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 - XML Representation

Raw xml | Download

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="community-facing-questionnaire"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
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    <ValueSet>
      <id value="yes-no"/>
      <status value="draft"/>
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      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="373066001"/>
            <display value="Yes"/>
            <designation>
              <language value="de"/>
              <value value="Ja"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Yes"/>
            </designation>
            <designation>
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              <value value="Sí"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Oui"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Sim"/>
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          </concept>
          <concept>
            <code value="373067005"/>
            <display value="No"/>
            <designation>
              <language value="de"/>
              <value value="Nein"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="No"/>
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            <designation>
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              <value value="No"/>
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            <designation>
              <language value="fr"/>
              <value value="Non"/>
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            <designation>
              <language value="pt"/>
              <value value="Não"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="severity"/>
      <status value="draft"/>
      <experimental value="true"/>
      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="260413007"/>
            <display value="None"/>
            <designation>
              <language value="de"/>
              <value value="Kein/e"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="None"/>
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            <designation>
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              <value value="Ningún/a"/>
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            <designation>
              <language value="fr"/>
              <value value="Aucun/e"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Nenhum/a"/>
            </designation>
          </concept>
          <concept>
            <code value="255604002"/>
            <display value="Mild"/>
            <designation>
              <language value="de"/>
              <value value="Mild"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Mild"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Ligero/a"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Léger/légère"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Ligeira"/>
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          <concept>
            <code value="1255665007"/>
            <display value="Moderate"/>
            <designation>
              <language value="de"/>
              <value value="Moderat"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Moderate"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Moderado/a"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Modéré/e"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Moderado/a"/>
            </designation>
          </concept>
          <concept>
            <code value="24484000"/>
            <display value="Severe"/>
            <designation>
              <language value="de"/>
              <value value="Schwer(e)"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Severe"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Severo/a"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Sévère"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Severo/a"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="medical-conditions"/>
      <status value="draft"/>
      <experimental value="true"/>
      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="3723001"/>
            <display value="Arthritis"/>
            <designation>
              <language value="de"/>
              <value value="Arthritis"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Arthritis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Artritis"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Arthrite"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Artrite"/>
            </designation>
          </concept>
          <concept>
            <code value="195967001"/>
            <display value="Asthma"/>
            <designation>
              <language value="de"/>
              <value value="Asthma"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Asthma"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Asma"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Asthme"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Asma"/>
            </designation>
          </concept>
          <concept>
            <code value="13645005"/>
            <display value="Chronic obstructive pulmonary disease"/>
            <designation>
              <language value="de"/>
              <value value="Chronisch obstruktive Lungenerkrankung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Chronic obstructive pulmonary disease"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Enfermedad pulmonar obstructiva crónica"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Bronchopneumopathie chronique obstructive"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Doença pulmonar obstrutiva crônica"/>
            </designation>
          </concept>
          <concept>
            <code value="52702003"/>
            <display value="Chronic fatigue syndrome"/>
            <designation>
              <language value="de"/>
              <value value="Chronisches Erschöpfungssyndrom"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Chronic fatigue syndrome"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Síndrome de fatiga crónica"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Syndrome de fatigue chronique"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Síndrome de fadiga crônica"/>
            </designation>
          </concept>
          <concept>
            <code value="64779008"/>
            <display value="Blood coagulation disorder"/>
            <designation>
              <language value="de"/>
              <value value="Blutgerinnungsstörung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Blood coagulation disorder"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Trastorno de la coagulación sanguínea"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Trouble de la coagulation sanguine"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Distúrbio da coagulação sanguínea"/>
            </designation>
          </concept>
          <concept>
            <code value="64226004"/>
            <display value="Colitis"/>
            <designation>
              <language value="de"/>
              <value value="Colitis"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Colitis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Colitis"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Colite"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Colite"/>
            </designation>
          </concept>
          <concept>
            <code value="35489007"/>
            <display value="Depression"/>
            <designation>
              <language value="de"/>
              <value value="Depression"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Depression"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Depresión"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Dépression"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Depressão"/>
            </designation>
          </concept>
          <concept>
            <code value="48694002"/>
            <display value="Anxiety"/>
            <designation>
              <language value="de"/>
              <value value="Angststörung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Anxiety"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Ansiedad"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Anxiété"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Ansiedade"/>
            </designation>
          </concept>
          <concept>
            <code value="406506008"/>
            <display value="Attention deficit hyperactivity disorder"/>
            <designation>
              <language value="de"/>
              <value value="Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Attention deficit hyperactivity disorder"/>
            </designation>
            <designation>
              <language value="es"/>
              <value
                     value="Trastorno por déficit de atención con hiperactividad"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value
                     value="Trouble du déficit de l'attention avec hyperactivité"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value
                     value="Transtorno de déficit de atenção com hiperatividade"/>
            </designation>
          </concept>
          <concept>
            <code value="72366004"/>
            <display value="Eating disorder"/>
            <designation>
              <language value="de"/>
              <value value="Essstörung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Eating disorder"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Trastorno alimentario"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Trouble alimentaire"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Transtorno alimentar"/>
            </designation>
          </concept>
          <concept>
            <code value="84757009"/>
