (bleeding in between periods)</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-choice\">choice</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\">Options: <a href=\"#opt-item.3.9\">3 options</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.9.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.9.1</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\">When in your cycle does the bleeding occur?</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-choice\">choice</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.3.9\">3.9</a> = </span><br/>Options: <a href=\"#opt-item.3.9.1\">3 options</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.10</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\">To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)</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-integer\">integer</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>\r\n<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_bck111.png)\" id=\"item.3.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3.11</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\">During heavier bleeding days do you</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-group\">group</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\"/></tr>\r\n<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_bck1110.png)\" id=\"item.3.11.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.11.1</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\">Have to use double protection or get up to change your sanitary protection during the night?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1110.png)\" id=\"item.3.11.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.11.2</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\">Worry about staining the seat of your chair, sofa, etc?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.3.11.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.11.3</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\">Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck111.png)\" id=\"item.3.12\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3.12</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\">Period Pain</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-group\">group</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\"/></tr>\r\n<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_bck1110.png)\" id=\"item.3.12.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.12.1</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\">Do you have period 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-choice\">choice</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\">Options: <a href=\"#opt-item.3.12.1\">3 options</a></td></tr>\r\n<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_bck1110.png)\" id=\"item.3.12.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.12.2</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\">Pain Score (0 = Little to no pain, 10 = Severe Pain)</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-integer\">integer</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.3.12.1\">3.12.1</a> != </span></td></tr>\r\n<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_bck1110.png)\" id=\"item.3.12.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.12.3</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\">How old were you when your periods became painful?</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-integer\">integer</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\">Enable When: <span><a href=\"#item.3.12.1\">3.12.1</a> != </span></td></tr>\r\n<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_bck1100.png)\" id=\"item.3.12.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 3.12.4</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\">How many days each month do you have period pain for?</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-integer\">integer</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.3.12.1\">3.12.1</a> != </span></td></tr>\r\n<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_bck110.png)\" id=\"item.3.13\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.13</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\">Where do you feel your period 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..*</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-choice\">choice</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\">Enable When: <span><a href=\"#item.3.12.1\">3.12.1</a> != </span><br/>Value Set: <a href=\"ValueSet-community-facing-questionnaire_period-pain-body-sites.html\">period-pain-body-sites</a></td></tr>\r\n<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_bck110.png)\" id=\"item.3.13.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 3.13.1</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\">Other (please specify)</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.3.13\">3.13</a> = </span></td></tr>\r\n<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_bck100.png)\" id=\"item.3.14\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 3.14</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 period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period 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-choice\">choice</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\">Enable When: <span><a href=\"#item.3.12.1\">3.12.1</a> != </span><br/>Options: <a href=\"#opt-item.3.14\">4 options</a></td></tr>\r\n<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_bck11.png)\" id=\"item.4\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4</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\">SEXUAL AND REPRODUCTIVE HISTORY</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-group\">group</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.1</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\">Are you currently sexually active?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2</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\">Are you currently trying to get pregnant?</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-choice\">choice</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\">Options: <a href=\"#opt-item.4.2\">3 options</a></td></tr>\r\n<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_bck110.png)\" id=\"item.4.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.3</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 bleeding after sexual intercourse?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.4.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.4</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\">Do you experience any excessive pain during sexual intercourse?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.4.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 4.4.1</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\">How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe 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-integer\">integer</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\">Enable When: <span><a href=\"#item.4.4\">4.4</a> = </span></td></tr>\r\n<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_bck111.png)\" id=\"item.4.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 4.5</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\">What contraception, if any, are you currently using?</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\"/></tr>\r\n<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_bck1110.png)\" id=\"item.4.5.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 4.5.1</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\">For how long?</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-string\">string</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>\r\n<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_bck1100.png)\" id=\"item.4.5.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 4.5.2</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\">For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)</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\"/></tr>\r\n<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_bck111.png)\" id=\"item.4.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 4.6</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\">What contraception options, if any, have you used in the past?</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-string\">string</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>\r\n<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_bck1100.png)\" id=\"item.4.6.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 4.6.1</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\">For any previous hormonal contraception, what impact did they have on your period/cycle?</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\"/></tr>\r\n<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_bck111.png)\" id=\"item.4.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.7</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 have any current or a previous history of sexually transmitted diseases?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.4.7.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 4.7.1</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\">Please provide detail (date, type, treatment)</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.4.7\">4.7</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.4.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 4.8</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 have any other sexual dysfunctions/issues related to sex?</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-string\">string</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>\r\n<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_bck111.png)\" id=\"item.4.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4.9</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\">Please let us know of any previous pregnancy history including abortions &amp; miscarriages (if comfortable)</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-group\">group</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\"/></tr>\r\n<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_bck1101.png)\" id=\"item.4.9.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4.9.1</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\">Please provide the following information for each pregnancy</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..*</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-group\">group</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>\r\n<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_bck11010.png)\" id=\"item.4.9.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 4.9.1.1</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\">Birthplace</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\"/></tr>\r\n<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_bck11010.png)\" id=\"item.4.9.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 4.9.1.2</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\">Date</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-date\">date</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>\r\n<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_bck11010.png)\" id=\"item.4.9.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 4.9.1.3</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\">Gestation</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-integer\">integer</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\"/></tr>\r\n<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_bck11010.png)\" id=\"item.4.9.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 4.9.1.4</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\">Type of Birth (e.g. Vaginal or C/S)</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-string\">string</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>\r\n<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_bck11010.png)\" id=\"item.4.9.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 4.9.1.5</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\">Model of Care (e.g. Midwife, Public/Private OB)</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\"/></tr>\r\n<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_bck11010.png)\" id=\"item.4.9.1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 4.9.1.6</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\">Birth Weight</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-integer\">integer</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>\r\n<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_bck11010.png)\" id=\"item.4.9.1.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 4.9.1.7</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\">Name of Child (if applicable)</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\"/></tr>\r\n<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_bck11000.png)\" id=\"item.4.9.1.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 4.9.1.8</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\">Sex of Child (if applicable)</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-string\">string</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>\r\n<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_bck101.png)\" id=\"item.4.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4.10</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\">Cervical Screening Test (CST)</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-group\">group</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.4.10.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 4.10.1</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\">When was your most recent CST (Pap Smear)?</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-date\">date</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>\r\n<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_bck1010.png)\" id=\"item.4.10.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 4.10.2</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\">What was the result of your most recent CST?</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.4.10.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 4.10.3</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\">Any past abnormal CST(s)? Please provide details</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-string\">string</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>\r\n<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_bck1000.png)\" id=\"item.4.10.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> 4.10.4</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 possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment.</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-display\">display</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\"/></tr>\r\n<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_bck11.png)\" id=\"item.5\" 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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 5</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\">ASSOCIATED OR SYSTEMIC SYMPTOMS</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-group\">group</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>\r\n<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_bck110.png)\" id=\"item.5.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.1</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\">Do you experience any pelvic pain?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.5.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 5.1.1</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\">Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe 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-integer\">integer</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\">Enable When: <span><a href=\"#item.5.1\">5.1</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.2</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\">Have you noticed any abnormal vaginal discharge?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.5.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 5.2.1</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\">Please provide detail</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-string\">string</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\">Enable When: <span><a href=\"#item.5.2\">5.2</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.3</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\">Do you currently have any urinary and/or bowel related concerns?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.5.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 5.3.1</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\">Please provide detail (i.e. motion of passing/incontinence issues etc.)</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-string\">string</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\">Enable When: <span><a href=\"#item.5.3\">5.3</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 5.4</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\">What is your current weight?</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-decimal\">decimal</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\"/></tr>\r\n<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_bck110.png)\" id=\"item.5.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 5.5</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\">What is your height?</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-integer\">integer</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>\r\n<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_bck110.png)\" id=\"item.5.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.6</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\">Have you noticed any significant weight loss or gain?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.5.6.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 5.6.1</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\">Details</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-string\">string</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\">Enable When: <span><a href=\"#item.5.6\">5.6</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.7</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\">Have you had any blood tests done in the past 12 months?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck110.png)\" id=\"item.5.7.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 5.7.1</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\">Date of most recent test</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-date\">date</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\">Enable When: <span><a href=\"#item.5.7\">5.7</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.7.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 5.7.2</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\">Pathology Provider</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.5.7\">5.7</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.7.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 5.7.3</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\">Any clinically significant blood results &amp; outcomes?</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-string\">string</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\">Enable When: <span><a href=\"#item.5.7\">5.7</a> = </span></td></tr>\r\n<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_bck110.png)\" id=\"item.5.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 5.8</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\">Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck101.png)\" id=\"item.5.8.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 5.8.1</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\">Please provide the following imaging details</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..*</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-group\">group</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\">Enable When: <span><a href=\"#item.5.8\">5.8</a> = </span></td></tr>\r\n<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_bck1010.png)\" id=\"item.5.8.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 5.8.1.1</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\">Type of Imaging</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.5.8.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 5.8.1.2</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\">Date</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-date\">date</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>\r\n<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_bck1010.png)\" id=\"item.5.8.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 5.8.1.3</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\">Imaging Provider &amp; Location</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.5.8.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 5.8.1.4</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\">Clinical Reason</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-string\">string</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>\r\n<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_bck1000.png)\" id=\"item.5.8.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 5.8.1.5</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\">Results / Findings</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\"/></tr>\r\n<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_bck11.png)\" id=\"item.6\" 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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 6</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\">CURRENT MEDICATIONS</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-group\">group</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>\r\n<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_bck101.png)\" id=\"item.6.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 6.1</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\">Please provide your current medications</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..*</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-group\">group</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.6.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 6.1.1</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\">Medication</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-string\">string</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>\r\n<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_bck1010.png)\" id=\"item.6.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 6.1.2</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\">Dose</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.6.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 6.1.3</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\">Frequency</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-string\">string</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>\r\n<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_bck1010.png)\" id=\"item.6.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 6.1.4</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\">Reason for Medication</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\"/></tr>\r\n<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_bck1000.png)\" id=\"item.6.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 6.1.5</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\">Duration you have been taking this medication for</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-string\">string</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>\r\n<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_bck11.png)\" id=\"item.7\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 7</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\">FAMILY HISTORY</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-group\">group</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\"/></tr>\r\n<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_bck111.png)\" id=\"item.7.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 7.1</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\">Blood and Clotting Disorders</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..*</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-choice\">choice</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\">Options: <a href=\"#opt-item.7.1\">5 options</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.7.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 7.1.1</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\">Please provide details about the blood and clotting disorders selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, affected family member etc.)</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..*</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: <ul><li><a href=\"#item.7.1\">7.1</a> = </li><li><a href=\"#item.7.1\">7.1</a> = </li><li><a href=\"#item.7.1\">7.1</a> = </li><li><a href=\"#item.7.1\">7.1</a> = </li><li><a href=\"#item.7.1\">7.1</a> = </li></ul></td></tr>\r\n<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_bck111.png)\" id=\"item.7.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 7.2</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\">Endocrine and Hormonal Conditions</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..*</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-choice\">choice</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\">Options: <a href=\"#opt-item.7.2\">5 options</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.7.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 7.2.1</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\">Please provide details about the endocrine and hormonal conditions selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, affected family member etc.)</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..*</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: <ul><li><a href=\"#item.7.2\">7.2</a> = </li><li><a href=\"#item.7.2\">7.2</a> = </li><li><a href=\"#item.7.2\">7.2</a> = </li><li><a href=\"#item.7.2\">7.2</a> = </li><li><a href=\"#item.7.2\">7.2</a> = </li></ul></td></tr>\r\n<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_bck111.png)\" id=\"item.7.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 7.3</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\">Cancer / Malignancy</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..*</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-choice\">choice</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\">Options: <a href=\"#opt-item.7.3\">6 options</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.7.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 7.3.1</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\">Please provide details about the cancer/malignancy conditions selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, type of cancer, affected family member etc.)</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..*</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: <ul><li><a href=\"#item.7.3\">7.3</a> = </li><li><a href=\"#item.7.3\">7.3</a> = </li><li><a href=\"#item.7.3\">7.3</a> = </li><li><a href=\"#item.7.3\">7.3</a> = </li><li><a href=\"#item.7.3\">7.3</a> = </li><li><a href=\"#item.7.3\">7.3</a> = </li></ul></td></tr>\r\n<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_bck101.png)\" id=\"item.7.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 7.4</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\">Other relevant conditions</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..*</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-choice\">choice</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\">Options: <a href=\"#opt-item.7.4\">6 options</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.7.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 7.4.1</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\">Cardiovascular disease &lt;55 yrs</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-choice\">choice</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.7.4\">7.4</a> = </span><br/>Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1000.png)\" id=\"item.7.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 7.4.2</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\">Please provide details about the other relevant conditions selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, affected family member etc.)</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..*</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-string\">string</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\">Enable When: <ul><li><a href=\"#item.7.4\">7.4</a> = </li><li><a href=\"#item.7.4\">7.4</a> = </li><li><a href=\"#item.7.4\">7.4</a> = </li><li><a href=\"#item.7.4\">7.4</a> = </li><li><a href=\"#item.7.4\">7.4</a> = </li><li><a href=\"#item.7.4\">7.4</a> = </li></ul></td></tr>\r\n<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_bck11.png)\" id=\"item.8\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 8</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\">SOCIAL HISTORY</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-group\">group</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\"/></tr>\r\n<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_bck111.png)\" id=\"item.8.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.1</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\">Do you currently have a partner(s)?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1100.png)\" id=\"item.8.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 8.1.1</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\">If you are comfortable to share, what is your partner/s' name and sex/gender/age?</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..*</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.8.1\">8.1</a> = </span></td></tr>\r\n<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_bck111.png)\" id=\"item.8.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.2</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\">Are you currently working?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1101.png)\" id=\"item.8.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 8.2.1</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\">Please provide details about your work</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..*</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-group\">group</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.8.2\">8.2</a> = </span></td></tr>\r\n<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_bck11010.png)\" id=\"item.8.2.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 8.2.1.1</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\">Employment Type (PT, FT, Casual)</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-string\">string</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>\r\n<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_bck11000.png)\" id=\"item.8.2.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 8.2.1.2</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\">Occupation</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\"/></tr>\r\n<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_bck111.png)\" id=\"item.8.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.3</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\">Are you currently studying?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1110.png)\" id=\"item.8.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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\"/> 8.3.1</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\">Institution</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.8.3\">8.3</a> = </span></td></tr>\r\n<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_bck1100.png)\" id=\"item.8.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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=\"string\" class=\"hierarchy\"/> 8.3.2</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\">Level &amp; Area of study</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-string\">string</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\">Enable When: <span><a href=\"#item.8.3\">8.3</a> = </span></td></tr>\r\n<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_bck101.png)\" id=\"item.8.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 8.4</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\">Lifestyle</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-group\">group</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.8.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.4.1</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\">Do you currently smoke?</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-choice\">choice</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\">Options: <a href=\"#opt-item.8.4.1\">4 options</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.8.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.4.2</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\">Do you take any recreational drugs?</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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck1011.png)\" id=\"item.8.4.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.4.3</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\">How often do you drink 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-choice\">choice</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\">Options: <a href=\"#opt-item.8.4.3\">7 options</a></td></tr>\r\n<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_bck10100.png)\" id=\"item.8.4.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 8.4.3.1</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\">On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)</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-choice\">choice</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.8.4.3\">8.4.3</a> != </span><br/>Options: <a href=\"#opt-item.8.4.3.1\">4 options</a></td></tr>\r\n<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_bck1001.png)\" id=\"item.8.4.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 8.4.4</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\">How many hours of physical activity do you do on an average week?</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-decimal\">decimal</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>\r\n<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_bck10010.png)\" id=\"item.8.4.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 8.4.4.1</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\">Frequency (times per week)</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-integer\">integer</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\"/></tr>\r\n<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_bck10000.png)\" id=\"item.8.4.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 8.4.4.2</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\">Intensity</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-string\">string</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>\r\n<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_bck11.png)\" id=\"item.9\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 9</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\">SURGICAL HISTORY</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-group\">group</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\"/></tr>\r\n<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_bck101.png)\" id=\"item.9.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 9.1</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\">Please provide details for each surgery you have had</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..*</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-group\">group</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>\r\n<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_bck1010.png)\" id=\"item.9.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> 9.1.1</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\">Year</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-integer\">integer</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\"/></tr>\r\n<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_bck1010.png)\" id=\"item.9.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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=\"string\" class=\"hierarchy\"/> 9.1.2</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\">Place of Surgery</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-string\">string</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>\r\n<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_bck1000.png)\" id=\"item.9.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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\"/> 9.1.3</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\">Details (Surgeon, Type of Procedure, any complications or issues?, findings)</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\"/></tr>\r\n<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_bck11.png)\" id=\"item.10\" 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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 10</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\">MENOPAUSE</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-group\">group</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>\r\n<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_bck110.png)\" id=\"item.10.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1</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\">Does this section apply to you (menopausal or perimenopausal)?</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_yes-no.html\">yes-no</a></td></tr>\r\n<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_bck101.png)\" id=\"item.10.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 10.1.1</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\">On the Modified Greene Scale below, judge the severity of your symptoms and record the score.</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-group\">group</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\">Enable When: <span><a href=\"#item.10.1\">10.1</a> = </span></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.1</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\">Hot flushes</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.2</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\">Lightheaded feelings</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.3</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\">Headaches</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.4</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\">Irritability</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.5</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\">Depression</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.6</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\">Unloved feelings</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.7</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\">Anxiety</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.8</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\">Mood changes</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.9</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\">Sleeplessness</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.10</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\">Unusual tiredness</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.11</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\">Backache</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.12\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.12</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\">Joint pains</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.13\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.13</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\">Muscle pains</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.14\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.14</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\">New facial hair</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.15\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.15</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\">Dry skin</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.16\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.16</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\">Crawling feelings under the skin</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.17\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.17</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\">Less sexual feelings</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.18\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.18</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\">Dry vagina</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1010.png)\" id=\"item.10.1.1.19\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.19</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\">Uncomfortable intercourse</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck1000.png)\" id=\"item.10.1.1.20\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 10.1.1.20</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\">Urinary frequency changes</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\">1..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-choice\">choice</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\">Value Set: <a href=\"ValueSet-community-facing-questionnaire_severity.html\">severity</a></td></tr>\r\n<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_bck01.png)\" id=\"item.11\" 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-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 11</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\">OTHER NOTES</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-group\">group</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\"/></tr>\r\n<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_bck000.png)\" id=\"item.11.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> 11.1</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\">Please use the space below to let us know of anything else we can do or need to note to best support your health journey</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-text\">text</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>\r\n<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,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.3.7\"> </a><p><b>Answer options for 3.7 </b></p><ul><li style=\"font-size: 11px\">null#absent (&quot;Absent (no periods/bleeding)&quot;)</li><li style=\"font-size: 11px\">null#frequent (&quot;Frequent (&lt; 24 days)&quot;)</li><li style=\"font-size: 11px\">null#normal (&quot;Normal (24 - 38 days)&quot;)</li><li style=\"font-size: 11px\">null#infrequent (&quot;Infrequent (&gt;38 days)&quot;)</li></ul><a name=\"opt-item.3.8\"> </a><p><b>Answer options for 3.8 </b></p><ul><li style=\"font-size: 11px\">null#absent (&quot;Absent (no periods/bleeding)&quot;)</li><li style=\"font-size: 11px\">null#predictable (&quot;Predictable (regular, varies by 2-7 days in length)&quot;)</li><li style=\"font-size: 11px\">null#unpredictable (&quot;Unpredictable (irregular, varies by &gt; 10 days in length)&quot;)</li></ul><a name=\"opt-item.3.9\"> </a><p><b>Answer options for 3.9 </b></p><ul><li style=\"font-size: 11px\">null#none (&quot;None&quot;)</li><li style=\"font-size: 11px\">null#random (&quot;Random&quot;)</li><li style=\"font-size: 11px\">null#cyclic-predictable (&quot;Cyclic/Predictable&quot;)</li></ul><a name=\"opt-item.3.9.1\"> </a><p><b>Answer options for 3.9.1 </b></p><ul><li style=\"font-size: 11px\">null#early-cycle (&quot;Early Cycle&quot;)</li><li style=\"font-size: 11px\">null#mid-cycle (&quot;Mid Cycle&quot;)</li><li style=\"font-size: 11px\">null#late-cycle (&quot;Late Cycle&quot;)</li></ul><a name=\"opt-item.3.12.1\"> </a><p><b>Answer options for 3.12.1 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#373066001 (&quot;Yes&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#373067005 (&quot;No&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#84638005 (&quot;Occasional&quot;)</li></ul><a name=\"opt-item.3.14\"> </a><p><b>Answer options for 3.14 </b></p><ul><li style=\"font-size: 11px\">null#yes (&quot;Yes&quot;)</li><li style=\"font-size: 11px\">null#little (&quot;A little&quot;)</li><li style=\"font-size: 11px\">null#not-at-all (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">null#never-tried (&quot;I have never tried these medications&quot;)</li></ul><a name=\"opt-item.4.2\"> </a><p><b>Answer options for 4.2 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#373066001 (&quot;Yes&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#373067005 (&quot;No&quot;)</li><li style=\"font-size: 11px\">null#want-in-future (&quot;Want in future&quot;)</li></ul><a name=\"opt-item.7.1\"> </a><p><b>Answer options for 7.1 </b></p><ul><li style=\"font-size: 11px\">null#vwd (&quot;Von Willebrand disease&quot;)</li><li style=\"font-size: 11px\">null#haem (&quot;Haemophilia&quot;)</li><li style=\"font-size: 11px\">null#thromb (&quot;Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)&quot;)</li><li style=\"font-size: 11px\">null#bruising (&quot;Easy bruising or excessive bleeding&quot;)</li><li style=\"font-size: 11px\">null#clots (&quot;History of blood clots (DVT, stroke before age 50)&quot;)</li></ul><a name=\"opt-item.7.2\"> </a><p><b>Answer options for 7.2 </b></p><ul><li style=\"font-size: 11px\">null#thyroid (&quot;Thyroid Disease&quot;)</li><li style=\"font-size: 11px\">null#pcos (&quot;PCOS&quot;)</li><li style=\"font-size: 11px\">null#diabetes (&quot;Diabetes (Type 1 or Type 2)&quot;)</li><li style=\"font-size: 11px\">null#menopause (&quot;Early menopause / premature ovarian insufficiency&quot;)</li><li style=\"font-size: 11px\">null#adrenal (&quot;Adrenal disorders&quot;)</li></ul><a name=\"opt-item.7.3\"> </a><p><b>Answer options for 7.3 </b></p><ul><li style=\"font-size: 11px\">null#breast (&quot;Breast Cancer&quot;)</li><li style=\"font-size: 11px\">null#ovarian (&quot;Ovarian cancer&quot;)</li><li style=\"font-size: 11px\">null#uterine (&quot;Uterine (endometrial cancer)&quot;)</li><li style=\"font-size: 11px\">null#cervical (&quot;Cervical cancer&quot;)</li><li style=\"font-size: 11px\">null#colon (&quot;Colon cancer (&lt;50 yrs or related to Lynch Syndrome)&quot;)</li><li style=\"font-size: 11px\">null#hereditary (&quot;Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)&quot;)</li></ul><a name=\"opt-item.7.4\"> </a><p><b>Answer options for 7.4 </b></p><ul><li style=\"font-size: 11px\">null#endometriosis (&quot;Endometriosis or adenomyosis&quot;)</li><li style=\"font-size: 11px\">null#fibroids (&quot;Fibroids&quot;)</li><li style=\"font-size: 11px\">null#osteoporosis (&quot;Osteoporosis or early bone loss&quot;)</li><li style=\"font-size: 11px\">null#cardio (&quot;Cardiovascular disease&quot;)</li><li style=\"font-size: 11px\">null#autoimmune (&quot;Autoimmune conditions&quot;)</li><li style=\"font-size: 11px\">null#genetic (&quot;Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)&quot;)</li></ul><a name=\"opt-item.8.4.1\"> </a><p><b>Answer options for 8.4.1 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#373066001 (&quot;Yes&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#373067005 (&quot;No&quot;)</li><li style=\"font-size: 11px\">null#past (&quot;In Past&quot;)</li><li style=\"font-size: 11px\">null#vape (&quot;Vape&quot;)</li></ul><a name=\"opt-item.8.4.3\"> </a><p><b>Answer options for 8.4.3 </b></p><ul><li style=\"font-size: 11px\">null#never (&quot;Never&quot;)</li><li style=\"font-size: 11px\">null#ltmonthly (&quot;&lt; Monthly&quot;)</li><li style=\"font-size: 11px\">null#1_2pm (&quot;1-2 days per month&quot;)</li><li style=\"font-size: 11px\">null#1_2pw (&quot;1-2 days a week&quot;)</li><li style=\"font-size: 11px\">null#3_4pw (&quot;3-4 days a week&quot;)</li><li style=\"font-size: 11px\">null#5_6pw (&quot;5-6 days a week&quot;)</li><li style=\"font-size: 11px\">null#everyday (&quot;Everyday&quot;)</li></ul><a name=\"opt-item.8.4.3.1\"> </a><p><b>Answer options for 8.4.3.1 </b></p><ul><li style=\"font-size: 11px\">null#1_3 (&quot;1-3&quot;)</li><li style=\"font-size: 11px\">null#3_5 (&quot;3-5&quot;)</li><li style=\"font-size: 11px\">null#5_7 (&quot;5-7&quot;)</li><li style=\"font-size: 11px\">null#7plus (&quot;7+&quot;)</li></ul><h2>Contained Resources</h2><hr/><p class=\"res-header-id\"><b>ValueSet #yes-no</b></p><a name=\"community-facing-questionnaire/yes-no\"> </a><a name=\"hccommunity-facing-questionnaire/yes-no\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/373066001\">373066001</a></td><td>Yes</td></tr><tr><td><a href=\"http://snomed.info/id/373067005\">373067005</a></td><td>No</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>373066001</td><td>Ja</td><td>Yes</td><td>Sí</td><td>Oui</td><td>Sim</td></tr><tr><td>373067005</td><td>Nein</td><td>No</td><td>No</td><td>Non</td><td>Não</td></tr></table><hr/><p class=\"res-header-id\"><b>ValueSet #severity</b></p><a name=\"community-facing-questionnaire/severity\"> </a><a name=\"hccommunity-facing-questionnaire/severity\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/260413007\">260413007</a></td><td>None</td></tr><tr><td><a href=\"http://snomed.info/id/255604002\">255604002</a></td><td>Mild</td></tr><tr><td><a href=\"http://snomed.info/id/1255665007\">1255665007</a></td><td>Moderate</td></tr><tr><td><a href=\"http://snomed.info/id/24484000\">24484000</a></td><td>Severe</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>260413007</td><td>Kein/e</td><td>None</td><td>Ningún/a</td><td>Aucun/e</td><td>Nenhum/a</td></tr><tr><td>255604002</td><td>Mild</td><td>Mild</td><td>Ligero/a</td><td>Léger/légère</td><td>Ligeira</td></tr><tr><td>1255665007</td><td>Moderat</td><td>Moderate</td><td>Moderado/a</td><td>Modéré/e</td><td>Moderado/a</td></tr><tr><td>24484000</td><td>Schwer(e)</td><td>Severe</td><td>Severo/a</td><td>Sévère</td><td>Severo/a</td></tr></table><hr/><p class=\"res-header-id\"><b>ValueSet #medical-conditions</b></p><a name=\"community-facing-questionnaire/medical-conditions\"> </a><a name=\"hccommunity-facing-questionnaire/medical-conditions\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/3723001\">3723001</a></td><td>Arthritis</td></tr><tr><td><a href=\"http://snomed.info/id/195967001\">195967001</a></td><td>Asthma</td></tr><tr><td><a href=\"http://snomed.info/id/13645005\">13645005</a></td><td>Chronic obstructive pulmonary disease</td></tr><tr><td><a href=\"http://snomed.info/id/52702003\">52702003</a></td><td>Chronic fatigue syndrome</td></tr><tr><td><a href=\"http://snomed.info/id/64779008\">64779008</a></td><td>Blood coagulation disorder</td></tr><tr><td><a href=\"http://snomed.info/id/64226004\">64226004</a></td><td>Colitis</td></tr><tr><td><a href=\"http://snomed.info/id/35489007\">35489007</a></td><td>Depression</td></tr><tr><td><a href=\"http://snomed.info/id/48694002\">48694002</a></td><td>Anxiety</td></tr><tr><td><a href=\"http://snomed.info/id/406506008\">406506008</a></td><td>Attention deficit hyperactivity disorder</td></tr><tr><td><a href=\"http://snomed.info/id/72366004\">72366004</a></td><td>Eating disorder</td></tr><tr><td><a href=\"http://snomed.info/id/84757009\">84757009</a></td><td>Epilepsy</td></tr><tr><td><a href=\"http://snomed.info/id/203082005\">203082005</a></td><td>Fibromyalgia</td></tr><tr><td><a href=\"http://snomed.info/id/46635009\">46635009</a></td><td>Type 1 diabetes mellitus</td></tr><tr><td><a href=\"http://snomed.info/id/44054006\">44054006</a></td><td>Type 2 diabetes mellitus</td></tr><tr><td><a href=\"http://snomed.info/id/45007003\">45007003</a></td><td>Hypotension</td></tr><tr><td><a href=\"http://snomed.info/id/38341003\">38341003</a></td><td>Hypertension</td></tr><tr><td><a href=\"http://snomed.info/id/13644009\">13644009</a></td><td>Hypercholesterolaemia</td></tr><tr><td><a href=\"http://snomed.info/id/37796009\">37796009</a></td><td>Migraine</td></tr><tr><td><a href=\"http://snomed.info/id/193462001\">193462001</a></td><td>Insomnia</td></tr><tr><td><a href=\"http://snomed.info/id/90708001\">90708001</a></td><td>Kidney disease</td></tr><tr><td><a href=\"http://snomed.info/id/2492009\">2492009</a></td><td>Malnutrition</td></tr><tr><td><a href=\"http://snomed.info/id/64859006\">64859006</a></td><td>Osteoporosis</td></tr><tr><td><a href=\"http://snomed.info/id/230690007\">230690007</a></td><td>Stroke</td></tr><tr><td><a href=\"http://snomed.info/id/128060009\">128060009</a></td><td>Varicose veins</td></tr><tr><td><a href=\"http://snomed.info/id/271737000\">271737000</a></td><td>Anaemia</td></tr><tr><td><a href=\"http://snomed.info/id/35240004\">35240004</a></td><td>Iron deficiency</td></tr><tr><td><a href=\"http://snomed.info/id/129103003\">129103003</a></td><td>Endometriosis</td></tr><tr><td><a href=\"http://snomed.info/id/784314006\">784314006</a></td><td>Uterine adenomyosis</td></tr><tr><td><a href=\"http://snomed.info/id/237055002\">237055002</a></td><td>Polycystic ovary syndrome</td></tr><tr><td><a href=\"http://snomed.info/id/95315005\">95315005</a></td><td>Uterine fibroids</td></tr><tr><td><a href=\"http://snomed.info/id/1237359009\">1237359009</a></td><td>Endometrial polyp</td></tr><tr><td><a href=\"http://snomed.info/id/8220004\">8220004</a></td><td>Endocervical polyp</td></tr><tr><td><a href=\"http://snomed.info/id/65576009\">65576009</a></td><td>Polyp of cervix</td></tr><tr><td><a href=\"http://snomed.info/id/254880000\">254880000</a></td><td>Uterine fibroid polyp</td></tr><tr><td><a href=\"http://snomed.info/id/38822007\">38822007</a></td><td>Cystitis</td></tr><tr><td><a href=\"http://snomed.info/id/38731000087104\">38731000087104</a></td><td>Chronic primary bladder pain syndrome</td></tr><tr><td><a href=\"http://snomed.info/id/73998008\">73998008</a></td><td>Prolapse of female genital organs</td></tr><tr><td><a href=\"http://snomed.info/id/49601007\">49601007</a></td><td>Cardiovascular disease</td></tr><tr><td><a href=\"http://snomed.info/id/363346000\">363346000</a></td><td>Malignant neoplastic disease</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>3723001</td><td>Arthritis</td><td>Arthritis</td><td>Artritis</td><td>Arthrite</td><td>Artrite</td></tr><tr><td>195967001</td><td>Asthma</td><td>Asthma</td><td>Asma</td><td>Asthme</td><td>Asma</td></tr><tr><td>13645005</td><td>Chronisch obstruktive Lungenerkrankung</td><td>Chronic obstructive pulmonary disease</td><td>Enfermedad pulmonar obstructiva crónica</td><td>Bronchopneumopathie chronique obstructive</td><td>Doença pulmonar obstrutiva crônica</td></tr><tr><td>52702003</td><td>Chronisches Erschöpfungssyndrom</td><td>Chronic fatigue syndrome</td><td>Síndrome de fatiga crónica</td><td>Syndrome de fatigue chronique</td><td>Síndrome de fadiga crônica</td></tr><tr><td>64779008</td><td>Blutgerinnungsstörung</td><td>Blood coagulation disorder</td><td>Trastorno de la coagulación sanguínea</td><td>Trouble de la coagulation sanguine</td><td>Distúrbio da coagulação sanguínea</td></tr><tr><td>64226004</td><td>Colitis</td><td>Colitis</td><td>Colitis</td><td>Colite</td><td>Colite</td></tr><tr><td>35489007</td><td>Depression</td><td>Depression</td><td>Depresión</td><td>Dépression</td><td>Depressão</td></tr><tr><td>48694002</td><td>Angststörung</td><td>Anxiety</td><td>Ansiedad</td><td>Anxiété</td><td>Ansiedade</td></tr><tr><td>406506008</td><td>Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung</td><td>Attention deficit hyperactivity disorder</td><td>Trastorno por déficit de atención con hiperactividad</td><td>Trouble du déficit de l'attention avec hyperactivité</td><td>Transtorno de déficit de atenção com