            <display value="Epilepsy"/>
            <designation>
              <language value="de"/>
              <value value="Epilepsie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Epilepsy"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Epilepsia"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Épilepsie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Epilepsia"/>
            </designation>
          </concept>
          <concept>
            <code value="203082005"/>
            <display value="Fibromyalgia"/>
            <designation>
              <language value="de"/>
              <value value="Fibromyalgie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Fibromyalgia"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Fibromialgia"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Fibromyalgie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Fibromialgia"/>
            </designation>
          </concept>
          <concept>
            <code value="46635009"/>
            <display value="Type 1 diabetes mellitus"/>
            <designation>
              <language value="de"/>
              <value value="Diabetes mellitus Typ 1"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Type 1 diabetes mellitus"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Diabetes mellitus tipo 1"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Diabète sucré de type 1"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Diabetes mellitus tipo 1"/>
            </designation>
          </concept>
          <concept>
            <code value="44054006"/>
            <display value="Type 2 diabetes mellitus"/>
            <designation>
              <language value="de"/>
              <value value="Diabetes mellitus Typ 2"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Type 2 diabetes mellitus"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Diabetes mellitus tipo 2"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Diabète sucré de type 2"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Diabetes mellitus tipo 2"/>
            </designation>
          </concept>
          <concept>
            <code value="45007003"/>
            <display value="Hypotension"/>
            <designation>
              <language value="de"/>
              <value value="Hypotonie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Hypotension"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Hipotensión"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Hypotension"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Hipotensão"/>
            </designation>
          </concept>
          <concept>
            <code value="38341003"/>
            <display value="Hypertension"/>
            <designation>
              <language value="de"/>
              <value value="Hypertonie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Hypertension"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Hipertensión"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Hypertension"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Hipertensão"/>
            </designation>
          </concept>
          <concept>
            <code value="13644009"/>
            <display value="Hypercholesterolaemia"/>
            <designation>
              <language value="de"/>
              <value value="Hypercholesterinämie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Hypercholesterolaemia"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Hipercolesterolemia"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Hypercholestérolémie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Hipercolesterolemia"/>
            </designation>
          </concept>
          <concept>
            <code value="37796009"/>
            <display value="Migraine"/>
            <designation>
              <language value="de"/>
              <value value="Migräne"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Migraine"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Migraña"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Migraine"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Enxaqueca"/>
            </designation>
          </concept>
          <concept>
            <code value="193462001"/>
            <display value="Insomnia"/>
            <designation>
              <language value="de"/>
              <value value="Schlaflosigkeit"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Insomnia"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Insomnio"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Insomnie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Insônia"/>
            </designation>
          </concept>
          <concept>
            <code value="90708001"/>
            <display value="Kidney disease"/>
            <designation>
              <language value="de"/>
              <value value="Nierenerkrankung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Kidney disease"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Enfermedad renal"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Maladie rénale"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Doença renal"/>
            </designation>
          </concept>
          <concept>
            <code value="2492009"/>
            <display value="Malnutrition"/>
            <designation>
              <language value="de"/>
              <value value="Mangelernährung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Malnutrition"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Desnutrición"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Malnutrition"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Desnutrição"/>
            </designation>
          </concept>
          <concept>
            <code value="64859006"/>
            <display value="Osteoporosis"/>
            <designation>
              <language value="de"/>
              <value value="Osteoporose"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Osteoporosis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Osteoporosis"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Ostéoporose"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Osteoporose"/>
            </designation>
          </concept>
          <concept>
            <code value="230690007"/>
            <display value="Stroke"/>
            <designation>
              <language value="de"/>
              <value value="Schlaganfall"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Stroke"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Accidente cerebrovascular"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Accident vasculaire cérébral"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Acidente vascular cerebral"/>
            </designation>
          </concept>
          <concept>
            <code value="128060009"/>
            <display value="Varicose veins"/>
            <designation>
              <language value="de"/>
              <value value="Krampfadern"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Varicose veins"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Várices"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Varices"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Varizes"/>
            </designation>
          </concept>
          <concept>
            <code value="271737000"/>
            <display value="Anaemia"/>
            <designation>
              <language value="de"/>
              <value value="Anämie"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Anaemia"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Anemia"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Anémie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Anemia"/>
            </designation>
          </concept>
          <concept>
            <code value="35240004"/>
            <display value="Iron deficiency"/>
            <designation>
              <language value="de"/>
              <value value="Eisenmangel"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Iron deficiency"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Deficiencia de hierro"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Carence en fer"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Deficiência de ferro"/>
            </designation>
          </concept>
          <concept>
            <code value="129103003"/>
            <display value="Endometriosis"/>
            <designation>
              <language value="de"/>
              <value value="Endometriose"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Endometriosis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Endometriosis"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Endométriose"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Endometriose"/>
            </designation>
          </concept>
          <concept>
            <code value="784314006"/>
            <display value="Uterine adenomyosis"/>
            <designation>
              <language value="de"/>
              <value value="Uterus-Adenomyose"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Uterine adenomyosis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Adenomiosis uterina"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Adénomyose utérine"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Adenomiose uterina"/>
            </designation>
          </concept>
          <concept>
            <code value="237055002"/>
            <display value="Polycystic ovary syndrome"/>
            <designation>
              <language value="de"/>
              <value value="Polyzystisches Ovarialsyndrom"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Polycystic ovary syndrome"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Síndrome de ovario poliquístico"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Syndrome des ovaires polykystiques"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Síndrome do ovário policístico"/>