hiperatividade</td></tr><tr><td>72366004</td><td>Essstörung</td><td>Eating disorder</td><td>Trastorno alimentario</td><td>Trouble alimentaire</td><td>Transtorno alimentar</td></tr><tr><td>84757009</td><td>Epilepsie</td><td>Epilepsy</td><td>Epilepsia</td><td>Épilepsie</td><td>Epilepsia</td></tr><tr><td>203082005</td><td>Fibromyalgie</td><td>Fibromyalgia</td><td>Fibromialgia</td><td>Fibromyalgie</td><td>Fibromialgia</td></tr><tr><td>46635009</td><td>Diabetes mellitus Typ 1</td><td>Type 1 diabetes mellitus</td><td>Diabetes mellitus tipo 1</td><td>Diabète sucré de type 1</td><td>Diabetes mellitus tipo 1</td></tr><tr><td>44054006</td><td>Diabetes mellitus Typ 2</td><td>Type 2 diabetes mellitus</td><td>Diabetes mellitus tipo 2</td><td>Diabète sucré de type 2</td><td>Diabetes mellitus tipo 2</td></tr><tr><td>45007003</td><td>Hypotonie</td><td>Hypotension</td><td>Hipotensión</td><td>Hypotension</td><td>Hipotensão</td></tr><tr><td>38341003</td><td>Hypertonie</td><td>Hypertension</td><td>Hipertensión</td><td>Hypertension</td><td>Hipertensão</td></tr><tr><td>13644009</td><td>Hypercholesterinämie</td><td>Hypercholesterolaemia</td><td>Hipercolesterolemia</td><td>Hypercholestérolémie</td><td>Hipercolesterolemia</td></tr><tr><td>37796009</td><td>Migräne</td><td>Migraine</td><td>Migraña</td><td>Migraine</td><td>Enxaqueca</td></tr><tr><td>193462001</td><td>Schlaflosigkeit</td><td>Insomnia</td><td>Insomnio</td><td>Insomnie</td><td>Insônia</td></tr><tr><td>90708001</td><td>Nierenerkrankung</td><td>Kidney disease</td><td>Enfermedad renal</td><td>Maladie rénale</td><td>Doença renal</td></tr><tr><td>2492009</td><td>Mangelernährung</td><td>Malnutrition</td><td>Desnutrición</td><td>Malnutrition</td><td>Desnutrição</td></tr><tr><td>64859006</td><td>Osteoporose</td><td>Osteoporosis</td><td>Osteoporosis</td><td>Ostéoporose</td><td>Osteoporose</td></tr><tr><td>230690007</td><td>Schlaganfall</td><td>Stroke</td><td>Accidente cerebrovascular</td><td>Accident vasculaire cérébral</td><td>Acidente vascular cerebral</td></tr><tr><td>128060009</td><td>Krampfadern</td><td>Varicose veins</td><td>Várices</td><td>Varices</td><td>Varizes</td></tr><tr><td>271737000</td><td>Anämie</td><td>Anaemia</td><td>Anemia</td><td>Anémie</td><td>Anemia</td></tr><tr><td>35240004</td><td>Eisenmangel</td><td>Iron deficiency</td><td>Deficiencia de hierro</td><td>Carence en fer</td><td>Deficiência de ferro</td></tr><tr><td>129103003</td><td>Endometriose</td><td>Endometriosis</td><td>Endometriosis</td><td>Endométriose</td><td>Endometriose</td></tr><tr><td>784314006</td><td>Uterus-Adenomyose</td><td>Uterine adenomyosis</td><td>Adenomiosis uterina</td><td>Adénomyose utérine</td><td>Adenomiose uterina</td></tr><tr><td>237055002</td><td>Polyzystisches Ovarialsyndrom</td><td>Polycystic ovary syndrome</td><td>Síndrome de ovario poliquístico</td><td>Syndrome des ovaires polykystiques</td><td>Síndrome do ovário policístico</td></tr><tr><td>95315005</td><td>Uterusmyome</td><td>Uterine fibroids</td><td>Fibromas uterinos</td><td>Fibromes utérins</td><td>Miomas uterinos</td></tr><tr><td>1237359009</td><td>Endometriumpolyp</td><td>Endometrial polyp</td><td>Pólipo endometrial</td><td>Polype endométrial</td><td>Pólipo endometrial</td></tr><tr><td>8220004</td><td>Endozervikaler Polyp</td><td>Endocervical polyp</td><td>Pólipo endocervical</td><td>Polype endocervical</td><td>Pólipo endocervical</td></tr><tr><td>65576009</td><td>Zervixpolyp</td><td>Polyp of cervix</td><td>Pólipo del cuello uterino</td><td>Polype du col de l’utérus</td><td>Pólipo do colo do útero</td></tr><tr><td>254880000</td><td>Uteriner Myom-Polyp</td><td>Uterine fibroid polyp</td><td>Pólipo fibroso uterino</td><td>Polype utérin fibreux</td><td>Pólipo fibroso uterino</td></tr><tr><td>38822007</td><td>Zystitis</td><td>Cystitis</td><td>Cistitis</td><td>Cystite</td><td>Cistite</td></tr><tr><td>38731000087104</td><td>Chronisches primäres Blasenschmerzsyndrom</td><td>Chronic primary bladder pain syndrome</td><td>Síndrome de dolor vesical crónico primario</td><td>Syndrome douloureux vésical chronique primaire</td><td>Síndrome da dor vesical crônica primária</td></tr><tr><td>73998008</td><td>Prolaps der weiblichen Genitalorgane</td><td>Prolapse of female genital organs</td><td>Prolapso de los órganos genitales femeninos</td><td>Prolapsus des organes génitaux féminins</td><td>Prolapso dos órgãos genitais femininos</td></tr><tr><td>49601007</td><td>Herz-Kreislauf-Erkrankung</td><td>Cardiovascular disease</td><td>Enfermedad cardiovascular</td><td>Maladie cardiovasculaire</td><td>Doença cardiovascular</td></tr><tr><td>363346000</td><td>Bösartige Neubildung</td><td>Malignant neoplastic disease</td><td>Enfermedad neoplásica maligna</td><td>Maladie néoplasique maligne</td><td>Doença neoplásica maligna</td></tr></table><hr/><p class=\"res-header-id\"><b>ValueSet #period-regularity</b></p><a name=\"community-facing-questionnaire/period-regularity\"> </a><a name=\"hccommunity-facing-questionnaire/period-regularity\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/302757007\">302757007</a></td><td>Menstrual periods regular</td></tr><tr><td><a href=\"http://snomed.info/id/80182007\">80182007</a></td><td>Irregular menstrual cycle</td></tr><tr><td><a href=\"http://snomed.info/id/237130006\">237130006</a></td><td>Mid-cycle bleeding</td></tr><tr><td><a href=\"http://snomed.info/id/14302001\">14302001</a></td><td>Amenorrhea</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>302757007</td><td>Regelmäßige Menstruation</td><td>Menstrual periods regular</td><td>Menstruación regular</td><td>Règles régulières</td><td>Menstruação regular</td></tr><tr><td>80182007</td><td>Unregelmäßiger Menstruationszyklus</td><td>Irregular menstrual cycle</td><td>Ciclo menstrual irregular</td><td>Cycle menstruel irrégulier</td><td>Ciclo menstrual irregular</td></tr><tr><td>237130006</td><td>Zwischenblutung</td><td>Mid-cycle bleeding</td><td>Sangrado intermenstrual</td><td>Saignement intermenstruel</td><td>Sangramento intermenstrual</td></tr><tr><td>14302001</td><td>Amenorrhoe</td><td>Amenorrhea</td><td>Amenorrea</td><td>Aménorrhée</td><td>Amenorreia</td></tr></table><hr/><p class=\"res-header-id\"><b>ValueSet #period-flow-volume</b></p><a name=\"community-facing-questionnaire/period-flow-volume\"> </a><a name=\"hccommunity-facing-questionnaire/period-flow-volume\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/386692008\">386692008</a></td><td>Menorrhagia</td></tr><tr><td><a href=\"http://snomed.info/id/308550003\">308550003</a></td><td>Normal menstrual blood loss</td></tr><tr><td><a href=\"http://snomed.info/id/64206003\">64206003</a></td><td>Hypomenorrhoea</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>386692008</td><td>Starke Menstruationsblutung</td><td>Menorrhagia</td><td>Menorragia</td><td>Ménorragie</td><td>Menorragia</td></tr><tr><td>308550003</td><td>Normale Menstruationsblutung</td><td>Normal menstrual blood loss</td><td>Pérdida menstrual normal</td><td>Perte de sang menstruelle normale</td><td>Perda menstrual normal</td></tr><tr><td>64206003</td><td>Schwache Menstruationsblutung</td><td>Hypomenorrhoea</td><td>Hipomenorrea</td><td>Hypoménorrhée</td><td>Hipomenorreia</td></tr></table><hr/><p class=\"res-header-id\"><b>ValueSet #period-pain-body-sites</b></p><a name=\"community-facing-questionnaire/period-pain-body-sites\"> </a><a name=\"hccommunity-facing-questionnaire/period-pain-body-sites\"> </a><ul><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/56459004\">56459004</a></td><td>Foot</td></tr><tr><td><a href=\"http://snomed.info/id/74964007\">74964007</a></td><td>Other</td></tr><tr><td><a href=\"http://snomed.info/id/27033000\">27033000</a></td><td>Lower abdomen structure</td></tr><tr><td><a href=\"http://snomed.info/id/37822005\">37822005</a></td><td>Lower back structure</td></tr><tr><td><a href=\"http://snomed.info/id/68505006\">68505006</a></td><td>Left side lower abdomen</td></tr><tr><td><a href=\"http://snomed.info/id/48544008\">48544008</a></td><td>Right side lower abdomen</td></tr><tr><td><a href=\"http://snomed.info/id/699611007\">699611007</a></td><td>Front of leg</td></tr><tr><td><a href=\"http://snomed.info/id/699620003\">699620003</a></td><td>Back of leg</td></tr><tr><td><a href=\"http://snomed.info/id/81939000\">81939000</a></td><td>Anal area</td></tr><tr><td><a href=\"http://snomed.info/id/76784001\">76784001</a></td><td>Vaginal structure</td></tr><tr><td><a href=\"http://snomed.info/id/302548004\">302548004</a></td><td>Entire head</td></tr><tr><td><a href=\"http://snomed.info/id/700036009\">700036009</a></td><td>Frontal region structure</td></tr><tr><td><a href=\"http://snomed.info/id/123850002\">123850002</a></td><td>Head part</td></tr></table></li></ul><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Deutsch (German, de)</b></td><td><b>English (English, en)</b></td><td><b>Spanish (es)</b></td><td><b>French (fr)</b></td><td><b>Portuguese (pt)</b></td></tr><tr><td>56459004</td><td>Fuß</td><td>Foot</td><td>Pie</td><td>Pied</td><td>Pé</td></tr><tr><td>74964007</td><td>Andere</td><td>Other</td><td>Otro</td><td>Autre</td><td>Outro</td></tr><tr><td>27033000</td><td>Unterbauch</td><td>Lower abdomen structure</td><td>Estructura del abdomen inferior</td><td>Structure du bas-ventre</td><td>Estrutura do abdômen inferior</td></tr><tr><td>37822005</td><td>Unterer Rücken</td><td>Lower back structure</td><td>Estructura de la parte baja de la espalda</td><td>Structure du bas du dos</td><td>Estrutura da região lombar</td></tr><tr><td>68505006</td><td>Linke Unterbauchseite</td><td>Left side lower abdomen</td><td>Abdomen inferior lado izquierdo</td><td>Bas-ventre côté gauche</td><td>Abdômen inferior lado esquerdo</td></tr><tr><td>48544008</td><td>Rechte Unterbauchseite</td><td>Right side lower abdomen</td><td>Abdomen inferior lado derecho</td><td>Bas-ventre côté droit</td><td>Abdômen inferior lado direito</td></tr><tr><td>699611007</td><td>Vorderseite des Beins</td><td>Front of leg</td><td>Parte frontal de la pierna</td><td>Face avant de la jambe</td><td>Frente da perna</td></tr><tr><td>699620003</td><td>Rückseite des Beins</td><td>Back of leg</td><td>Parte trasera de la pierna</td><td>Face arrière de la jambe</td><td>Parte de trás da perna</td></tr><tr><td>81939000</td><td>Analbereich</td><td>Anal area</td><td>Área anal</td><td>Zone anale</td><td>Área anal</td></tr><tr><td>76784001</td><td>Vaginalstruktur</td><td>Vaginal structure</td><td>Estructura vaginal</td><td>Structure vaginale</td><td>Estrutura vaginal</td></tr><tr><td>302548004</td><td>Gesamter Kopf</td><td>Entire head</td><td>Cabeza completa</td><td>Tête entière</td><td>Cabeça inteira</td></tr><tr><td>700036009</td><td>Stirnregion</td><td>Frontal region structure</td><td>Estructura de la región frontal</td><td>Structure de la région frontale</td><td>Estrutura da região frontal</td></tr><tr><td>123850002</td><td>Kopfteil</td><td>Head part</td><td>Parte de la cabeza</td><td>Partie de la tête</td><td>Parte da cabeça</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "ValueSet",
      "id" : "yes-no",
      "status" : "draft",
      "experimental" : true,
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct",
            "concept" : [
              {
                "code" : "373066001",
                "display" : "Yes",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Ja"
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                  {
                    "language" : "en",
                    "value" : "Yes"
                  },
                  {
                    "language" : "es",
                    "value" : "Sí"
                  },
                  {
                    "language" : "fr",
                    "value" : "Oui"
                  },
                  {
                    "language" : "pt",
                    "value" : "Sim"
                  }
                ]
              },
              {
                "code" : "373067005",
                "display" : "No",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Nein"
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                  {
                    "language" : "en",
                    "value" : "No"
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                  {
                    "language" : "es",
                    "value" : "No"
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                  {
                    "language" : "fr",
                    "value" : "Non"
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                  {
                    "language" : "pt",
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                ]
              }
            ]
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        ]
      }
    },
    {
      "resourceType" : "ValueSet",
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      "experimental" : true,
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            "concept" : [
              {
                "code" : "260413007",
                "display" : "None",
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                    "language" : "de",
                    "value" : "Kein/e"
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                  {
                    "language" : "en",
                    "value" : "None"
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                  {
                    "language" : "es",
                    "value" : "Ningún/a"
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                  {
                    "language" : "fr",
                    "value" : "Aucun/e"
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                  {
                    "language" : "pt",
                    "value" : "Nenhum/a"
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                ]
              },
              {
                "code" : "255604002",
                "display" : "Mild",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Mild"
                  },
                  {
                    "language" : "en",
                    "value" : "Mild"
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                  {
                    "language" : "es",
                    "value" : "Ligero/a"
                  },
                  {
                    "language" : "fr",
                    "value" : "Léger/légère"
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                  {
                    "language" : "pt",
                    "value" : "Ligeira"
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                ]
              },
              {
                "code" : "1255665007",
                "display" : "Moderate",
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                    "value" : "Moderat"
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                  {
                    "language" : "en",
                    "value" : "Moderate"
                  },
                  {
                    "language" : "es",
                    "value" : "Moderado/a"
                  },
                  {
                    "language" : "fr",
                    "value" : "Modéré/e"
                  },
                  {
                    "language" : "pt",
                    "value" : "Moderado/a"
                  }
                ]
              },
              {
                "code" : "24484000",
                "display" : "Severe",
                "designation" : [
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                    "language" : "de",
                    "value" : "Schwer(e)"
                  },
                  {
                    "language" : "en",
                    "value" : "Severe"
                  },
                  {
                    "language" : "es",
                    "value" : "Severo/a"
                  },
                  {
                    "language" : "fr",
                    "value" : "Sévère"
                  },
                  {
                    "language" : "pt",
                    "value" : "Severo/a"
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                ]
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
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            "concept" : [
              {
                "code" : "3723001",
                "display" : "Arthritis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Arthritis"
                  },
                  {
                    "language" : "en",
                    "value" : "Arthritis"
                  },
                  {
                    "language" : "es",
                    "value" : "Artritis"
                  },
                  {
                    "language" : "fr",
                    "value" : "Arthrite"
                  },
                  {
                    "language" : "pt",
                    "value" : "Artrite"
                  }
                ]
              },
              {
                "code" : "195967001",
                "display" : "Asthma",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Asthma"
                  },
                  {
                    "language" : "en",
                    "value" : "Asthma"
                  },
                  {
                    "language" : "es",
                    "value" : "Asma"
                  },
                  {
                    "language" : "fr",
                    "value" : "Asthme"
                  },
                  {
                    "language" : "pt",
                    "value" : "Asma"
                  }
                ]
              },
              {
                "code" : "13645005",
                "display" : "Chronic obstructive pulmonary disease",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Chronisch obstruktive Lungenerkrankung"
                  },
                  {
                    "language" : "en",
                    "value" : "Chronic obstructive pulmonary disease"
                  },
                  {
                    "language" : "es",
                    "value" : "Enfermedad pulmonar obstructiva crónica"
                  },
                  {
                    "language" : "fr",
                    "value" : "Bronchopneumopathie chronique obstructive"
                  },
                  {
                    "language" : "pt",
                    "value" : "Doença pulmonar obstrutiva crônica"
                  }
                ]
              },
              {
                "code" : "52702003",
                "display" : "Chronic fatigue syndrome",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Chronisches Erschöpfungssyndrom"
                  },
                  {
                    "language" : "en",
                    "value" : "Chronic fatigue syndrome"
                  },
                  {
                    "language" : "es",
                    "value" : "Síndrome de fatiga crónica"
                  },
                  {
                    "language" : "fr",
                    "value" : "Syndrome de fatigue chronique"
                  },
                  {
                    "language" : "pt",
                    "value" : "Síndrome de fadiga crônica"
                  }
                ]
              },
              {
                "code" : "64779008",
                "display" : "Blood coagulation disorder",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Blutgerinnungsstörung"
                  },
                  {
                    "language" : "en",
                    "value" : "Blood coagulation disorder"
                  },
                  {
                    "language" : "es",
                    "value" : "Trastorno de la coagulación sanguínea"
                  },
                  {
                    "language" : "fr",
                    "value" : "Trouble de la coagulation sanguine"
                  },
                  {
                    "language" : "pt",
                    "value" : "Distúrbio da coagulação sanguínea"
                  }
                ]
              },
              {
                "code" : "64226004",
                "display" : "Colitis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Colitis"
                  },
                  {
                    "language" : "en",
                    "value" : "Colitis"
                  },
                  {
                    "language" : "es",
                    "value" : "Colitis"
                  },
                  {
                    "language" : "fr",
                    "value" : "Colite"
                  },
                  {
                    "language" : "pt",
                    "value" : "Colite"
                  }
                ]
              },
              {
                "code" : "35489007",
                "display" : "Depression",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Depression"
                  },
                  {
                    "language" : "en",
                    "value" : "Depression"
                  },
                  {
                    "language" : "es",
                    "value" : "Depresión"
                  },
                  {
                    "language" : "fr",
                    "value" : "Dépression"
                  },
                  {
                    "language" : "pt",
                    "value" : "Depressão"
                  }
                ]
              },
              {
                "code" : "48694002",
                "display" : "Anxiety",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Angststörung"
                  },
                  {
                    "language" : "en",
                    "value" : "Anxiety"
                  },
                  {
                    "language" : "es",
                    "value" : "Ansiedad"
                  },
                  {
                    "language" : "fr",
                    "value" : "Anxiété"
                  },
                  {
                    "language" : "pt",
                    "value" : "Ansiedade"
                  }
                ]
              },
              {
                "code" : "406506008",
                "display" : "Attention deficit hyperactivity disorder",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung"
                  },
                  {
                    "language" : "en",
                    "value" : "Attention deficit hyperactivity disorder"
                  },
                  {
                    "language" : "es",
                    "value" : "Trastorno por déficit de atención con hiperactividad"
                  },
                  {
                    "language" : "fr",
                    "value" : "Trouble du déficit de l'attention avec hyperactivité"
                  },
                  {
                    "language" : "pt",
                    "value" : "Transtorno de déficit de atenção com hiperatividade"
                  }
                ]
              },
              {
                "code" : "72366004",
                "display" : "Eating disorder",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Essstörung"
                  },
                  {
                    "language" : "en",
                    "value" : "Eating disorder"
                  },
                  {
                    "language" : "es",
                    "value" : "Trastorno alimentario"
                  },
                  {
                    "language" : "fr",
                    "value" : "Trouble alimentaire"
                  },
                  {
                    "language" : "pt",
                    "value" : "Transtorno alimentar"
                  }
                ]
              },
              {
                "code" : "84757009",
                "display" : "Epilepsy",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Epilepsie"
                  },
                  {
                    "language" : "en",
                    "value" : "Epilepsy"
                  },
                  {
                    "language" : "es",
                    "value" : "Epilepsia"
                  },
                  {
                    "language" : "fr",
                    "value" : "Épilepsie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Epilepsia"
                  }
                ]
              },
              {
                "code" : "203082005",
                "display" : "Fibromyalgia",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Fibromyalgie"
                  },
                  {
                    "language" : "en",
                    "value" : "Fibromyalgia"
                  },
                  {
                    "language" : "es",
                    "value" : "Fibromialgia"
                  },
                  {
                    "language" : "fr",
                    "value" : "Fibromyalgie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Fibromialgia"
                  }
                ]
              },
              {
                "code" : "46635009",
                "display" : "Type 1 diabetes mellitus",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Diabetes mellitus Typ 1"
                  },
                  {
                    "language" : "en",
                    "value" : "Type 1 diabetes mellitus"
                  },
                  {
                    "language" : "es",
                    "value" : "Diabetes mellitus tipo 1"
                  },
                  {
                    "language" : "fr",
                    "value" : "Diabète sucré de type 1"
                  },
                  {
                    "language" : "pt",
                    "value" : "Diabetes mellitus tipo 1"
                  }
                ]
              },
              {
                "code" : "44054006",
                "display" : "Type 2 diabetes mellitus",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Diabetes mellitus Typ 2"
                  },
                  {
                    "language" : "en",
                    "value" : "Type 2 diabetes mellitus"
                  },
                  {
                    "language" : "es",
                    "value" : "Diabetes mellitus tipo 2"
                  },
                  {
                    "language" : "fr",
                    "value" : "Diabète sucré de type 2"
                  },
                  {
                    "language" : "pt",
                    "value" : "Diabetes mellitus tipo 2"
                  }
                ]
              },
              {
                "code" : "45007003",
                "display" : "Hypotension",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Hypotonie"
                  },
                  {
                    "language" : "en",
                    "value" : "Hypotension"
                  },
                  {
                    "language" : "es",
                    "value" : "Hipotensión"
                  },
                  {
                    "language" : "fr",
                    "value" : "Hypotension"
                  },
                  {
                    "language" : "pt",
                    "value" : "Hipotensão"
                  }
                ]
              },
              {
                "code" : "38341003",
                "display" : "Hypertension",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Hypertonie"
                  },
                  {
                    "language" : "en",
                    "value" : "Hypertension"
                  },
                  {
                    "language" : "es",
                    "value" : "Hipertensión"
                  },
                  {
                    "language" : "fr",
                    "value" : "Hypertension"
                  },
                  {
                    "language" : "pt",
                    "value" : "Hipertensão"
                  }
                ]
              },
              {
                "code" : "13644009",
                "display" : "Hypercholesterolaemia",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Hypercholesterinämie"
                  },
                  {
                    "language" : "en",
                    "value" : "Hypercholesterolaemia"
                  },
                  {
                    "language" : "es",
                    "value" : "Hipercolesterolemia"
                  },
                  {
                    "language" : "fr",
                    "value" : "Hypercholestérolémie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Hipercolesterolemia"
                  }
                ]
              },
              {
                "code" : "37796009",
                "display" : "Migraine",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Migräne"
                  },
                  {
                    "language" : "en",
                    "value" : "Migraine"
                  },
                  {
                    "language" : "es",
                    "value" : "Migraña"
                  },
                  {
                    "language" : "fr",
                    "value" : "Migraine"
                  },
                  {
                    "language" : "pt",
                    "value" : "Enxaqueca"
                  }
                ]
              },
              {
                "code" : "193462001",
                "display" : "Insomnia",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Schlaflosigkeit"
                  },
                  {
                    "language" : "en",
                    "value" : "Insomnia"
                  },
                  {
                    "language" : "es",
                    "value" : "Insomnio"
                  },
                  {
                    "language" : "fr",
                    "value" : "Insomnie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Insônia"
                  }
                ]
              },
              {
                "code" : "90708001",
                "display" : "Kidney disease",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Nierenerkrankung"
                  },
                  {
                    "language" : "en",
                    "value" : "Kidney disease"
                  },
                  {
                    "language" : "es",
                    "value" : "Enfermedad renal"
                  },
                  {
                    "language" : "fr",
                    "value" : "Maladie rénale"
                  },
                  {
                    "language" : "pt",
                    "value" : "Doença renal"
                  }
                ]
              },
              {
                "code" : "2492009",
                "display" : "Malnutrition",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Mangelernährung"
                  },
                  {
                    "language" : "en",
                    "value" : "Malnutrition"
                  },
                  {
                    "language" : "es",
                    "value" : "Desnutrición"
                  },
                  {
                    "language" : "fr",
                    "value" : "Malnutrition"
                  },
                  {
                    "language" : "pt",
                    "value" : "Desnutrição"
                  }
                ]
              },
              {
                "code" : "64859006",
                "display" : "Osteoporosis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Osteoporose"
                  },
                  {
                    "language" : "en",
                    "value" : "Osteoporosis"
                  },
                  {
                    "language" : "es",
                    "value" : "Osteoporosis"
                  },
                  {
                    "language" : "fr",
                    "value" : "Ostéoporose"
                  },
                  {
                    "language" : "pt",
                    "value" : "Osteoporose"
                  }
                ]
              },
              {
                "code" : "230690007",
                "display" : "Stroke",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Schlaganfall"
                  },
                  {
                    "language" : "en",
                    "value" : "Stroke"
                  },
                  {
                    "language" : "es",
                    "value" : "Accidente cerebrovascular"
                  },
                  {
                    "language" : "fr",
                    "value" : "Accident vasculaire cérébral"
                  },
                  {
                    "language" : "pt",
                    "value" : "Acidente vascular cerebral"
                  }
                ]
              },
              {
                "code" : "128060009",
                "display" : "Varicose veins",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Krampfadern"
                  },
                  {
                    "language" : "en",
                    "value" : "Varicose veins"
                  },
                  {
                    "language" : "es",
                    "value" : "Várices"
                  },
                  {
                    "language" : "fr",
                    "value" : "Varices"
                  },
                  {
                    "language" : "pt",
                    "value" : "Varizes"
                  }
                ]
              },
              {
                "code" : "271737000",
                "display" : "Anaemia",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Anämie"
                  },
                  {
                    "language" : "en",
                    "value" : "Anaemia"
                  },
                  {
                    "language" : "es",
                    "value" : "Anemia"
                  },
                  {
                    "language" : "fr",
                    "value" : "Anémie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Anemia"
                  }
                ]
              },
              {
                "code" : "35240004",
                "display" : "Iron deficiency",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Eisenmangel"
                  },
                  {
                    "language" : "en",
                    "value" : "Iron deficiency"
                  },
                  {
                    "language" : "es",
                    "value" : "Deficiencia de hierro"
                  },
                  {
                    "language" : "fr",
                    "value" : "Carence en fer"
                  },
                  {
                    "language" : "pt",
                    "value" : "Deficiência de ferro"
                  }
                ]
              },
              {
                "code" : "129103003",
                "display" : "Endometriosis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Endometriose"
                  },
                  {
                    "language" : "en",
                    "value" : "Endometriosis"
                  },
                  {
                    "language" : "es",
                    "value" : "Endometriosis"
                  },
                  {
                    "language" : "fr",
                    "value" : "Endométriose"
                  },
                  {
                    "language" : "pt",
                    "value" : "Endometriose"
                  }
                ]
              },
              {
                "code" : "784314006",
                "display" : "Uterine adenomyosis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Uterus-Adenomyose"
                  },
                  {
                    "language" : "en",
                    "value" : "Uterine adenomyosis"
                  },
                  {
                    "language" : "es",
                    "value" : "Adenomiosis uterina"
                  },
                  {
                    "language" : "fr",
                    "value" : "Adénomyose utérine"
                  },
                  {
                    "language" : "pt",
                    "value" : "Adenomiose uterina"
                  }
                ]
              },
              {
                "code" : "237055002",
                "display" : "Polycystic ovary syndrome",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Polyzystisches Ovarialsyndrom"
                  },
                  {
                    "language" : "en",
                    "value" : "Polycystic ovary syndrome"
                  },
                  {
                    "language" : "es",
                    "value" : "Síndrome de ovario poliquístico"
                  },
                  {
                    "language" : "fr",
                    "value" : "Syndrome des ovaires polykystiques"
                  },
                  {
                    "language" : "pt",
                    "value" : "Síndrome do ovário policístico"
                  }
                ]
              },
              {
                "code" : "95315005",
                "display" : "Uterine fibroids",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Uterusmyome"
                  },
                  {
                    "language" : "en",
                    "value" : "Uterine fibroids"
                  },
                  {
                    "language" : "es",
                    "value" : "Fibromas uterinos"
                  },
                  {
                    "language" : "fr",
                    "value" : "Fibromes utérins"
                  },
                  {
                    "language" : "pt",
                    "value" : "Miomas uterinos"
                  }
                ]
              },
              {
                "code" : "1237359009",
                "display" : "Endometrial polyp",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Endometriumpolyp"
                  },
                  {
                    "language" : "en",
                    "value" : "Endometrial polyp"
                  },
                  {
                    "language" : "es",
                    "value" : "Pólipo endometrial"
                  },
                  {
                    "language" : "fr",
                    "value" : "Polype endométrial"
                  },
                  {
                    "language" : "pt",
                    "value" : "Pólipo endometrial"
                  }
                ]
              },
              {
                "code" : "8220004",
                "display" : "Endocervical polyp",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Endozervikaler Polyp"
                  },
                  {
                    "language" : "en",
                    "value" : "Endocervical polyp"
                  },
                  {
                    "language" : "es",
                    "value" : "Pólipo endocervical"
                  },
                  {
                    "language" : "fr",
                    "value" : "Polype endocervical"
                  },
                  {
                    "language" : "pt",
                    "value" : "Pólipo endocervical"
                  }
                ]
              },
              {
                "code" : "65576009",
                "display" : "Polyp of cervix",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Zervixpolyp"
                  },
                  {
                    "language" : "en",
                    "value" : "Polyp of cervix"
                  },
                  {
                    "language" : "es",
                    "value" : "Pólipo del cuello uterino"
                  },
                  {
                    "language" : "fr",
                    "value" : "Polype du col de l’utérus"
                  },
                  {
                    "language" : "pt",
                    "value" : "Pólipo do colo do útero"
                  }
                ]
              },
              {
                "code" : "254880000",
                "display" : "Uterine fibroid polyp",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Uteriner Myom-Polyp"
                  },
                  {
                    "language" : "en",
                    "value" : "Uterine fibroid polyp"
                  },
                  {
                    "language" : "es",
                    "value" : "Pólipo fibroso uterino"
                  },
                  {
                    "language" : "fr",
                    "value" : "Polype utérin fibreux"
                  },
                  {
                    "language" : "pt",
                    "value" : "Pólipo fibroso uterino"
                  }
                ]
              },
              {
                "code" : "38822007",
                "display" : "Cystitis",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Zystitis"
                  },
                  {
                    "language" : "en",
                    "value" : "Cystitis"
                  },
                  {
                    "language" : "es",
                    "value" : "Cistitis"
                  },
                  {
                    "language" : "fr",
                    "value" : "Cystite"
                  },
                  {
                    "language" : "pt",
                    "value" : "Cistite"
                  }
                ]
              },
              {
                "code" : "38731000087104",
                "display" : "Chronic primary bladder pain syndrome",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Chronisches primäres Blasenschmerzsyndrom"
                  },
                  {
                    "language" : "en",
                    "value" : "Chronic primary bladder pain syndrome"
                  },
                  {
                    "language" : "es",
                    "value" : "Síndrome de dolor vesical crónico primario"
                  },
                  {
                    "language" : "fr",
                    "value" : "Syndrome douloureux vésical chronique primaire"
                  },
                  {
                    "language" : "pt",
                    "value" : "Síndrome da dor vesical crônica primária"
                  }
                ]
              },
              {
                "code" : "73998008",
                "display" : "Prolapse of female genital organs",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Prolaps der weiblichen Genitalorgane"
                  },
                  {
                    "language" : "en",
                    "value" : "Prolapse of female genital organs"
                  },
                  {
                    "language" : "es",
                    "value" : "Prolapso de los órganos genitales femeninos"
                  },
                  {
                    "language" : "fr",
                    "value" : "Prolapsus des organes génitaux féminins"
                  },
                  {
                    "language" : "pt",
                    "value" : "Prolapso dos órgãos genitais femininos"
                  }
                ]
              },
              {
                "code" : "49601007",
                "display" : "Cardiovascular disease",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Herz-Kreislauf-Erkrankung"
                  },
                  {
                    "language" : "en",
                    "value" : "Cardiovascular disease"
                  },
                  {
                    "language" : "es",
                    "value" : "Enfermedad cardiovascular"
                  },
                  {
                    "language" : "fr",
                    "value" : "Maladie cardiovasculaire"
                  },
                  {
                    "language" : "pt",
                    "value" : "Doença cardiovascular"
                  }
                ]
              },
              {
                "code" : "363346000",
                "display" : "Malignant neoplastic disease",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Bösartige Neubildung"
                  },
                  {
                    "language" : "en",
                    "value" : "Malignant neoplastic disease"
                  },
                  {
                    "language" : "es",
                    "value" : "Enfermedad neoplásica maligna"
                  },
                  {
                    "language" : "fr",
                    "value" : "Maladie néoplasique maligne"
                  },
                  {
                    "language" : "pt",
                    "value" : "Doença neoplásica maligna"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "period-regularity",
      "status" : "draft",
      "experimental" : true,
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct",
            "concept" : [
              {
                "code" : "302757007",
                "display" : "Menstrual periods regular",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Regelmäßige Menstruation"
                  },
                  {
                    "language" : "en",
                    "value" : "Menstrual periods regular"
                  },
                  {
                    "language" : "es",
                    "value" : "Menstruación regular"
                  },
                  {
                    "language" : "fr",
                    "value" : "Règles régulières"
                  },
                  {
                    "language" : "pt",
                    "value" : "Menstruação regular"
                  }
                ]
              },
              {
                "code" : "80182007",
                "display" : "Irregular menstrual cycle",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Unregelmäßiger Menstruationszyklus"
                  },
                  {
                    "language" : "en",
                    "value" : "Irregular menstrual cycle"
                  },
                  {
                    "language" : "es",
                    "value" : "Ciclo menstrual irregular"
                  },
                  {
                    "language" : "fr",
                    "value" : "Cycle menstruel irrégulier"
                  },
                  {
                    "language" : "pt",
                    "value" : "Ciclo menstrual irregular"
                  }
                ]
              },
              {
                "code" : "237130006",
                "display" : "Mid-cycle bleeding",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Zwischenblutung"
                  },
                  {
                    "language" : "en",
                    "value" : "Mid-cycle bleeding"
                  },
                  {
                    "language" : "es",
                    "value" : "Sangrado intermenstrual"
                  },
                  {
                    "language" : "fr",
                    "value" : "Saignement intermenstruel"
                  },
                  {
                    "language" : "pt",
                    "value" : "Sangramento intermenstrual"
                  }
                ]
              },
              {
                "code" : "14302001",
                "display" : "Amenorrhea",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Amenorrhoe"
                  },
                  {
                    "language" : "en",
                    "value" : "Amenorrhea"
                  },
                  {
                    "language" : "es",
                    "value" : "Amenorrea"
                  },
                  {
                    "language" : "fr",
                    "value" : "Aménorrhée"
                  },
                  {
                    "language" : "pt",
                    "value" : "Amenorreia"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "period-flow-volume",
      "status" : "draft",
      "experimental" : true,
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct",
            "concept" : [
              {
                "code" : "386692008",
                "display" : "Menorrhagia",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Starke Menstruationsblutung"
                  },
                  {
                    "language" : "en",
                    "value" : "Menorrhagia"
                  },
                  {
                    "language" : "es",
                    "value" : "Menorragia"
                  },
                  {
                    "language" : "fr",
                    "value" : "Ménorragie"
                  },
                  {
                    "language" : "pt",
                    "value" : "Menorragia"
                  }
                ]
              },
              {
                "code" : "308550003",
                "display" : "Normal menstrual blood loss",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Normale Menstruationsblutung"
                  },
                  {
                    "language" : "en",
                    "value" : "Normal menstrual blood loss"
                  },
                  {
                    "language" : "es",
                    "value" : "Pérdida menstrual normal"
                  },
                  {
                    "language" : "fr",
                    "value" : "Perte de sang menstruelle normale"
                  },
                  {
                    "language" : "pt",
                    "value" : "Perda menstrual normal"
                  }
                ]
              },
              {
                "code" : "64206003",
                "display" : "Hypomenorrhoea",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Schwache Menstruationsblutung"
                  },
                  {
                    "language" : "en",
                    "value" : "Hypomenorrhoea"
                  },
                  {
                    "language" : "es",
                    "value" : "Hipomenorrea"
                  },
                  {
                    "language" : "fr",
                    "value" : "Hypoménorrhée"
                  },
                  {
                    "language" : "pt",
                    "value" : "Hipomenorreia"
                  }
                ]
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "period-pain-body-sites",
      "status" : "draft",
      "experimental" : true,
      "compose" : {
        "include" : [
          {
            "system" : "http://snomed.info/sct",
            "concept" : [
              {
                "code" : "56459004",
                "display" : "Foot",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Fuß"
                  },
                  {
                    "language" : "en",
                    "value" : "Foot"
                  },
                  {
                    "language" : "es",
                    "value" : "Pie"
                  },
                  {
                    "language" : "fr",
                    "value" : "Pied"
                  },
                  {
                    "language" : "pt",
                    "value" : "Pé"
                  }
                ]
              },
              {
                "code" : "74964007",
                "display" : "Other",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Andere"
                  },
                  {
                    "language" : "en",
                    "value" : "Other"
                  },
                  {
                    "language" : "es",
                    "value" : "Otro"
                  },
                  {
                    "language" : "fr",
                    "value" : "Autre"
                  },
                  {
                    "language" : "pt",
                    "value" : "Outro"
                  }
                ]
              },
              {
                "code" : "27033000",
                "display" : "Lower abdomen structure",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Unterbauch"
                  },
                  {
                    "language" : "en",
                    "value" : "Lower abdomen structure"
                  },
                  {
                    "language" : "es",
                    "value" : "Estructura del abdomen inferior"
                  },
                  {
                    "language" : "fr",
                    "value" : "Structure du bas-ventre"
                  },
                  {
                    "language" : "pt",
                    "value" : "Estrutura do abdômen inferior"
                  }
                ]
              },
              {
                "code" : "37822005",
                "display" : "Lower back structure",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Unterer Rücken"
                  },
                  {
                    "language" : "en",
                    "value" : "Lower back structure"
                  },
                  {
                    "language" : "es",
                    "value" : "Estructura de la parte baja de la espalda"
                  },
                  {
                    "language" : "fr",
                    "value" : "Structure du bas du dos"
                  },
                  {
                    "language" : "pt",
                    "value" : "Estrutura da região lombar"
                  }
                ]
              },
              {
                "code" : "68505006",
                "display" : "Left side lower abdomen",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Linke Unterbauchseite"
                  },
                  {
                    "language" : "en",
                    "value" : "Left side lower abdomen"
                  },
                  {
                    "language" : "es",
                    "value" : "Abdomen inferior lado izquierdo"
                  },
                  {
                    "language" : "fr",
                    "value" : "Bas-ventre côté gauche"
                  },
                  {
                    "language" : "pt",
                    "value" : "Abdômen inferior lado esquerdo"
                  }
                ]
              },
              {
                "code" : "48544008",
                "display" : "Right side lower abdomen",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Rechte Unterbauchseite"
                  },
                  {
                    "language" : "en",
                    "value" : "Right side lower abdomen"
                  },
                  {
                    "language" : "es",
                    "value" : "Abdomen inferior lado derecho"
                  },
                  {
                    "language" : "fr",
                    "value" : "Bas-ventre côté droit"
                  },
                  {
                    "language" : "pt",
                    "value" : "Abdômen inferior lado direito"
                  }
                ]
              },
              {
                "code" : "699611007",
                "display" : "Front of leg",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Vorderseite des Beins"
                  },
                  {
                    "language" : "en",
                    "value" : "Front of leg"
                  },
                  {
                    "language" : "es",
                    "value" : "Parte frontal de la pierna"
                  },
                  {
                    "language" : "fr",
                    "value" : "Face avant de la jambe"
                  },
                  {
                    "language" : "pt",
                    "value" : "Frente da perna"
                  }
                ]
              },
              {
                "code" : "699620003",
                "display" : "Back of leg",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Rückseite des Beins"