            </designation>
          </concept>
          <concept>
            <code value="95315005"/>
            <display value="Uterine fibroids"/>
            <designation>
              <language value="de"/>
              <value value="Uterusmyome"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Uterine fibroids"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Fibromas uterinos"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Fibromes utérins"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Miomas uterinos"/>
            </designation>
          </concept>
          <concept>
            <code value="1237359009"/>
            <display value="Endometrial polyp"/>
            <designation>
              <language value="de"/>
              <value value="Endometriumpolyp"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Endometrial polyp"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pólipo endometrial"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Polype endométrial"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Pólipo endometrial"/>
            </designation>
          </concept>
          <concept>
            <code value="8220004"/>
            <display value="Endocervical polyp"/>
            <designation>
              <language value="de"/>
              <value value="Endozervikaler Polyp"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Endocervical polyp"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pólipo endocervical"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Polype endocervical"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Pólipo endocervical"/>
            </designation>
          </concept>
          <concept>
            <code value="65576009"/>
            <display value="Polyp of cervix"/>
            <designation>
              <language value="de"/>
              <value value="Zervixpolyp"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Polyp of cervix"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pólipo del cuello uterino"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Polype du col de l’utérus"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Pólipo do colo do útero"/>
            </designation>
          </concept>
          <concept>
            <code value="254880000"/>
            <display value="Uterine fibroid polyp"/>
            <designation>
              <language value="de"/>
              <value value="Uteriner Myom-Polyp"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Uterine fibroid polyp"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pólipo fibroso uterino"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Polype utérin fibreux"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Pólipo fibroso uterino"/>
            </designation>
          </concept>
          <concept>
            <code value="38822007"/>
            <display value="Cystitis"/>
            <designation>
              <language value="de"/>
              <value value="Zystitis"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Cystitis"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Cistitis"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Cystite"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Cistite"/>
            </designation>
          </concept>
          <concept>
            <code value="38731000087104"/>
            <display value="Chronic primary bladder pain syndrome"/>
            <designation>
              <language value="de"/>
              <value value="Chronisches primäres Blasenschmerzsyndrom"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Chronic primary bladder pain syndrome"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Síndrome de dolor vesical crónico primario"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Syndrome douloureux vésical chronique primaire"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Síndrome da dor vesical crônica primária"/>
            </designation>
          </concept>
          <concept>
            <code value="73998008"/>
            <display value="Prolapse of female genital organs"/>
            <designation>
              <language value="de"/>
              <value value="Prolaps der weiblichen Genitalorgane"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Prolapse of female genital organs"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Prolapso de los órganos genitales femeninos"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Prolapsus des organes génitaux féminins"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Prolapso dos órgãos genitais femininos"/>
            </designation>
          </concept>
          <concept>
            <code value="49601007"/>
            <display value="Cardiovascular disease"/>
            <designation>
              <language value="de"/>
              <value value="Herz-Kreislauf-Erkrankung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Cardiovascular disease"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Enfermedad cardiovascular"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Maladie cardiovasculaire"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Doença cardiovascular"/>
            </designation>
          </concept>
          <concept>
            <code value="363346000"/>
            <display value="Malignant neoplastic disease"/>
            <designation>
              <language value="de"/>
              <value value="Bösartige Neubildung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Malignant neoplastic disease"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Enfermedad neoplásica maligna"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Maladie néoplasique maligne"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Doença neoplásica maligna"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="period-regularity"/>
      <status value="draft"/>
      <experimental value="true"/>
      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="302757007"/>
            <display value="Menstrual periods regular"/>
            <designation>
              <language value="de"/>
              <value value="Regelmäßige Menstruation"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Menstrual periods regular"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Menstruación regular"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Règles régulières"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Menstruação regular"/>
            </designation>
          </concept>
          <concept>
            <code value="80182007"/>
            <display value="Irregular menstrual cycle"/>
            <designation>
              <language value="de"/>
              <value value="Unregelmäßiger Menstruationszyklus"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Irregular menstrual cycle"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Ciclo menstrual irregular"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Cycle menstruel irrégulier"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Ciclo menstrual irregular"/>
            </designation>
          </concept>
          <concept>
            <code value="237130006"/>
            <display value="Mid-cycle bleeding"/>
            <designation>
              <language value="de"/>
              <value value="Zwischenblutung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Mid-cycle bleeding"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Sangrado intermenstrual"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Saignement intermenstruel"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Sangramento intermenstrual"/>
            </designation>
          </concept>
          <concept>
            <code value="14302001"/>
            <display value="Amenorrhea"/>
            <designation>
              <language value="de"/>
              <value value="Amenorrhoe"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Amenorrhea"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Amenorrea"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Aménorrhée"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Amenorreia"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="period-flow-volume"/>
      <status value="draft"/>
      <experimental value="true"/>
      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="386692008"/>
            <display value="Menorrhagia"/>
            <designation>
              <language value="de"/>
              <value value="Starke Menstruationsblutung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Menorrhagia"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Menorragia"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Ménorragie"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Menorragia"/>
            </designation>
          </concept>
          <concept>
            <code value="308550003"/>
            <display value="Normal menstrual blood loss"/>
            <designation>
              <language value="de"/>
              <value value="Normale Menstruationsblutung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Normal menstrual blood loss"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pérdida menstrual normal"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Perte de sang menstruelle normale"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Perda menstrual normal"/>
            </designation>
          </concept>
          <concept>
            <code value="64206003"/>
            <display value="Hypomenorrhoea"/>
            <designation>
              <language value="de"/>