                  },
                  {
                    "language" : "en",
                    "value" : "Back of leg"
                  },
                  {
                    "language" : "es",
                    "value" : "Parte trasera de la pierna"
                  },
                  {
                    "language" : "fr",
                    "value" : "Face arrière de la jambe"
                  },
                  {
                    "language" : "pt",
                    "value" : "Parte de trás da perna"
                  }
                ]
              },
              {
                "code" : "81939000",
                "display" : "Anal area",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Analbereich"
                  },
                  {
                    "language" : "en",
                    "value" : "Anal area"
                  },
                  {
                    "language" : "es",
                    "value" : "Área anal"
                  },
                  {
                    "language" : "fr",
                    "value" : "Zone anale"
                  },
                  {
                    "language" : "pt",
                    "value" : "Área anal"
                  }
                ]
              },
              {
                "code" : "76784001",
                "display" : "Vaginal structure",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Vaginalstruktur"
                  },
                  {
                    "language" : "en",
                    "value" : "Vaginal structure"
                  },
                  {
                    "language" : "es",
                    "value" : "Estructura vaginal"
                  },
                  {
                    "language" : "fr",
                    "value" : "Structure vaginale"
                  },
                  {
                    "language" : "pt",
                    "value" : "Estrutura vaginal"
                  }
                ]
              },
              {
                "code" : "302548004",
                "display" : "Entire head",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Gesamter Kopf"
                  },
                  {
                    "language" : "en",
                    "value" : "Entire head"
                  },
                  {
                    "language" : "es",
                    "value" : "Cabeza completa"
                  },
                  {
                    "language" : "fr",
                    "value" : "Tête entière"
                  },
                  {
                    "language" : "pt",
                    "value" : "Cabeça inteira"
                  }
                ]
              },
              {
                "code" : "700036009",
                "display" : "Frontal region structure",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Stirnregion"
                  },
                  {
                    "language" : "en",
                    "value" : "Frontal region structure"
                  },
                  {
                    "language" : "es",
                    "value" : "Estructura de la región frontal"
                  },
                  {
                    "language" : "fr",
                    "value" : "Structure de la région frontale"
                  },
                  {
                    "language" : "pt",
                    "value" : "Estrutura da região frontal"
                  }
                ]
              },
              {
                "code" : "123850002",
                "display" : "Head part",
                "designation" : [
                  {
                    "language" : "de",
                    "value" : "Kopfteil"
                  },
                  {
                    "language" : "en",
                    "value" : "Head part"
                  },
                  {
                    "language" : "es",
                    "value" : "Parte de la cabeza"
                  },
                  {
                    "language" : "fr",
                    "value" : "Partie de la tête"
                  },
                  {
                    "language" : "pt",
                    "value" : "Parte da cabeça"
                  }
                ]
              }
            ]
          }
        ]
      }
    }
  ],
  "url" : "http://fhir.ch/ig/ch-ig/Questionnaire/community-facing-questionnaire",
  "version" : "0.1.0",
  "name" : "CommunityFacingQuestionnaire",
  "title" : "Community-facing Questionnaire",
  "_title" : {
    "extension" : [
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "de"
          },
          {
            "url" : "content",
            "valueString" : "Fragebogen für die Bevölkerung"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "en"
          },
          {
            "url" : "content",
            "valueString" : "Community-facing Questionnaire"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "es"
          },
          {
            "url" : "content",
            "valueString" : "Cuestionario dirigido a la comunidad"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "fr"
          },
          {
            "url" : "content",
            "valueString" : "Questionnaire destiné à la communauté"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      },
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "pt"
          },
          {
            "url" : "content",
            "valueString" : "Questionário voltado para a comunidade"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-08-18T10:02:22+00:00",
  "publisher" : "HL7 Switzerland",
  "contact" : [
    {
      "name" : "HL7 Switzerland",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.hl7.ch/"
        }
      ]
    }
  ],
  "description" : "FHIR Questionnaire based on the 'Heavy Menstrual Bleeding (HMB) Patient Questionnaire' from Women's Health Road (Australia)",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "copyright" : "CC0-1.0",
  "item" : [
    {
      "linkId" : "1",
      "text" : "PERSONAL INFORMATION",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "PERSÖNLICHE DATEN"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "PERSONAL INFORMATION"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "INFORMACIÓN PERSONAL"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "INFORMATIONS PERSONNELLES"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "INFORMAÇÕES PESSOAIS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "1.1",
          "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
          "text" : "First Name",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Vornamen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "First Name"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nombre"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Prénom"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nome próprio"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "required" : true
        },
        {
          "linkId" : "1.2",
          "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family",
          "text" : "Surname",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nachname"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Surname"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Apellido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nom de famille"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Apelido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "required" : true
        },
        {
          "linkId" : "1.3",
          "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given",
          "text" : "Preferred Name",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bevorzugter Name"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Preferred Name"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nombre preferido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nom préféré"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nome preferido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "1.4",
          "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate",
          "text" : "DOB",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Geburtsdatum"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "DOB"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fecha de nacimiento"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Date de naissance"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Data de nascimento"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "date",
          "required" : true
        },
        {
          "linkId" : "1.5",
          "definition" : "http://hl7.org/fhir/StructureDefinition/Patient#Patient.contact.telecom.value",
          "text" : "Email",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "E-Mail"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Email"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Correo electrónico"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Courriel"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Correio eletrónico"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "1.6",
          "text" : "Please outline your main health related concern(s)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte beschreiben Sie Ihr(e) Hauptanliegen in Bezug auf Ihre Gesundheit"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please outline your main health related concern(s)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Describa su(s) principal(es) preocupación(es) relacionada(s) con la salud"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez décrire votre (vos) principale(s) préoccupation(s) en matière de santé"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique a(s) sua(s) principal(is) preocupação(ões) relacionada(s) com a saúde"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        }
      ]
    },
    {
      "linkId" : "2",
      "text" : "PAST MEDICAL HISTORY",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "VORHERIGE KRANKENGESCHICHTE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "PAST MEDICAL HISTORY"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIAL MÉDICO PREVIO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "ANTÉCÉDENTS MÉDICAUX"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRICO MÉDICO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "2.1",
          "text" : "Please check any past or current medical conditions that apply to you",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte kreuzen Sie alle früheren oder aktuellen Erkrankungen an, die auf Sie zutreffen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please check any past or current medical conditions that apply to you"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Por favor, marque cualquier condición médica pasada o presente que se aplique a usted"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez cocher toutes les conditions médicales passées ou présentes qui s'appliquent à vous"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Assinale qualquer problema de saúde passado ou atual que se aplique a si"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : true,
          "answerValueSet" : "#medical-conditions"
        },
        {
          "linkId" : "2.2",
          "text" : "Childhood Disease",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Kinderkrankheit"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Childhood Disease"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Enfermedades infantiles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Maladies infantiles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Doença infantil"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "2.3",
          "text" : "Cardiovascular Disease",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Herz-Kreislauf-Erkrankungen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cardiovascular Disease"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Enfermedades cardiovasculares"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Maladies cardiovasculaires"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Doenças cardiovasculares"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "2.4",
          "text" : "Cancer",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Krebs"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cáncer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancer"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancro"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "2.5",
          "text" : "Other",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Andere"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Other"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Otros"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Autres"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Outros"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        }
      ]
    },
    {
      "linkId" : "3",
      "text" : "MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "MENSTRUATIONSHISTORIE (FIGO-AUB-PARAMETER, SAMANTA, VAS, PIPPA)"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIAL MENSTRUAL (PARÁMETROS FIGO AUB, SAMANTA, VAS, PIPPA)"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "ANTÉCÉDENTS MENSTRUELS (PARAMÈTRES FIGO-AUB, SAMANTA, VAS, PIPPA)"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRICO MENSTRUAL (PARÂMETROS FIGO AUB, SAMANTA, VAS, PIPPA)"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "a",
                "display" : "year"
              }
            }
          ],
          "linkId" : "3.1",
          "text" : "Age of first menstrual period",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Alter der ersten Regelblutung"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Age of first menstrual period"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Edad de la primera menstruación"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Âge des premières règles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Idade do primeiro período menstrual"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer"
        },
        {
          "linkId" : "3.2",
          "text" : "Date your last period began",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Datum des Beginns Ihrer letzten Periode"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Date your last period began"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fecha de su última menstruación"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Date des dernières règles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Data do início da última menstruação"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "date"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "d",
                "display" : "day"
              }
            }
          ],
          "linkId" : "3.3",
          "text" : "Duration of menstrual period",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Dauer der Menstruation"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Duration of menstrual period"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Duración del periodo menstrual"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Durée de la période menstruelle"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Duração do período menstrual"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer"
        },
        {
          "linkId" : "3.4",
          "text" : "Regularity of period",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Regelmässigkeit der Periode"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Regularity of period"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Regularidad del periodo"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Régularité des règles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Regularidade do período"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#period-regularity"
        },
        {
          "linkId" : "3.5",
          "text" : "Flow Volume",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Durchflussmenge"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Flow Volume"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Caudal"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Volume d'écoulement"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Volume do caudal"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#period-flow-volume"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "slider"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 0
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 10
            }
          ],
          "linkId" : "3.6",
          "text" : "Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte bewerten Sie die Intensität Ihrer Menstruationsblutung im Allgemeinen (0 = überhaupt keine Blutung, 10 = die stärkstmögliche Menstruationsblutung, die ich je hatte)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Por favor, valore la intensidad de su sangrado menstrual, en general (0 = Ningún sangrado, 10 = El sangrado menstrual más abundante que he tenido nunca)."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez évaluer l'intensité de vos saignements menstruels, en général (0 = Pas de saignement du tout, 10 = Les saignements menstruels les plus abondants que j'aie jamais eus)."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avalie, por favor, a intensidade da sua hemorragia menstrual, de um modo geral (0 = Nenhuma hemorragia, 10 = A hemorragia menstrual mais intensa que alguma vez tive)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer"
        },
        {
          "linkId" : "3.7",
          "text" : "No. days between periods",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Anzahl der Tage zwischen den Perioden"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "No. days between periods"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nº de días entre periodos"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Nombre de jours entre les périodes"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "N.º de dias entre períodos"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "absent",
                "display" : "Absent (no periods/bleeding)"
              }
            },
            {
              "valueCoding" : {
                "code" : "frequent",
                "display" : "Frequent (< 24 days)"
              }
            },
            {
              "valueCoding" : {
                "code" : "normal",
                "display" : "Normal (24 - 38 days)"
              }
            },
            {
              "valueCoding" : {
                "code" : "infrequent",
                "display" : "Infrequent (>38 days)"
              }
            }
          ]
        },
        {
          "linkId" : "3.8",
          "text" : "Predictability (regularity) of cycle length",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Vorhersagbarkeit (Regelmässigkeit) der Zykluslänge"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Predictability (regularity) of cycle length"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Previsibilidad (regularidad) de la duración del ciclo"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Prévisibilité (régularité) de la durée du cycle"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Previsibilidade (regularidade) da duração do ciclo"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "absent",
                "display" : "Absent (no periods/bleeding)"
              }
            },
            {
              "valueCoding" : {
                "code" : "predictable",
                "display" : "Predictable (regular, varies by 2-7 days in length)"
              }
            },
            {
              "valueCoding" : {
                "code" : "unpredictable",
                "display" : "Unpredictable (irregular, varies by > 10 days in length)"
              }
            }
          ]
        },
        {
          "linkId" : "3.9",
          "text" : "Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie intermenstruelle Blutungen (IMB) (Blutungen zwischen den Perioden)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Sufre hemorragias intermenstruales?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Souffrez-vous de saignements intermenstruels (saignements entre les règles)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem hemorragia intermenstrual (hemorragia entre períodos)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "none",
                "display" : "None"
              }
            },
            {
              "valueCoding" : {
                "code" : "random",
                "display" : "Random"
              }
            },
            {
              "valueCoding" : {
                "code" : "cyclic-predictable",
                "display" : "Cyclic/Predictable"
              }
            }
          ]
        },
        {
          "linkId" : "3.9.1",
          "text" : "When in your cycle does the bleeding occur?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wann tritt die Blutung in Ihrem Zyklus auf?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "When in your cycle does the bleeding occur?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿En qué momento del ciclo se produce la hemorragia?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "A quel moment de votre cycle les saignements surviennent-ils?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Em que altura do ciclo ocorre a hemorragia?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "enableWhen" : [
            {
              "question" : "3.9",
              "operator" : "=",
              "answerCoding" : {
                "code" : "cyclic-predictable"
              }
            }
          ],
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "early-cycle",
                "display" : "Early Cycle"
              }
            },
            {
              "valueCoding" : {
                "code" : "mid-cycle",
                "display" : "Mid Cycle"
              }
            },
            {
              "valueCoding" : {
                "code" : "late-cycle",
                "display" : "Late Cycle"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "slider"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 0
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 10
            }
          ],
          "linkId" : "3.10",
          "text" : "To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "In welchem Ausmass beeinträchtigt Ihre Periode Ihre täglichen Aktivitäten (0 = Sie beeinträchtigt meine täglichen Aktivitäten überhaupt nicht, 10 = Sie beeinträchtigt meine täglichen Aktivitäten vollständig)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿En qué medida influye la menstruación en tus actividades diarias (0 = No interfiere en absoluto en mis actividades diarias, 10 = Interfiere completamente en mis actividades diarias)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Dans quelle mesure vos règles ont-elles un impact sur vos activités quotidiennes (0 = Elles n'interfèrent pas du tout avec mes activités quotidiennes, 10 = Elles interfèrent complètement avec mes activités quotidiennes)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Em que medida o período menstrual tem impacto nas suas actividades diárias (0 = Não interfere de todo com as minhas actividades diárias, 10 = Interfere completamente com as minhas actividades diárias)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer"
        },
        {
          "linkId" : "3.11",
          "text" : "During heavier bleeding days do you",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie an Tagen mit stärkerer Blutung"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "During heavier bleeding days do you"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Durante los días de sangrado más abundante"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Pendant les jours où les saignements sont plus abondants, est-ce que vous"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Durante os dias de hemorragia mais intensa"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "3.11.1",
              "text" : "Have to use double protection or get up to change your sanitary protection during the night?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Müssen Sie einen doppelten Schutz verwenden oder nachts aufstehen, um Ihren Hygieneschutz zu wechseln?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Have to use double protection or get up to change your sanitary protection during the night?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Tiene que utilizar doble protección o levantarse para cambiarse la protección sanitaria durante la noche?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vous devez utiliser une double protection ou vous lever pour changer de protection hygiénique pendant la nuit?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Tem de usar proteção dupla ou levantar-se para mudar a proteção higiénica durante a noite?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "repeats" : false,
              "answerValueSet" : "#yes-no"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "3.11.2",
              "text" : "Worry about staining the seat of your chair, sofa, etc?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Haben Sie Angst vor Flecken auf der Sitzfläche Ihres Stuhls, Sofas usw.?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Worry about staining the seat of your chair, sofa, etc?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Le preocupa manchar el asiento de su silla, sofá, etc.?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vous craignez de tacher l'assise de votre fauteuil, de votre canapé, etc."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Preocupa-se com a possibilidade de manchar o assento da sua cadeira, sofá, etc.?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "repeats" : false,
              "answerValueSet" : "#yes-no"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "3.11.3",
              "text" : "Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vermeiden Sie bestimmte Aktivitäten, Reisen oder Freizeitpläne, weil Sie Ihren Tampon oder Ihre Binde häufig wechseln müssen?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Evitas determinadas actividades, viajes o planes de ocio porque tienes que cambiarte el tampón o la compresa con frecuencia?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Éviter certaines activités, certains voyages ou certains projets de loisirs parce que vous devez changer fréquemment de tampon ou de serviette hygiénique?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Evita certas actividades, viagens ou planos de lazer porque precisa de mudar frequentemente o seu tampão ou penso?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "repeats" : false,
              "answerValueSet" : "#yes-no"
            }
          ]
        },
        {
          "linkId" : "3.12",
          "text" : "Period Pain",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Periodenschmerzen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Period Pain"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Dolor menstrual"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Douleurs menstruelles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Dores menstruais"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "3.12.1",
              "text" : "Do you have period pain?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Haben Sie Regelschmerzen?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Do you have period pain?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Te duele la regla?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Avez-vous des douleurs menstruelles?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Tem dores menstruais?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "repeats" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373066001",
                    "display" : "Yes"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373067005",
                    "display" : "No"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "84638005",
                    "display" : "Occasional"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "slider"
                      }
                    ]
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                  "valueInteger" : 0
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                  "valueInteger" : 10
                }
              ],
              "linkId" : "3.12.2",
              "text" : "Pain Score (0 = Little to no pain, 10 = Severe Pain)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Schmerzwert (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Pain Score (0 = Little to no pain, 10 = Severe Pain)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Puntuación del dolor (0 = poco dolor, 10 = dolor intenso)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Score de douleur (0 = Peu ou pas de douleur, 10 = Douleur intense)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Pontuação da dor (0 = pouca ou nenhuma dor, 10 = dor intensa)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "integer",
              "enableWhen" : [
                {
                  "question" : "3.12.1",
                  "operator" : "!=",
                  "answerCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373067005"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding" : {
                    "system" : "http://unitsofmeasure.org",
                    "code" : "a",
                    "display" : "year"
                  }
                }
              ],
              "linkId" : "3.12.3",
              "text" : "How old were you when your periods became painful?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Wie alt waren Sie, als Ihre Periode schmerzhaft wurde?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "How old were you when your periods became painful?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Qué edad tenías cuando te empezó a doler la regla?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Quel âge aviez-vous lorsque vos règles sont devenues douloureuses?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Que idade tinha quando a menstruação se tornou dolorosa?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "integer",
              "enableWhen" : [
                {
                  "question" : "3.12.1",
                  "operator" : "!=",
                  "answerCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373067005"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding" : {
                    "system" : "http://unitsofmeasure.org",
                    "code" : "d",
                    "display" : "day"
                  }
                }
              ],
              "linkId" : "3.12.4",
              "text" : "How many days each month do you have period pain for?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "An wie vielen Tagen im Monat haben Sie Regelschmerzen?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "How many days each month do you have period pain for?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Cuántos días al mes le duele la regla?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Combien de jours par mois avez-vous des douleurs menstruelles?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Durante quantos dias por mês tem dores menstruais?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "integer",
              "enableWhen" : [
                {
                  "question" : "3.12.1",
                  "operator" : "!=",
                  "answerCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373067005"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "3.13",
          "text" : "Where do you feel your period pain?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wo spüren Sie Ihre Regelschmerzen?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Where do you feel your period pain?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Dónde sientes el dolor menstrual?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Où ressentez-vous vos douleurs menstruelles?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Onde é que sente as dores do período?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "enableWhen" : [
            {
              "question" : "3.12.1",
              "operator" : "!=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373067005"
              }
            }
          ],
          "repeats" : true,
          "answerValueSet" : "#period-pain-body-sites"
        },
        {
          "linkId" : "3.13.1",
          "text" : "Other (please specify)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sonstiges (bitte angeben)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
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                    "url" : "content",
                    "valueString" : "Other (please specify)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Otros (especifique)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Autre (à préciser)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Outros (especificar)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
            {
              "question" : "3.13",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "74964007"
              }
            }
          ]
        },
        {
          "linkId" : "3.14",
          "text" : "Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Helfen Medikamente gegen Regelschmerzen (Ibuprofen, Ponstan, Naprogesic usw.) bei Regelschmerzen?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Los medicamentos para el dolor menstrual (Ibuprofeno, Ponstan, Naprogesic, etc.) alivian el dolor menstrual?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Les médicaments contre les douleurs menstruelles (Ibuprofen, Ponstan, Naprogesic, etc.) aident-ils à soulager les douleurs menstruelles?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Os medicamentos para as dores do período (Ibuprofeno, Ponstan, Naprogesic, etc.) ajudam as dores do período?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "enableWhen" : [
            {
              "question" : "3.12.1",
              "operator" : "!=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373067005"
              }
            }
          ],
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "yes",
                "display" : "Yes"
              }
            },
            {
              "valueCoding" : {
                "code" : "little",
                "display" : "A little"
              }
            },
            {
              "valueCoding" : {
                "code" : "not-at-all",
                "display" : "Not at all"
              }
            },
            {
              "valueCoding" : {
                "code" : "never-tried",
                "display" : "I have never tried these medications"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId" : "4",
      "text" : "SEXUAL AND REPRODUCTIVE HISTORY",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "SEXUELLE UND REPRODUKTIVE GESCHICHTE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "SEXUAL AND REPRODUCTIVE HISTORY"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIAL SEXUAL Y REPRODUCTIVO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIQUE SEXUEL ET REPRODUCTIF"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRICO SEXUAL E REPRODUTIVO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "4.1",
          "text" : "Are you currently sexually active?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sind Sie derzeit sexuell aktiv?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Are you currently sexually active?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Es usted sexualmente activo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Êtes-vous actuellement sexuellement actif?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "É atualmente sexualmente ativo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "4.2",
          "text" : "Are you currently trying to get pregnant?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Versuchen Sie derzeit, schwanger zu werden?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Are you currently trying to get pregnant?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Está intentando quedarse embarazada?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Essayez-vous actuellement de tomber enceinte?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Está atualmente a tentar engravidar?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001",
                "display" : "Yes"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373067005",
                "display" : "No"
              }
            },
            {
              "valueCoding" : {
                "code" : "want-in-future",
                "display" : "Want in future"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "4.3",
          "text" : "Do you experience any bleeding after sexual intercourse?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie Blutungen nach dem Geschlechtsverkehr?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you experience any bleeding after sexual intercourse?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Sufre alguna hemorragia después de mantener relaciones sexuales?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous des saignements après les rapports sexuels?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem alguma hemorragia após as relações sexuais?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "4.4",
          "text" : "Do you experience any excessive pain during sexual intercourse?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie beim Geschlechtsverkehr starke Schmerzen?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you experience any excessive pain during sexual intercourse?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Siente un dolor excesivo durante las relaciones sexuales?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Souffrez-vous de douleurs excessives pendant les rapports sexuels?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sente dores excessivas durante as relações sexuais?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "slider"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 10
            }
          ],
          "linkId" : "4.4.1",
          "text" : "How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wie würden Sie diese Schmerzen auf einer Skala von 1-10 beschreiben? (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Cómo describiría este dolor en una escala del 1 al 10? (0 = Poco o ningún dolor, 10 = Dolor intenso)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Comment décririez-vous cette douleur sur une échelle de 1 à 10 (0 = Peu ou pas de douleur, 10 = Douleur intense)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Como descreveria esta dor numa escala de 1 a 10 (0 = pouca ou nenhuma dor, 10 = dor intensa)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer",
          "enableWhen" : [
            {
              "question" : "4.4",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ]
        },
        {
          "linkId" : "4.5",
          "text" : "What contraception, if any, are you currently using?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Welche Verhütungsmittel verwenden Sie derzeit, wenn überhaupt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "What contraception, if any, are you currently using?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Qué método anticonceptivo utiliza actualmente?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Quelle contraception utilisez-vous actuellement, le cas échéant?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Que contracetivo, se for o caso, está a utilizar atualmente?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "item" : [
            {
              "linkId" : "4.5.1",
              "text" : "For how long?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Für wie lange?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "For how long?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Durante cuánto tiempo?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Pendant combien de temps?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Durante quanto tempo?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "4.5.2",
              "text" : "For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Welche Auswirkungen hat die hormonelle Empfängnisverhütung auf Ihre Periode/Ihren Zyklus gehabt? (Durchflussmenge, Dauer, Häufigkeit usw.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "En el caso de los anticonceptivos hormonales, ¿qué impacto han tenido en su periodo/ciclo? (volumen de flujo, duración, frecuencia, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "En cas de contraception hormonale, quel a été l'impact sur vos règles/cycle? (volume du flux, durée, fréquence, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Relativamente a qualquer contraceção hormonal, qual o impacto que teve no seu período/ciclo? (volume do fluxo, duração, frequência, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            }
          ]
        },
        {
          "linkId" : "4.6",
          "text" : "What contraception options, if any, have you used in the past?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Welche Empfängnisverhütungsmethoden haben Sie in der Vergangenheit verwendet, wenn überhaupt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "What contraception options, if any, have you used in the past?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Qué métodos anticonceptivos has utilizado en el pasado?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Quels sont les moyens de contraception que vous avez éventuellement utilisés dans le passé?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Que opções de contraceção utilizou no passado, se é que utilizou alguma?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "item" : [
            {
              "linkId" : "4.6.1",
              "text" : "For any previous hormonal contraception, what impact did they have on your period/cycle?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Welche Auswirkungen hatten frühere hormonelle Verhütungsmittel auf Ihre Periode/Ihren Zyklus?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "For any previous hormonal contraception, what impact did they have on your period/cycle?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "En el caso de los anticonceptivos hormonales anteriores, ¿qué efecto tuvieron en tu periodo/ciclo?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Pour toute contraception hormonale antérieure, quel impact a-t-elle eu sur vos règles/cycle?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Relativamente a qualquer contraceção hormonal anterior, qual o impacto que teve no seu período/ciclo?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "4.7",
          "text" : "Do you have any current or a previous history of sexually transmitted diseases?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie derzeit oder in der Vergangenheit sexuell übertragbare Krankheiten gehabt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you have any current or a previous history of sexually transmitted diseases?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Padece o ha padecido alguna enfermedad de transmisión sexual?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous des antécédents ou des maladies sexuellement transmissibles?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem algum historial atual ou anterior de doenças sexualmente transmissíveis?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no",
          "item" : [
            {
              "linkId" : "4.7.1",
              "text" : "Please provide detail (date, type, treatment)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Einzelheiten an (Datum, Art, Behandlung)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide detail (date, type, treatment)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Proporcione detalles (fecha, tipo, tratamiento)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails (date, type, traitement)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Fornecer pormenores (data, tipo, tratamento)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "4.7",
                  "operator" : "=",
                  "answerCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373066001"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "4.8",
          "text" : "Do you have any other sexual dysfunctions/issues related to sex?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie andere sexuelle Funktionsstörungen/Probleme im Zusammenhang mit Sex?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you have any other sexual dysfunctions/issues related to sex?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Tienes alguna otra disfunción o problema sexual relacionado con el sexo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous d'autres dysfonctionnements sexuels/problèmes liés à la sexualité?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem outras disfunções sexuais/questões relacionadas com o sexo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string"
        },
        {
          "linkId" : "4.9",
          "text" : "Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte informieren Sie uns über frühere Schwangerschaften, einschliesslich Schwangerschaftsabbrüche und Fehlgeburten (falls möglich)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Por favor, infórmenos de cualquier antecedente de embarazo, incluyendo abortos y abortos involuntarios (si se siente cómodo)."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez nous informer de tout antécédent de grossesse, y compris les avortements et les fausses couches (si vous vous sentez à l'aise)."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Informe-nos de qualquer historial de gravidez anterior, incluindo abortos e abortos espontâneos (se for confortável)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "item" : [
            {
              "linkId" : "4.9.1",
              "text" : "Please provide the following information for each pregnancy",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie für jede Schwangerschaft die folgenden Informationen an"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide the following information for each pregnancy"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Facilite la siguiente información para cada embarazo"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir les informations suivantes pour chaque grossesse"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Forneça as seguintes informações para cada gravidez"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "group",
              "repeats" : true,
              "item" : [
                {
                  "linkId" : "4.9.1.1",
                  "text" : "Birthplace",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Geburtsort"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Birthplace"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Lugar de nacimiento"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Lieu de naissance"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Local de nascimento"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                },
                {
                  "linkId" : "4.9.1.2",
                  "text" : "Date",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Datum"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Date"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Fecha"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Date"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Data"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "date"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                      "valueCoding" : {
                        "system" : "http://unitsofmeasure.org",
                        "code" : "wk",
                        "display" : "week"
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                      "valueInteger" : 45
                    }
                  ],
                  "linkId" : "4.9.1.3",
                  "text" : "Gestation",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Schwangerschaft"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Gestation"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Gestación"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Gestation"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Gestação"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "integer"
                },
                {
                  "linkId" : "4.9.1.4",
                  "text" : "Type of Birth (e.g. Vaginal or C/S)",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Art der Geburt (z.B. vaginal oder Kaiserschnitt)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Type of Birth (e.g. Vaginal or C/S)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Tipo de parto (ej. vaginal o cesárea)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Type d'accouchement (ex. vaginal ou césarienne)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Tipo de parto (ex. vaginal ou cesariana)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                },
                {
                  "linkId" : "4.9.1.5",
                  "text" : "Model of Care (e.g. Midwife, Public/Private OB)",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Betreuungsmodell (z.B. Hebamme, öffentliche/private Geburtshilfe)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Model of Care (e.g. Midwife, Public/Private OB)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Modelo de atención (ej. comadrona, obstetricia pública/privada)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Modèle de soins (ex. sage-femme, obstétrique publique/privée)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Modelo de cuidado (ex. parteira, obstetrícia pública/privada)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                      "valueCoding" : {
                        "system" : "http://unitsofmeasure.org",
                        "code" : "g",
                        "display" : "gram"
                      }
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                      "valueInteger" : 300
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                      "valueInteger" : 6000
                    }
                  ],
                  "linkId" : "4.9.1.6",
                  "text" : "Birth Weight",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Geburtsgewicht"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Birth Weight"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Peso al nacer"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Poids de naissance"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Peso ao nascer"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "integer"
                },
                {
                  "linkId" : "4.9.1.7",
                  "text" : "Name of Child (if applicable)",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Name des Kindes (falls zutreffend)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Name of Child (if applicable)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Nombre del niño (si aplica)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Nom de l'enfant (si applicable)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Nome da criança (se aplicável)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                },
                {
                  "linkId" : "4.9.1.8",
                  "text" : "Sex of Child (if applicable)",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Geschlecht des Kindes (falls zutreffend)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Sex of Child (if applicable)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Sexo del niño (si aplica)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Sexe de l'enfant (si applicable)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Sexo da criança (se aplicável)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                }
              ]
            }
          ]
        },
        {
          "linkId" : "4.10",
          "text" : "Cervical Screening Test (CST)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Gebärmutterhals-Screening-Test (CST)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cervical Screening Test (CST)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Prueba de cribado cervical"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Test de dépistage cervical (TDC)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Teste de rastreio cervical (CST)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "item" : [
            {
              "linkId" : "4.10.1",
              "text" : "When was your most recent CST (Pap Smear)?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Wann war Ihr letzter CST (Pap-Abstrich)?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "When was your most recent CST (Pap Smear)?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Cuándo fue su última citología vaginal?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Quelle est la date de votre dernier frottis cervical?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Quando foi o seu último CST (Papanicolau)?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "date"
            },
            {
              "linkId" : "4.10.2",
              "text" : "What was the result of your most recent CST?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Was war das Ergebnis Ihres letzten CST?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "What was the result of your most recent CST?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Cuál ha sido el resultado de su último CST?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Quel a été le résultat de votre dernière CST?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Qual foi o resultado do seu último CST?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "4.10.3",
              "text" : "Any past abnormal CST(s)? Please provide details",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Gab es in der Vergangenheit abnormale CSTs? Bitte Einzelheiten angeben"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Any past abnormal CST(s)? Please provide details"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Alguna(s) CST(s) anormal(es) en el pasado? Indique los detalles"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Avez-vous déjà eu des TCC anormales? Veuillez fournir des détails"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Alguma CST anormal no passado? Fornecer pormenores"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "4.10.4",
              "text" : "If possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment.",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Wenn möglich, legen Sie bitte eine Kopie der Ergebnisse Ihrer letzten Früherkennungsuntersuchung(en) vor oder bringen Sie eine Kopie dieser Ergebnisse zum Termin mit."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "If possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Si es posible, facilite una copia de los resultados de su(s) prueba(s) de cribado más reciente(s) o traiga una copia de dichos resultados el día de su cita."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Si possible, veuillez fournir une copie des résultats de vos tests de dépistage les plus récents ou apporter une copie de ces résultats le jour de votre rendez-vous."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Se possível, forneça uma cópia dos resultados do(s) seu(s) teste(s) de rastreio mais recente(s) ou traga uma cópia desses resultados consigo no dia da sua consulta."