              <value value="Schwache Menstruationsblutung"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Hypomenorrhoea"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Hipomenorrea"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Hypoménorrhée"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Hipomenorreia"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <contained>
    <ValueSet>
      <id value="period-pain-body-sites"/>
      <status value="draft"/>
      <experimental value="true"/>
      <compose>
        <include>
          <system value="http://snomed.info/sct"/>
          <concept>
            <code value="56459004"/>
            <display value="Foot"/>
            <designation>
              <language value="de"/>
              <value value="Fuß"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Foot"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Pie"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Pied"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Pé"/>
            </designation>
          </concept>
          <concept>
            <code value="74964007"/>
            <display value="Other"/>
            <designation>
              <language value="de"/>
              <value value="Andere"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Other"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Otro"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Autre"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Outro"/>
            </designation>
          </concept>
          <concept>
            <code value="27033000"/>
            <display value="Lower abdomen structure"/>
            <designation>
              <language value="de"/>
              <value value="Unterbauch"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Lower abdomen structure"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Estructura del abdomen inferior"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Structure du bas-ventre"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Estrutura do abdômen inferior"/>
            </designation>
          </concept>
          <concept>
            <code value="37822005"/>
            <display value="Lower back structure"/>
            <designation>
              <language value="de"/>
              <value value="Unterer Rücken"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Lower back structure"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Estructura de la parte baja de la espalda"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Structure du bas du dos"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Estrutura da região lombar"/>
            </designation>
          </concept>
          <concept>
            <code value="68505006"/>
            <display value="Left side lower abdomen"/>
            <designation>
              <language value="de"/>
              <value value="Linke Unterbauchseite"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Left side lower abdomen"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Abdomen inferior lado izquierdo"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Bas-ventre côté gauche"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Abdômen inferior lado esquerdo"/>
            </designation>
          </concept>
          <concept>
            <code value="48544008"/>
            <display value="Right side lower abdomen"/>
            <designation>
              <language value="de"/>
              <value value="Rechte Unterbauchseite"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Right side lower abdomen"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Abdomen inferior lado derecho"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Bas-ventre côté droit"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Abdômen inferior lado direito"/>
            </designation>
          </concept>
          <concept>
            <code value="699611007"/>
            <display value="Front of leg"/>
            <designation>
              <language value="de"/>
              <value value="Vorderseite des Beins"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Front of leg"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Parte frontal de la pierna"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Face avant de la jambe"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Frente da perna"/>
            </designation>
          </concept>
          <concept>
            <code value="699620003"/>
            <display value="Back of leg"/>
            <designation>
              <language value="de"/>
              <value value="Rückseite des Beins"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Back of leg"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Parte trasera de la pierna"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Face arrière de la jambe"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Parte de trás da perna"/>
            </designation>
          </concept>
          <concept>
            <code value="81939000"/>
            <display value="Anal area"/>
            <designation>
              <language value="de"/>
              <value value="Analbereich"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Anal area"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Área anal"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Zone anale"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Área anal"/>
            </designation>
          </concept>
          <concept>
            <code value="76784001"/>
            <display value="Vaginal structure"/>
            <designation>
              <language value="de"/>
              <value value="Vaginalstruktur"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Vaginal structure"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Estructura vaginal"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Structure vaginale"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Estrutura vaginal"/>
            </designation>
          </concept>
          <concept>
            <code value="302548004"/>
            <display value="Entire head"/>
            <designation>
              <language value="de"/>
              <value value="Gesamter Kopf"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Entire head"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Cabeza completa"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Tête entière"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Cabeça inteira"/>
            </designation>
          </concept>
          <concept>
            <code value="700036009"/>
            <display value="Frontal region structure"/>
            <designation>
              <language value="de"/>
              <value value="Stirnregion"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Frontal region structure"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Estructura de la región frontal"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Structure de la région frontale"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Estrutura da região frontal"/>
            </designation>
          </concept>
          <concept>
            <code value="123850002"/>
            <display value="Head part"/>
            <designation>
              <language value="de"/>
              <value value="Kopfteil"/>
            </designation>
            <designation>
              <language value="en"/>
              <value value="Head part"/>
            </designation>
            <designation>
              <language value="es"/>
              <value value="Parte de la cabeza"/>
            </designation>
            <designation>
              <language value="fr"/>
              <value value="Partie de la tête"/>
            </designation>
            <designation>
              <language value="pt"/>
              <value value="Parte da cabeça"/>
            </designation>
          </concept>
        </include>
      </compose>
    </ValueSet>
  </contained>
  <url
       value="http://fhir.ch/ig/ch-ig/Questionnaire/community-facing-questionnaire"/>
  <version value="0.1.0"/>
  <name value="CommunityFacingQuestionnaire"/>
  <title value="Community-facing Questionnaire">
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="de"/>
      </extension>
      <extension url="content">
        <valueString value="Fragebogen für die Bevölkerung"/>
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="en"/>
      </extension>
      <extension url="content">
        <valueString value="Community-facing Questionnaire"/>
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="es"/>
      </extension>
      <extension url="content">
        <valueString value="Cuestionario dirigido a la comunidad"/>
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="fr"/>
      </extension>
      <extension url="content">
        <valueString value="Questionnaire destiné à la communauté"/>
      </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/translation">
      <extension url="lang">
        <valueCode value="pt"/>
      </extension>
      <extension url="content">
        <valueString value="Questionário voltado para a comunidade"/>
      </extension>
    </extension>
  </title>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-08-18T10:02:22+00:00"/>
  <publisher value="HL7 Switzerland"/>
  <contact>
    <name value="HL7 Switzerland"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.hl7.ch/"/>
    </telecom>
  </contact>
  <description
               value="FHIR Questionnaire based on the 'Heavy Menstrual Bleeding (HMB) Patient Questionnaire' from Women's Health Road (Australia)"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <copyright value="CC0-1.0"/>
  <item>
    <linkId value="1"/>
    <text value="PERSONAL INFORMATION">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="PERSÖNLICHE DATEN"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="PERSONAL INFORMATION"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="INFORMACIÓN PERSONAL"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="INFORMATIONS PERSONNELLES"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="INFORMAÇÕES PESSOAIS"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="1.1"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given"/>