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "display"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "5",
      "text" : "ASSOCIATED OR SYSTEMIC SYMPTOMS",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "ASSOZIIERTE ODER SYSTEMISCHE SYMPTOME"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "ASSOCIATED OR SYSTEMIC SYMPTOMS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "SÍNTOMAS ASOCIADOS O SISTÉMICOS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "SYMPTÔMES ASSOCIÉS OU SYSTÉMIQUES"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "SINTOMAS ASSOCIADOS OU SISTÉMICOS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "5.1",
          "text" : "Do you experience any pelvic pain?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie Schmerzen im Unterleib?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you experience any pelvic pain?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Siente dolor pélvico?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Souffrez-vous de douleurs pelviennes?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sente alguma dor pélvica?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "slider"
                  }
                ]
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 0
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 10
            }
          ],
          "linkId" : "5.1.1",
          "text" : "Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Geben Sie auf einer Skala von 1-10 an, wie Sie diese Schmerzen beschreiben würden (0 = geringe bis keine Schmerzen, 5 = mässige Schmerzen, 10 = starke Schmerzen)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique en la escala del 1 al 10 cómo describiría este dolor (0 = Poco o ningún dolor, 5 = Dolor moderado, 10 = Dolor intenso)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indiquez sur une échelle de 1 à 10 comment vous décririez cette douleur (0 = Peu ou pas de douleur, 5 = Douleur modérée, 10 = Douleur sévère)."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique, numa escala de 1 a 10, como descreveria esta dor (0 = Pouca ou nenhuma dor, 5 = Dor moderada, 10 = Dor grave)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer",
          "enableWhen" : [
            {
              "question" : "5.1",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "5.2",
          "text" : "Have you noticed any abnormal vaginal discharge?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie anormalen Ausfluss aus der Scheide bemerkt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Have you noticed any abnormal vaginal discharge?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Ha notado algún flujo vaginal anormal?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous remarqué des pertes vaginales anormales?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Notou algum corrimento vaginal anormal?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "5.2.1",
          "text" : "Please provide detail",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte geben Sie Einzelheiten an"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please provide detail"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Proporcione detalles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez fournir des détails"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fornecer pormenores"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
            {
              "question" : "5.2",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "5.3",
          "text" : "Do you currently have any urinary and/or bowel related concerns?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie derzeit Probleme mit dem Harn- und/oder Stuhlgang?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you currently have any urinary and/or bowel related concerns?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Tiene actualmente algún problema urinario o intestinal?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous actuellement des problèmes urinaires et/ou intestinaux?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem atualmente algum problema urinário e/ou intestinal?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "5.3.1",
          "text" : "Please provide detail (i.e. motion of passing/incontinence issues etc.)",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte geben Sie Einzelheiten an (z. B. Passagebewegungen, Inkontinenzprobleme usw.)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please provide detail (i.e. motion of passing/incontinence issues etc.)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Proporcione detalles (por ejemplo, movimiento de paso/problemas de incontinencia, etc.)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez fournir des détails (par exemple, mouvement de passage/problèmes d'incontinence, etc.)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Forneça pormenores (ou seja, movimento de passagem/ problemas de incontinência, etc.)"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
            {
              "question" : "5.3",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "kg",
                "display" : "kilogram"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueDecimal" : 20
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueDecimal" : 300
            }
          ],
          "linkId" : "5.4",
          "text" : "What is your current weight?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wie hoch ist Ihr derzeitiges Gewicht?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "What is your current weight?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Cuál es su peso actual?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Quel est votre poids actuel?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Qual é o seu peso atual?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "decimal"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "cm",
                "display" : "centimeter"
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 100
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 250
            }
          ],
          "linkId" : "5.5",
          "text" : "What is your height?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wie gross sind Sie?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "What is your height?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Cuál es su estatura?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Quelle est votre taille?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Qual é a sua altura?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "integer"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "5.6",
          "text" : "Have you noticed any significant weight loss or gain?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie eine deutliche Gewichtsabnahme oder -zunahme festgestellt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Have you noticed any significant weight loss or gain?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Ha notado alguna pérdida o ganancia de peso significativa?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous remarqué une perte ou une prise de poids significative?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Notou alguma perda ou ganho de peso significativo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "5.6.1",
          "text" : "Details",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Einzelheiten"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Details"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Detalles"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Détails"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Detalhes"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
            {
              "question" : "5.6",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "5.7",
          "text" : "Have you had any blood tests done in the past 12 months?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wurden bei Ihnen in den letzten 12 Monaten Bluttests durchgeführt?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Have you had any blood tests done in the past 12 months?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Se ha hecho algún análisis de sangre en los últimos 12 meses?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous effectué des analyses de sang au cours des 12 derniers mois?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fez alguma análise ao sangue nos últimos 12 meses?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "5.7.1",
          "text" : "Date of most recent test",
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              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Datum des letzten Tests"
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                ],
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              },
              {
                "extension" : [
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                    "url" : "lang",
                    "valueCode" : "en"
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                  {
                    "url" : "content",
                    "valueString" : "Date of most recent test"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fecha de la prueba más reciente"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Date du dernier test"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Data do teste mais recente"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "date",
          "enableWhen" : [
            {
              "question" : "5.7",
              "operator" : "=",
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                "system" : "http://snomed.info/sct",
                "code" : "373066001"
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            }
          ]
        },
        {
          "linkId" : "5.7.2",
          "text" : "Pathology Provider",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Pathologie-Anbieter"
                  }
                ],
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              },
              {
                "extension" : [
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                    "url" : "lang",
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                  },
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                    "url" : "content",
                    "valueString" : "Pathology Provider"
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                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Proveedor de patología"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fournisseur de services de pathologie"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
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                  },
                  {
                    "url" : "content",
                    "valueString" : "Fornecedor de patologia"
                  }
                ],
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              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
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            }
          ]
        },
        {
          "linkId" : "5.7.3",
          "text" : "Any clinically significant blood results & outcomes?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Irgendwelche klinisch bedeutsamen Blutwerte und Ergebnisse?"
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                ],
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              },
              {
                "extension" : [
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                    "url" : "lang",
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                    "url" : "content",
                    "valueString" : "Any clinically significant blood results & outcomes?"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Algún resultado sanguíneo clínicamente significativo?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Résultats sanguins et résultats cliniquement significatifs?"
                  }
                ],
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              },
              {
                "extension" : [
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                    "url" : "lang",
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                  },
                  {
                    "url" : "content",
                    "valueString" : "Quaisquer resultados sanguíneos e resultados clinicamente significativos?"
                  }
                ],
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              }
            ]
          },
          "type" : "string",
          "enableWhen" : [
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          ]
        },
        {
          "extension" : [
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              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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                "coding" : [
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                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
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                ]
              }
            }
          ],
          "linkId" : "5.8",
          "text" : "Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?",
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            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Wurden bei Ihnen in den letzten 12 Monaten bildgebende Verfahren (z. B. Ultraschall, MRT des Beckens/Unterleibs) durchgeführt?"
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                ],
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              },
              {
                "extension" : [
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                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Se ha sometido a alguna prueba de imagen médica (por ejemplo, ecografía, resonancia magnética de pelvis/abdomen) en los últimos 12 meses?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous eu recours à l'imagerie médicale (échographie, IRM du bassin/abdomen) au cours des 12 derniers mois?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Fez alguma imagiologia médica (ou seja, ecografia, ressonância magnética da pélvis/abdómen) nos últimos 12 meses?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : false,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "5.8.1",
          "text" : "Please provide the following imaging details",
          "_text" : {
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              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte geben Sie die folgenden Details zur Bildgebung an"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
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                    "url" : "content",
                    "valueString" : "Please provide the following imaging details"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Proporcione los siguientes datos de imagen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
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                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez fournir les détails d'imagerie suivants"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Forneça os seguintes pormenores relativos à imagiologia"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "enableWhen" : [
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              "question" : "5.8",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ],
          "repeats" : true,
          "item" : [
            {
              "linkId" : "5.8.1.1",
              "text" : "Type of Imaging",
              "_text" : {
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                  {
                    "extension" : [
                      {
                        "url" : "lang",
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                      },
                      {
                        "url" : "content",
                        "valueString" : "Art der Bildgebung"
                      }
                    ],
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                  },
                  {
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                        "url" : "lang",
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                        "valueString" : "Type of Imaging"
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                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Tipo de imagen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
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                      },
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                        "url" : "content",
                        "valueString" : "Type d'imagerie"
                      }
                    ],
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                  },
                  {
                    "extension" : [
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                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Tipo de imagiologia"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "5.8.1.2",
              "text" : "Date",
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                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Datum"
                      }
                    ],
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                  },
                  {
                    "extension" : [
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                        "url" : "lang",
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                        "url" : "content",
                        "valueString" : "Date"
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                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
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                      },
                      {
                        "url" : "content",
                        "valueString" : "Fecha"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Date"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Data"
                      }
                    ],
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                  }
                ]
              },
              "type" : "date"
            },
            {
              "linkId" : "5.8.1.3",
              "text" : "Imaging Provider & Location",
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                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
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                      {
                        "url" : "content",
                        "valueString" : "Bildgebungsanbieter & Standort"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Imaging Provider & Location"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Proveedor de imágenes y ubicación"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Fournisseur d'imagerie et lieu"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Fornecedor de imagiologia e localização"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "5.8.1.4",
              "text" : "Clinical Reason",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Klinischer Grund"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Clinical Reason"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Razón clínica"
                      }
                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Raison clinique"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Motivo clínico"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "5.8.1.5",
              "text" : "Results / Findings",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ergebnisse / Befunde"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Results / Findings"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "RESULTADOS"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Résultats / Constatations"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Resultados / Conclusões"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "6",
      "text" : "CURRENT MEDICATIONS",
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            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "AKTUELLE MEDIKAMENTE"
              }
            ],
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          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "CURRENT MEDICATIONS"
              }
            ],
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          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "MEDICAMENTOS ACTUALES"
              }
            ],
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          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "MÉDICAMENTS ACTUELS"
              }
            ],
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          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "MEDICAMENTOS ATUAIS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "6.1",
          "text" : "Please provide your current medications",
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            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte geben Sie Ihre derzeitige Medikation an"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please provide your current medications"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique su medicación actual"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez indiquer vos médicaments actuels"
                  }
                ],
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              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique os seus medicamentos actuais"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "repeats" : true,
          "item" : [
            {
              "linkId" : "6.1.1",
              "text" : "Medication",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Medikation"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Medication"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Medicación"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Médicaments"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Medicamentos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "6.1.2",
              "text" : "Dose",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dosis"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dose"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dosis"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dose"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dose"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "6.1.3",
              "text" : "Frequency",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Frequenz"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Frequency"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Frecuencia"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Fréquence"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Frequência"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "6.1.4",
              "text" : "Reason for Medication",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Grund für die Medikation"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Reason for Medication"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Motivo de la medicación"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Raison de la prise de médicaments"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Motivo da medicação"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "6.1.5",
              "text" : "Duration you have been taking this medication for",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dauer der Einnahme dieses Medikaments seit"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Duration you have been taking this medication for"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Duración del tratamiento"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Durée Vous avez pris ce médicament pendant"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Duração do tratamento com este medicamento"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "7",
      "text" : "FAMILY HISTORY",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "FAMILIENGESCHICHTE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "FAMILY HISTORY"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIA FAMILIAR"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "HISTOIRE FAMILIALE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRIA DA FAMÍLIA"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "7.1",
          "text" : "Blood and Clotting Disorders",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Blut- und Gerinnungsstörungen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Blood and Clotting Disorders"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Trastornos de la sangre y la coagulación"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Troubles du sang et de la coagulation"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Perturbações do sangue e da coagulação"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "vwd",
                "display" : "Von Willebrand disease"
              }
            },
            {
              "valueCoding" : {
                "code" : "haem",
                "display" : "Haemophilia"
              }
            },
            {
              "valueCoding" : {
                "code" : "thromb",
                "display" : "Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)"
              }
            },
            {
              "valueCoding" : {
                "code" : "bruising",
                "display" : "Easy bruising or excessive bleeding"
              }
            },
            {
              "valueCoding" : {
                "code" : "clots",
                "display" : "History of blood clots (DVT, stroke before age 50)"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "7.1.1",
              "text" : "Please provide details about the blood and clotting disorders selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Details zu den oben ausgewählten Blut- und Gerinnungsstörungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide details about the blood and clotting disorders selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor proporcione detalles sobre los trastornos sanguíneos y de coagulación seleccionados arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails sur les troubles sanguins et de coagulation sélectionnés ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor forneça detalhes sobre os distúrbios sanguíneos e de coagulação selecionados acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "7.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "vwd"
                  }
                },
                {
                  "question" : "7.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "haem"
                  }
                },
                {
                  "question" : "7.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "thromb"
                  }
                },
                {
                  "question" : "7.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "bruising"
                  }
                },
                {
                  "question" : "7.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "clots"
                  }
                }
              ],
              "enableBehavior" : "any",
              "repeats" : true
            }
          ]
        },
        {
          "linkId" : "7.2",
          "text" : "Endocrine and Hormonal Conditions",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Endokrine und hormonelle Bedingungen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Endocrine and Hormonal Conditions"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Enfermedades endocrinas y hormonales"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Conditions endocriniennes et hormonales"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Doenças endócrinas e hormonais"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "thyroid",
                "display" : "Thyroid Disease"
              }
            },
            {
              "valueCoding" : {
                "code" : "pcos",
                "display" : "PCOS"
              }
            },
            {
              "valueCoding" : {
                "code" : "diabetes",
                "display" : "Diabetes (Type 1 or Type 2)"
              }
            },
            {
              "valueCoding" : {
                "code" : "menopause",
                "display" : "Early menopause / premature ovarian insufficiency"
              }
            },
            {
              "valueCoding" : {
                "code" : "adrenal",
                "display" : "Adrenal disorders"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "7.2.1",
              "text" : "Please provide details about the endocrine and hormonal conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Details zu den oben ausgewählten endokrinen und hormonellen Erkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide details about the endocrine and hormonal conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor proporcione detalles sobre las condiciones endocrinas y hormonales seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails sur les conditions endocriniennes et hormonales sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor forneça detalhes sobre as condições endócrinas e hormonais selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "7.2",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "thyroid"
                  }
                },
                {
                  "question" : "7.2",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "pcos"
                  }
                },
                {
                  "question" : "7.2",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "diabetes"
                  }
                },
                {
                  "question" : "7.2",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "menopause"
                  }
                },
                {
                  "question" : "7.2",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "adrenal"
                  }
                }
              ],
              "enableBehavior" : "any",
              "repeats" : true
            }
          ]
        },
        {
          "linkId" : "7.3",
          "text" : "Cancer / Malignancy",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Krebs / Malignität"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancer / Malignancy"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cáncer / Malignidad"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancer / Malignité"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cancro / Malignidade"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "breast",
                "display" : "Breast Cancer"
              }
            },
            {
              "valueCoding" : {
                "code" : "ovarian",
                "display" : "Ovarian cancer"
              }
            },
            {
              "valueCoding" : {
                "code" : "uterine",
                "display" : "Uterine (endometrial cancer)"
              }
            },
            {
              "valueCoding" : {
                "code" : "cervical",
                "display" : "Cervical cancer"
              }
            },
            {
              "valueCoding" : {
                "code" : "colon",
                "display" : "Colon cancer (<50 yrs or related to Lynch Syndrome)"
              }
            },
            {
              "valueCoding" : {
                "code" : "hereditary",
                "display" : "Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "7.3.1",
              "text" : "Please provide details about the cancer/malignancy conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer, affected family member etc.)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Details zu den oben ausgewählten Krebs-/Tumorerkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, Art des Krebses, betroffenes Familienmitglied usw.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide details about the cancer/malignancy conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer, affected family member etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor proporcione detalles sobre las condiciones de cáncer/malignidad seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, tipo de cáncer, miembro de la familia afectado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails sur les conditions de cancer/malignité sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, type de cancer, membre de la famille affecté, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor forneça detalhes sobre as condições de câncer/malignidade selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, tipo de câncer, membro da família afetado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "breast"
                  }
                },
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "ovarian"
                  }
                },
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "uterine"
                  }
                },
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "cervical"
                  }
                },
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "colon"
                  }
                },
                {
                  "question" : "7.3",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "hereditary"
                  }
                }
              ],
              "enableBehavior" : "any",
              "repeats" : true
            }
          ]
        },
        {
          "linkId" : "7.4",
          "text" : "Other relevant conditions",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Andere relevante Bedingungen"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Other relevant conditions"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Otras condiciones pertinentes"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Autres conditions pertinentes"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Outras condições relevantes"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "endometriosis",
                "display" : "Endometriosis or adenomyosis"
              }
            },
            {
              "valueCoding" : {
                "code" : "fibroids",
                "display" : "Fibroids"
              }
            },
            {
              "valueCoding" : {
                "code" : "osteoporosis",
                "display" : "Osteoporosis or early bone loss"
              }
            },
            {
              "valueCoding" : {
                "code" : "cardio",
                "display" : "Cardiovascular disease"
              }
            },
            {
              "valueCoding" : {
                "code" : "autoimmune",
                "display" : "Autoimmune conditions"
              }
            },
            {
              "valueCoding" : {
                "code" : "genetic",
                "display" : "Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)"
              }
            }
          ],
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "7.4.1",
              "text" : "Cardiovascular disease <55 yrs",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Herz-Kreislauf-Erkrankungen <55 Jahre"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Cardiovascular disease <55 yrs"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Enfermedad cardiovascular <55 años"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Maladie cardiovasculaire <55 ans"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Doença cardiovascular <55 anos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "enableWhen" : [
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "cardio"
                  }
                }
              ],
              "repeats" : false,
              "answerValueSet" : "#yes-no"
            },
            {
              "linkId" : "7.4.2",
              "text" : "Please provide details about the other relevant conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Details zu den oben ausgewählten anderen relevanten Erkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide details about the other relevant conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor proporcione detalles sobre las otras condiciones relevantes seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails sur les autres conditions pertinentes sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Por favor forneça detalhes sobre as outras condições relevantes selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "endometriosis"
                  }
                },
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "fibroids"
                  }
                },
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "osteoporosis"
                  }
                },
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "cardio"
                  }
                },
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "autoimmune"
                  }
                },
                {
                  "question" : "7.4",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "genetic"
                  }
                }
              ],
              "enableBehavior" : "any",
              "repeats" : true
            }
          ]
        }
      ]
    },
    {
      "linkId" : "8",
      "text" : "SOCIAL HISTORY",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "SOZIALGESCHICHTE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "SOCIAL HISTORY"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIA SOCIAL"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "HISTOIRE SOCIALE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRIA SOCIAL"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "8.1",
          "text" : "Do you currently have a partner(s)?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Haben Sie derzeit einen Partner oder mehrere Partner?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Do you currently have a partner(s)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Tiene pareja(s) actualmente?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Avez-vous actuellement un (des) partenaire(s)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Tem atualmente um parceiro(s)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "answerValueSet" : "#yes-no",
          "item" : [
            {
              "linkId" : "8.1.1",
              "text" : "If you are comfortable to share, what is your partner/s' name and sex/gender/age?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Wenn Sie es uns mitteilen möchten, wie lautet der Name Ihres Partners/ihrer Partnerin und Geschlecht/Alter?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "If you are comfortable to share, what is your partner/s' name and sex/gender/age?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Si no tiene inconveniente en decirlo, ¿cómo se llama su pareja y cuál es su sexo, género y edad?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Si vous vous sentez à l'aise pour le dire, quel est le nom de votre/vos partenaire(s) et quel est son/leur sexe/genre/âge?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Se se sentir à vontade para partilhar, qual é o nome e o sexo/género/idade do(s) seu(s) parceiro(s)?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string",
              "enableWhen" : [
                {
                  "question" : "8.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373066001"
                  }
                }
              ],
              "repeats" : true
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "8.2",
          "text" : "Are you currently working?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sind Sie derzeit berufstätig?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Are you currently working?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Trabaja actualmente?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Travaillez-vous actuellement?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Está atualmente a trabalhar?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "answerValueSet" : "#yes-no",
          "item" : [
            {
              "linkId" : "8.2.1",
              "text" : "Please provide details about your work",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bitte geben Sie Einzelheiten zu Ihrer Arbeit an"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Please provide details about your work"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Proporcione detalles sobre su trabajo"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veuillez fournir des détails sur votre travail"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Forneça pormenores sobre o seu trabalho"
                      }
                    ],
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                  }
                ]
              },
              "type" : "group",
              "enableWhen" : [
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                  "question" : "8.2",
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                }
              ],
              "repeats" : true,
              "item" : [
                {
                  "linkId" : "8.2.1.1",
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                          {
                            "url" : "content",
                            "valueString" : "Beschäftigungsart (TZ, VZ, Aushilfe)"
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                        ],
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                      },
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                        ],
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                        ],
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                        ],
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                        ],
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                      }
                    ]
                  },
                  "type" : "string"
                },
                {
                  "linkId" : "8.2.1.2",
                  "text" : "Occupation",
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                      {
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                          {
                            "url" : "lang",
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                          },
                          {
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                        ],
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                      },
                      {
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                        ],
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                        ],
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                    ]
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          ],
          "linkId" : "8.3",
          "text" : "Are you currently studying?",
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                "extension" : [
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                    "url" : "lang",
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                  {
                    "url" : "content",
                    "valueString" : "Studieren Sie derzeit?"