      <text value="First Name">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Vornamen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="First Name"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Nombre"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Prénom"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Nome próprio"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <required value="true"/>
    </item>
    <item>
      <linkId value="1.2"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family"/>
      <text value="Surname">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Nachname"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Surname"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Apellido"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Nom de famille"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Apelido"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <required value="true"/>
    </item>
    <item>
      <linkId value="1.3"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given"/>
      <text value="Preferred Name">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Bevorzugter Name"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Preferred Name"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Nombre preferido"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Nom préféré"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Nome preferido"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="1.4"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate"/>
      <text value="DOB">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Geburtsdatum"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="DOB"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Fecha de nacimiento"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Date de naissance"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Data de nascimento"/>
          </extension>
        </extension>
      </text>
      <type value="date"/>
      <required value="true"/>
    </item>
    <item>
      <linkId value="1.5"/>
      <definition
                  value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.contact.telecom.value"/>
      <text value="Email">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="E-Mail"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Email"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Correo electrónico"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Courriel"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Correio eletrónico"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="1.6"/>
      <text value="Please outline your main health related concern(s)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte beschreiben Sie Ihr(e) Hauptanliegen in Bezug auf Ihre Gesundheit"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please outline your main health related concern(s)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Describa su(s) principal(es) preocupación(es) relacionada(s) con la salud"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez décrire votre (vos) principale(s) préoccupation(s) en matière de santé"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indique a(s) sua(s) principal(is) preocupação(ões) relacionada(s) com a saúde"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
  </item>
  <item>
    <linkId value="2"/>
    <text value="PAST MEDICAL HISTORY">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="VORHERIGE KRANKENGESCHICHTE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="PAST MEDICAL HISTORY"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIAL MÉDICO PREVIO"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="ANTÉCÉDENTS MÉDICAUX"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="HISTÓRICO MÉDICO"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="2.1"/>
      <text
            value="Please check any past or current medical conditions that apply to you">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte kreuzen Sie alle früheren oder aktuellen Erkrankungen an, die auf Sie zutreffen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please check any past or current medical conditions that apply to you"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Por favor, marque cualquier condición médica pasada o presente que se aplique a usted"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez cocher toutes les conditions médicales passées ou présentes qui s'appliquent à vous"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Assinale qualquer problema de saúde passado ou atual que se aplique a si"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="true"/>
      <answerValueSet value="#medical-conditions"/>
    </item>
    <item>
      <linkId value="2.2"/>
      <text value="Childhood Disease">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Kinderkrankheit"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Childhood Disease"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Enfermedades infantiles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Maladies infantiles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Doença infantil"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="2.3"/>
      <text value="Cardiovascular Disease">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Herz-Kreislauf-Erkrankungen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Cardiovascular Disease"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Enfermedades cardiovasculares"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Maladies cardiovasculaires"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Doenças cardiovasculares"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="2.4"/>
      <text value="Cancer">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Krebs"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Cancer"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Cáncer"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Cancer"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Cancro"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="2.5"/>
      <text value="Other">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Andere"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Other"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Otros"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Autres"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Outros"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
  </item>
  <item>
    <linkId value="3"/>
    <text
          value="MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString
                       value="MENSTRUATIONSHISTORIE (FIGO-AUB-PARAMETER, SAMANTA, VAS, PIPPA)"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString
                       value="HISTORIAL MENSTRUAL (PARÁMETROS FIGO AUB, SAMANTA, VAS, PIPPA)"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString
                       value="ANTÉCÉDENTS MENSTRUELS (PARAMÈTRES FIGO-AUB, SAMANTA, VAS, PIPPA)"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString
                       value="HISTÓRICO MENSTRUAL (PARÂMETROS FIGO AUB, SAMANTA, VAS, PIPPA)"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
        <valueCoding>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
          <display value="year"/>
        </valueCoding>
      </extension>
      <linkId value="3.1"/>
      <text value="Age of first menstrual period">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Alter der ersten Regelblutung"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Age of first menstrual period"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Edad de la primera menstruación"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Âge des premières règles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Idade do primeiro período menstrual"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
    </item>
    <item>
      <linkId value="3.2"/>
      <text value="Date your last period began">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Datum des Beginns Ihrer letzten Periode"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Date your last period began"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Fecha de su última menstruación"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Date des dernières règles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Data do início da última menstruação"/>
          </extension>
        </extension>
      </text>
      <type value="date"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
        <valueCoding>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
          <display value="day"/>
        </valueCoding>
      </extension>
      <linkId value="3.3"/>
      <text value="Duration of menstrual period">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Dauer der Menstruation"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Duration of menstrual period"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Duración del periodo menstrual"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Durée de la période menstruelle"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Duração do período menstrual"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
    </item>
    <item>
      <linkId value="3.4"/>
      <text value="Regularity of period">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Regelmässigkeit der Periode"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Regularity of period"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Regularidad del periodo"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Régularité des règles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Regularidade do período"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#period-regularity"/>