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                ],
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              },
              {
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                ],
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                    "url" : "content",
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                ],
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                ],
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            ]
          },
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          "item" : [
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              "linkId" : "8.3.1",
              "text" : "Institution",
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                    "extension" : [
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                        "url" : "lang",
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                        "url" : "content",
                        "valueString" : "Einrichtung"
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                    ],
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                        "valueString" : "Institución"
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                    ],
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                    ],
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                        "valueString" : "Instituição"
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                    ],
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                ]
              },
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                        "url" : "content",
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                    ],
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                    ],
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                        "url" : "content",
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                    ],
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                    ],
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                ]
              },
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        },
        {
          "linkId" : "8.4",
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                "extension" : [
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                    "url" : "lang",
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                    "valueString" : "Lebensstil"
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                ],
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              ],
              "linkId" : "8.4.1",
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                    "extension" : [
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                        "url" : "lang",
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                      },
                      {
                        "url" : "content",
                        "valueString" : "Rauchen Sie derzeit?"
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                    ],
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                  },
                  {
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                        "url" : "lang",
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                    ],
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                        "url" : "content",
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                    ],
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                  },
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                        "url" : "lang",
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                        "url" : "content",
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                    ],
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                  },
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                        "url" : "lang",
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                        "url" : "content",
                        "valueString" : "Fuma atualmente?"
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                    ],
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                ]
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                  "valueCoding" : {
                    "system" : "http://snomed.info/sct",
                    "code" : "373067005",
                    "display" : "No"
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                },
                {
                  "valueCoding" : {
                    "code" : "past",
                    "display" : "In Past"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "vape",
                    "display" : "Vape"
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                }
              ]
            },
            {
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                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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                }
              ],
              "linkId" : "8.4.2",
              "text" : "Do you take any recreational drugs?",
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                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Nimmst du irgendwelche Freizeitdrogen?"
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                    ],
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                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
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                        "url" : "content",
                        "valueString" : "Do you take any recreational drugs?"
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                    ],
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                  },
                  {
                    "extension" : [
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                        "url" : "lang",
                        "valueCode" : "es"
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                      {
                        "url" : "content",
                        "valueString" : "¿Tomas alguna droga recreativa?"
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                    ],
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                  },
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                    "extension" : [
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                        "url" : "lang",
                        "valueCode" : "fr"
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                        "url" : "content",
                        "valueString" : "Prenez-vous des drogues récréatives?"
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                    ],
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                  },
                  {
                    "extension" : [
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                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Consome drogas recreativas?"
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                    ],
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                ]
              },
              "type" : "choice",
              "answerValueSet" : "#yes-no"
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              ],
              "linkId" : "8.4.3",
              "text" : "How often do you drink Alcohol?",
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                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
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                      {
                        "url" : "content",
                        "valueString" : "Wie oft trinken Sie Alkohol?"
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                    ],
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                  {
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                        "url" : "lang",
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                    ],
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                        "url" : "lang",
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                        "url" : "content",
                        "valueString" : "¿Con qué frecuencia bebe alcohol?"
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                    ],
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                        "valueString" : "A quelle fréquence consommez-vous de l'alcool?"
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                    ],
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                        "url" : "content",
                        "valueString" : "Com que frequência bebe álcool?"
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                    ],
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                ]
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                  "valueCoding" : {
                    "code" : "never",
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                },
                {
                  "valueCoding" : {
                    "code" : "ltmonthly",
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                },
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                  "valueCoding" : {
                    "code" : "1_2pm",
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                },
                {
                  "valueCoding" : {
                    "code" : "1_2pw",
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                },
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                  "valueCoding" : {
                    "code" : "3_4pw",
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                  "valueCoding" : {
                    "code" : "5_6pw",
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                {
                  "valueCoding" : {
                    "code" : "everyday",
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                }
              ],
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                  ],
                  "linkId" : "8.4.3.1",
                  "text" : "On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)",
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                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
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                            "url" : "content",
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                            "valueString" : "On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)"
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                        ],
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                      {
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                            "url" : "lang",
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                            "valueString" : "En cada ocasión, ¿cuánto bebe normalmente? (1 trago = 1 lata de cerveza, 1 copa de vino o 1 shot de licor)"
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                        ],
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                      {
                        "extension" : [
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                            "url" : "lang",
                            "valueCode" : "fr"
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                            "url" : "content",
                            "valueString" : "À chaque occasion, combien buvez-vous normalement? (1 verre = 1 canette de bière, 1 verre de vin ou 1 shot d'alcool fort)"
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                        ],
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                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Em cada ocasião, quanto você normalmente bebe? (1 drink = 1 lata de cerveja, 1 copo de vinho ou 1 dose de destilados)"
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                        ],
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                      }
                    ]
                  },
                  "type" : "choice",
                  "enableWhen" : [
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                      "question" : "8.4.3",
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                      "answerCoding" : {
                        "code" : "never"
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                  ],
                  "answerOption" : [
                    {
                      "valueCoding" : {
                        "code" : "1_3",
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                    },
                    {
                      "valueCoding" : {
                        "code" : "3_5",
                        "display" : "3-5"
                      }
                    },
                    {
                      "valueCoding" : {
                        "code" : "5_7",
                        "display" : "5-7"
                      }
                    },
                    {
                      "valueCoding" : {
                        "code" : "7plus",
                        "display" : "7+"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                  "valueCoding" : {
                    "system" : "http://unitsofmeasure.org",
                    "code" : "h",
                    "display" : "hour"
                  }
                }
              ],
              "linkId" : "8.4.4",
              "text" : "How many hours of physical activity do you do on an average week?",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Wie viele Stunden bewegen Sie sich im Durchschnitt pro Woche?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "How many hours of physical activity do you do on an average week?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "¿Cuántas horas de actividad física realiza de media a la semana?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Combien d'heures d'activité physique pratiquez-vous en moyenne par semaine?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Quantas horas de atividade física pratica em média por semana?"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "decimal",
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                      "valueCoding" : {
                        "system" : "http://unitsofmeasure.org",
                        "code" : "/wk",
                        "display" : "per week"
                      }
                    }
                  ],
                  "linkId" : "8.4.4.1",
                  "text" : "Frequency (times per week)",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Häufigkeit (Mal pro Woche)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Frequency (times per week)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Frecuencia (veces por semana)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Fréquence (fois par semaine)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Frequência (vezes por semana)"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "integer"
                },
                {
                  "linkId" : "8.4.4.2",
                  "text" : "Intensity",
                  "_text" : {
                    "extension" : [
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "de"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Intensität"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "en"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Intensity"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "es"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Intensidad"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "fr"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Intensité"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      },
                      {
                        "extension" : [
                          {
                            "url" : "lang",
                            "valueCode" : "pt"
                          },
                          {
                            "url" : "content",
                            "valueString" : "Intensidade"
                          }
                        ],
                        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  },
                  "type" : "string"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId" : "9",
      "text" : "SURGICAL HISTORY",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "CHIRURGISCHE VORGESCHICHTE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "SURGICAL HISTORY"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "HISTORIAL QUIRÚRGICO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "ANTÉCÉDENTS CHIRURGICAUX"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "HISTÓRICO CIRÚRGICO"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "9.1",
          "text" : "Please provide details for each surgery you have had",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte geben Sie Einzelheiten zu jeder Operation an, die Sie hatten"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please provide details for each surgery you have had"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique los detalles de cada intervención quirúrgica a la que se haya sometido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez indiquer les détails de chaque intervention chirurgicale que vous avez subie"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Indique os pormenores de cada cirurgia a que foi submetido"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                  "valueInteger" : 1900
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                  "valueInteger" : 2100
                }
              ],
              "linkId" : "9.1.1",
              "text" : "Year",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Jahr"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Year"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Año"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Année"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ano"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "integer"
            },
            {
              "linkId" : "9.1.2",
              "text" : "Place of Surgery",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ort der Operation"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Place of Surgery"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Lugar de la intervención"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Lieu de l'intervention chirurgicale"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Local da cirurgia"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            },
            {
              "linkId" : "9.1.3",
              "text" : "Details (Surgeon, Type of Procedure, any complications or issues?, findings)",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Details (Chirurg, Art des Eingriffs, Komplikationen oder Probleme?, Befunde)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Details (Surgeon, Type of Procedure, any complications or issues?, findings)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Detalles (cirujano, tipo de intervención, complicaciones o problemas, resultados)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Détails (chirurgien, type d'intervention, complications ou problèmes éventuels, résultats)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Detalhes (cirurgião, tipo de procedimento, quaisquer complicações ou problemas?, resultados)"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "string"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "10",
      "text" : "MENOPAUSE",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "MENOPAUSE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "MENOPAUSE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "MENOPAUSIA"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "MÉNOPAUSE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "MENOPAUSA"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button"
                  }
                ]
              }
            }
          ],
          "linkId" : "10.1",
          "text" : "Does this section apply to you (menopausal or perimenopausal)?",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Trifft dieser Abschnitt auf Sie zu (menopausal oder perimenopausal)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Does this section apply to you (menopausal or perimenopausal)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "¿Esta sección se aplica a usted (menopáusica o perimenopáusica)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Cette section vous concerne-t-elle (ménopause ou périménopause)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Esta secção aplica-se a si (menopausa ou perimenopausa)?"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "choice",
          "required" : true,
          "answerValueSet" : "#yes-no"
        },
        {
          "linkId" : "10.1.1",
          "text" : "On the Modified Greene Scale below, judge the severity of your symptoms and record the score.",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Beurteilen Sie auf der nachstehenden modifizierten Greene-Skala den Schweregrad Ihrer Symptome und notieren Sie den Wert."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "On the Modified Greene Scale below, judge the severity of your symptoms and record the score."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "En la escala de Greene modificada que aparece a continuación, juzgue la gravedad de sus síntomas y anote la puntuación."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Sur l'échelle de Greene modifiée ci-dessous, évaluez la gravité de vos symptômes et notez le résultat."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Na Escala de Greene Modificada abaixo, avalie a gravidade dos seus sintomas e registe a pontuação."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "group",
          "enableWhen" : [
            {
              "question" : "10.1",
              "operator" : "=",
              "answerCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "373066001"
              }
            }
          ],
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.1",
              "code" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "198436008",
                  "display" : "Menopausal flushing (finding)"
                }
              ],
              "text" : "Hot flushes",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Hitzewallungen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Hot flushes"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sofocos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Bouffées de chaleur"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Afrontamentos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.2",
              "text" : "Lightheaded feelings",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Schwindelgefühle"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Lightheaded feelings"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensación de mareo"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensations de tête légère"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensação de tonturas"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.3",
              "text" : "Headaches",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Kopfschmerzen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Headaches"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dolores de cabeza"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Maux de tête"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dores de cabeça"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.4",
              "text" : "Irritability",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Reizbarkeit"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Irritability"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Irritabilidad"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Irritabilité"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Irritabilidade"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
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                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
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                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.5",
              "text" : "Depression",
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                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Depression"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Depression"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Depresión"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dépression"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Depressão"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
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                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.6",
              "text" : "Unloved feelings",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ungeliebte Gefühle"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Unloved feelings"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sentimientos no queridos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sentiments de mal-aimé"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sentimentos não amados"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.7",
              "text" : "Anxiety",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ängste"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Anxiety"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ansiedad"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Anxiété"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ansiedade"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.8",
              "text" : "Mood changes",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Stimmungsschwankungen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Mood changes"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Cambios de humor"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Changements d'humeur"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Alterações de humor"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.9",
              "text" : "Sleeplessness",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Schlaflosigkeit"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sleeplessness"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Insomnio"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Insomnie"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Insónias"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
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                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.10",
              "text" : "Unusual tiredness",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Ungewöhnliche Müdigkeit"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Unusual tiredness"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Cansancio inusual"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Fatigue inhabituelle"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Cansaço invulgar"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
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                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.11",
              "text" : "Backache",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Rückenschmerzen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Backache"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dolor de espalda"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Mal de dos"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dor nas costas"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.12",
              "text" : "Joint pains",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Gelenkbeschwerden"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Joint pains"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dolores articulares"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Douleurs articulaires"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dores nas articulações"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.13",
              "text" : "Muscle pains",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Muskelschmerzen"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Muscle pains"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dolores musculares"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Douleurs musculaires"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dores musculares"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.14",
              "text" : "New facial hair",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Neue Gesichtsbehaarung"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "New facial hair"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Nuevo vello facial"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Nouvelle pilosité faciale"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Novos pêlos faciais"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.15",
              "text" : "Dry skin",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Trockene Haut"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dry skin"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Piel seca"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Peau sèche"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Pele seca"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.16",
              "text" : "Crawling feelings under the skin",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Krabbelnde Gefühle unter der Haut"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Crawling feelings under the skin"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensación de arrastre bajo la piel"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensations de reptation sous la peau"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Sensações de rastejamento sob a pele"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.17",
              "text" : "Less sexual feelings",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Weniger sexuelle Gefühle"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Less sexual feelings"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Menos sentimientos sexuales"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Moins de sentiments sexuels"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Menos sentimentos sexuais"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.18",
              "text" : "Dry vagina",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Trockene Vagina"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Dry vagina"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vagina seca"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vagin sec"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Vagina seca"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.19",
              "text" : "Uncomfortable intercourse",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Unbequemer Geschlechtsverkehr"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Uncomfortable intercourse"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Relaciones sexuales incómodas"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Rapports sexuels inconfortables"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Relações sexuais incómodas"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "radio-button"
                      }
                    ]
                  }
                }
              ],
              "linkId" : "10.1.1.20",
              "text" : "Urinary frequency changes",
              "_text" : {
                "extension" : [
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "de"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Veränderungen der Harnfrequenz"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "en"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Urinary frequency changes"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "es"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Cambios en la frecuencia urinaria"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "fr"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Modifications de la fréquence urinaire"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  },
                  {
                    "extension" : [
                      {
                        "url" : "lang",
                        "valueCode" : "pt"
                      },
                      {
                        "url" : "content",
                        "valueString" : "Alterações da frequência urinária"
                      }
                    ],
                    "url" : "http://hl7.org/fhir/StructureDefinition/translation"
                  }
                ]
              },
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#severity"
            }
          ]
        }
      ]
    },
    {
      "linkId" : "11",
      "text" : "OTHER NOTES",
      "_text" : {
        "extension" : [
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "de"
              },
              {
                "url" : "content",
                "valueString" : "WEITERE HINWEISE"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "en"
              },
              {
                "url" : "content",
                "valueString" : "OTHER NOTES"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "es"
              },
              {
                "url" : "content",
                "valueString" : "OTRAS NOTAS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "fr"
              },
              {
                "url" : "content",
                "valueString" : "AUTRES REMARQUES"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          },
          {
            "extension" : [
              {
                "url" : "lang",
                "valueCode" : "pt"
              },
              {
                "url" : "content",
                "valueString" : "OUTRAS NOTAS"
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/translation"
          }
        ]
      },
      "type" : "group",
      "item" : [
        {
          "linkId" : "11.1",
          "text" : "Please use the space below to let us know of anything else we can do or need to note to best support your health journey",
          "_text" : {
            "extension" : [
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "de"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Bitte nutzen Sie das nachstehende Feld, um uns mitzuteilen, was wir sonst noch tun können oder was wir beachten müssen, um Ihre Gesundheitsreise bestmöglich zu unterstützen."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "en"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Please use the space below to let us know of anything else we can do or need to note to best support your health journey"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "es"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Utilice el espacio que aparece a continuación para comunicarnos cualquier otra cosa que podamos hacer o que debamos tener en cuenta para ayudarle en su proceso de salud."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "fr"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Veuillez utiliser l'espace ci-dessous pour nous faire part de toute autre chose que nous pourrions faire ou que nous devrions noter pour soutenir au mieux votre parcours de santé."
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              },
              {
                "extension" : [
                  {
                    "url" : "lang",
                    "valueCode" : "pt"
                  },
                  {
                    "url" : "content",
                    "valueString" : "Utilize o espaço abaixo para nos informar de qualquer outra coisa que possamos fazer ou que precisemos de registar para melhor apoiar o seu percurso de saúde"
                  }
                ],
                "url" : "http://hl7.org/fhir/StructureDefinition/translation"
              }
            ]
          },
          "type" : "text"
        }
      ]
    }
  ]
}