    </item>
    <item>
      <linkId value="3.5"/>
      <text value="Flow Volume">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Durchflussmenge"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Flow Volume"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Caudal"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Volume d'écoulement"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Volume do caudal"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#period-flow-volume"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="slider"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
        <valueInteger value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueInteger value="10"/>
      </extension>
      <linkId value="3.6"/>
      <text
            value="Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte bewerten Sie die Intensität Ihrer Menstruationsblutung im Allgemeinen (0 = überhaupt keine Blutung, 10 = die stärkstmögliche Menstruationsblutung, die ich je hatte)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Por favor, valore la intensidad de su sangrado menstrual, en general (0 = Ningún sangrado, 10 = El sangrado menstrual más abundante que he tenido nunca)."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
    </item>
    <item>
      <linkId value="3.7"/>
      <text value="No. days between periods">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Anzahl der Tage zwischen den Perioden"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="No. days between periods"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Nº de días entre periodos"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Nombre de jours entre les périodes"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="N.º de dias entre períodos"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <code value="absent"/>
          <display value="Absent (no periods/bleeding)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="frequent"/>
          <display value="Frequent (&lt; 24 days)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="normal"/>
          <display value="Normal (24 - 38 days)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="infrequent"/>
          <display value="Infrequent (&gt;38 days)"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <linkId value="3.8"/>
      <text value="Predictability (regularity) of cycle length">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Vorhersagbarkeit (Regelmässigkeit) der Zykluslänge"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Predictability (regularity) of cycle length"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Previsibilidad (regularidad) de la duración del ciclo"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Prévisibilité (régularité) de la durée du cycle"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Previsibilidade (regularidade) da duração do ciclo"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <code value="absent"/>
          <display value="Absent (no periods/bleeding)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="predictable"/>
          <display
                   value="Predictable (regular, varies by 2-7 days in length)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="unpredictable"/>
          <display
                   value="Unpredictable (irregular, varies by &gt; 10 days in length)"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <linkId value="3.9"/>
      <text
            value="Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie intermenstruelle Blutungen (IMB) (Blutungen zwischen den Perioden)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Sufre hemorragias intermenstruales?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Souffrez-vous de saignements intermenstruels (saignements entre les règles)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Tem hemorragia intermenstrual (hemorragia entre períodos)?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <code value="none"/>
          <display value="None"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="random"/>
          <display value="Random"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="cyclic-predictable"/>
          <display value="Cyclic/Predictable"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <linkId value="3.9.1"/>
      <text value="When in your cycle does the bleeding occur?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Wann tritt die Blutung in Ihrem Zyklus auf?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="When in your cycle does the bleeding occur?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿En qué momento del ciclo se produce la hemorragia?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="A quel moment de votre cycle les saignements surviennent-ils?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Em que altura do ciclo ocorre a hemorragia?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <enableWhen>
        <question value="3.9"/>
        <operator value="="/>
        <answerCoding>
          <code value="cyclic-predictable"/>
        </answerCoding>
      </enableWhen>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <code value="early-cycle"/>
          <display value="Early Cycle"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="mid-cycle"/>
          <display value="Mid Cycle"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="late-cycle"/>
          <display value="Late Cycle"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="slider"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
        <valueInteger value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueInteger value="10"/>
      </extension>
      <linkId value="3.10"/>
      <text
            value="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)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="In welchem Ausmass beeinträchtigt Ihre Periode Ihre täglichen Aktivitäten (0 = Sie beeinträchtigt meine täglichen Aktivitäten überhaupt nicht, 10 = Sie beeinträchtigt meine täglichen Aktivitäten vollständig)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿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)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
    </item>
    <item>
      <linkId value="3.11"/>
      <text value="During heavier bleeding days do you">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Haben Sie an Tagen mit stärkerer Blutung"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="During heavier bleeding days do you"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Durante los días de sangrado más abundante"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Pendant les jours où les saignements sont plus abondants, est-ce que vous"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Durante os dias de hemorragia mais intensa"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="3.11.1"/>
        <text
              value="Have to use double protection or get up to change your sanitary protection during the night?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Müssen Sie einen doppelten Schutz verwenden oder nachts aufstehen, um Ihren Hygieneschutz zu wechseln?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Have to use double protection or get up to change your sanitary protection during the night?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Tiene que utilizar doble protección o levantarse para cambiarse la protección sanitaria durante la noche?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Vous devez utiliser une double protection ou vous lever pour changer de protection hygiénique pendant la nuit?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Tem de usar proteção dupla ou levantar-se para mudar a proteção higiénica durante a noite?"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <repeats value="false"/>
        <answerValueSet value="#yes-no"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="3.11.2"/>
        <text
              value="Worry about staining the seat of your chair, sofa, etc?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Haben Sie Angst vor Flecken auf der Sitzfläche Ihres Stuhls, Sofas usw.?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Worry about staining the seat of your chair, sofa, etc?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Le preocupa manchar el asiento de su silla, sofá, etc.?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Vous craignez de tacher l'assise de votre fauteuil, de votre canapé, etc."/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Preocupa-se com a possibilidade de manchar o assento da sua cadeira, sofá, etc.?"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <repeats value="false"/>
        <answerValueSet value="#yes-no"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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          </valueCodeableConcept>
        </extension>
        <linkId value="3.11.3"/>
        <text
              value="Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Vermeiden Sie bestimmte Aktivitäten, Reisen oder Freizeitpläne, weil Sie Ihren Tampon oder Ihre Binde häufig wechseln müssen?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Evitas determinadas actividades, viajes o planes de ocio porque tienes que cambiarte el tampón o la compresa con frecuencia?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Éviter certaines activités, certains voyages ou certains projets de loisirs parce que vous devez changer fréquemment de tampon ou de serviette hygiénique?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Evita certas actividades, viagens ou planos de lazer porque precisa de mudar frequentemente o seu tampão ou penso?"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <repeats value="false"/>
        <answerValueSet value="#yes-no"/>
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    </item>
    <item>
      <linkId value="3.12"/>
      <text value="Period Pain">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Periodenschmerzen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Period Pain"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Dolor menstrual"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Douleurs menstruelles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Dores menstruais"/>
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        </extension>
      </text>
      <type value="group"/>
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                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        </extension>
        <linkId value="3.12.1"/>
        <text value="Do you have period pain?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Haben Sie Regelschmerzen?"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Do you have period pain?"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="¿Te duele la regla?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Avez-vous des douleurs menstruelles?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Tem dores menstruais?"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <repeats value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373066001"/>
            <display value="Yes"/>
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        <answerOption>
          <valueCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373067005"/>
            <display value="No"/>
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        <answerOption>
          <valueCoding>
            <system value="http://snomed.info/sct"/>
            <code value="84638005"/>
            <display value="Occasional"/>
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      <item>
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                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="slider"/>
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        <extension
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          <valueInteger value="1"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
          <valueInteger value="0"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
          <valueInteger value="10"/>
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        <linkId value="3.12.2"/>
        <text value="Pain Score (0 = Little to no pain, 10 = Severe Pain)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Schmerzwert (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Pain Score (0 = Little to no pain, 10 = Severe Pain)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Puntuación del dolor (0 = poco dolor, 10 = dolor intenso)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Score de douleur (0 = Peu ou pas de douleur, 10 = Douleur intense)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Pontuação da dor (0 = pouca ou nenhuma dor, 10 = dor intensa)"/>
            </extension>
          </extension>
        </text>
        <type value="integer"/>
        <enableWhen>
          <question value="3.12.1"/>
          <operator value="!="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373067005"/>
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        </enableWhen>
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      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
          <valueCoding>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
            <display value="year"/>
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        </extension>
        <linkId value="3.12.3"/>
        <text value="How old were you when your periods became painful?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Wie alt waren Sie, als Ihre Periode schmerzhaft wurde?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="How old were you when your periods became painful?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Qué edad tenías cuando te empezó a doler la regla?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Quel âge aviez-vous lorsque vos règles sont devenues douloureuses?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Que idade tinha quando a menstruação se tornou dolorosa?"/>
            </extension>
          </extension>
        </text>
        <type value="integer"/>
        <enableWhen>
          <question value="3.12.1"/>
          <operator value="!="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373067005"/>
          </answerCoding>
        </enableWhen>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
          <valueCoding>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/>
            <display value="day"/>
          </valueCoding>
        </extension>
        <linkId value="3.12.4"/>
        <text value="How many days each month do you have period pain for?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="An wie vielen Tagen im Monat haben Sie Regelschmerzen?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="How many days each month do you have period pain for?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="¿Cuántos días al mes le duele la regla?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Combien de jours par mois avez-vous des douleurs menstruelles?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Durante quantos dias por mês tem dores menstruais?"/>
            </extension>
          </extension>
        </text>
        <type value="integer"/>
        <enableWhen>
          <question value="3.12.1"/>
          <operator value="!="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373067005"/>
          </answerCoding>
        </enableWhen>
      </item>
    </item>
    <item>
      <linkId value="3.13"/>
      <text value="Where do you feel your period pain?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Wo spüren Sie Ihre Regelschmerzen?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Where do you feel your period pain?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Dónde sientes el dolor menstrual?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Où ressentez-vous vos douleurs menstruelles?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Onde é que sente as dores do período?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <enableWhen>
        <question value="3.12.1"/>
        <operator value="!="/>
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          <system value="http://snomed.info/sct"/>
          <code value="373067005"/>
        </answerCoding>
      </enableWhen>
      <repeats value="true"/>
      <answerValueSet value="#period-pain-body-sites"/>
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    <item>
      <linkId value="3.13.1"/>
      <text value="Other (please specify)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Sonstiges (bitte angeben)"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Other (please specify)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Otros (especifique)"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Autre (à préciser)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Outros (especificar)"/>
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      </text>
      <type value="string"/>
      <enableWhen>
        <question value="3.13"/>
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        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="74964007"/>
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    </item>
    <item>
      <linkId value="3.14"/>
      <text
            value="Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?">
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          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Helfen Medikamente gegen Regelschmerzen (Ibuprofen, Ponstan, Naprogesic usw.) bei Regelschmerzen?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Los medicamentos para el dolor menstrual (Ibuprofeno, Ponstan, Naprogesic, etc.) alivian el dolor menstrual?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Les médicaments contre les douleurs menstruelles (Ibuprofen, Ponstan, Naprogesic, etc.) aident-ils à soulager les douleurs menstruelles?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Os medicamentos para as dores do período (Ibuprofeno, Ponstan, Naprogesic, etc.) ajudam as dores do período?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <enableWhen>
        <question value="3.12.1"/>
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          <system value="http://snomed.info/sct"/>
          <code value="373067005"/>
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      </enableWhen>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <code value="yes"/>
          <display value="Yes"/>
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      <answerOption>
        <valueCoding>
          <code value="little"/>
          <display value="A little"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="not-at-all"/>
          <display value="Not at all"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="never-tried"/>
          <display value="I have never tried these medications"/>
        </valueCoding>
      </answerOption>
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  </item>
  <item>
    <linkId value="4"/>
    <text value="SEXUAL AND REPRODUCTIVE HISTORY">
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        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="SEXUELLE UND REPRODUKTIVE GESCHICHTE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="SEXUAL AND REPRODUCTIVE HISTORY"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIAL SEXUAL Y REPRODUCTIVO"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIQUE SEXUEL ET REPRODUCTIF"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="HISTÓRICO SEXUAL E REPRODUTIVO"/>
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      </extension>
    </text>
    <type value="group"/>
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                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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        </valueCodeableConcept>
      </extension>
      <linkId value="4.1"/>
      <text value="Are you currently sexually active?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Sind Sie derzeit sexuell aktiv?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Are you currently sexually active?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Es usted sexualmente activo?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Êtes-vous actuellement sexuellement actif?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="É atualmente sexualmente ativo?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
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        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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        </valueCodeableConcept>
      </extension>
      <linkId value="4.2"/>
      <text value="Are you currently trying to get pregnant?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Versuchen Sie derzeit, schwanger zu werden?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Are you currently trying to get pregnant?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Está intentando quedarse embarazada?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Essayez-vous actuellement de tomber enceinte?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Está atualmente a tentar engravidar?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerOption>
        <valueCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
          <display value="Yes"/>
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      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373067005"/>
          <display value="No"/>
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      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="want-in-future"/>
          <display value="Want in future"/>
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    <item>
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        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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      <linkId value="4.3"/>
      <text value="Do you experience any bleeding after sexual intercourse?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie Blutungen nach dem Geschlechtsverkehr?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you experience any bleeding after sexual intercourse?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Sufre alguna hemorragia después de mantener relaciones sexuales?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous des saignements après les rapports sexuels?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Tem alguma hemorragia após as relações sexuais?"/>
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        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
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        <valueCodeableConcept>
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            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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        </valueCodeableConcept>
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      <linkId value="4.4"/>
      <text
            value="Do you experience any excessive pain during sexual intercourse?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie beim Geschlechtsverkehr starke Schmerzen?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you experience any excessive pain during sexual intercourse?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Siente un dolor excesivo durante las relaciones sexuales?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Souffrez-vous de douleurs excessives pendant les rapports sexuels?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Sente dores excessivas durante as relações sexuais?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
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        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="slider"/>
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      <extension
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        <valueInteger value="1"/>
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        <valueInteger value="1"/>
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      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueInteger value="10"/>
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      <linkId value="4.4.1"/>
      <text
            value="How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Wie würden Sie diese Schmerzen auf einer Skala von 1-10 beschreiben? (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Cómo describiría este dolor en una escala del 1 al 10? (0 = Poco o ningún dolor, 10 = Dolor intenso)"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Comment décririez-vous cette douleur sur une échelle de 1 à 10 (0 = Peu ou pas de douleur, 10 = Douleur intense)?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Como descreveria esta dor numa escala de 1 a 10 (0 = pouca ou nenhuma dor, 10 = dor intensa)?"/>
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        <question value="4.4"/>
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          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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    <item>
      <linkId value="4.5"/>
      <text value="What contraception, if any, are you currently using?">
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          <extension url="lang">
            <valueCode value="de"/>
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          <extension url="content">
            <valueString
                         value="Welche Verhütungsmittel verwenden Sie derzeit, wenn überhaupt?"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="What contraception, if any, are you currently using?"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString
                         value="¿Qué método anticonceptivo utiliza actualmente?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
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          <extension url="content">
            <valueString
                         value="Quelle contraception utilisez-vous actuellement, le cas échéant?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
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          <extension url="content">
            <valueString
                         value="Que contracetivo, se for o caso, está a utilizar atualmente?"/>
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        </extension>
      </text>
      <type value="string"/>
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        <text value="For how long?">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Für wie lange?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="For how long?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="¿Durante cuánto tiempo?"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Pendant combien de temps?"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Durante quanto tempo?"/>
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        </text>
        <type value="string"/>
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      <item>
        <linkId value="4.5.2"/>
        <text
              value="For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString
                           value="Welche Auswirkungen hat die hormonelle Empfängnisverhütung auf Ihre Periode/Ihren Zyklus gehabt? (Durchflussmenge, Dauer, Häufigkeit usw.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="En el caso de los anticonceptivos hormonales, ¿qué impacto han tenido en su periodo/ciclo? (volumen de flujo, duración, frecuencia, etc.)"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString
                           value="En cas de contraception hormonale, quel a été l'impact sur vos règles/cycle? (volume du flux, durée, fréquence, etc.)"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Relativamente a qualquer contraceção hormonal, qual o impacto que teve no seu período/ciclo? (volume do fluxo, duração, frequência, etc.)"/>
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          </extension>
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        <type value="string"/>
      </item>
    </item>
    <item>
      <linkId value="4.6"/>
      <text
            value="What contraception options, if any, have you used in the past?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Welche Empfängnisverhütungsmethoden haben Sie in der Vergangenheit verwendet, wenn überhaupt?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="What contraception options, if any, have you used in the past?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Qué métodos anticonceptivos has utilizado en el pasado?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Quels sont les moyens de contraception que vous avez éventuellement utilisés dans le passé?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Que opções de contraceção utilizou no passado, se é que utilizou alguma?"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <item>
        <linkId value="4.6.1"/>
        <text
              value="For any previous hormonal contraception, what impact did they have on your period/cycle?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Welche Auswirkungen hatten frühere hormonelle Verhütungsmittel auf Ihre Periode/Ihren Zyklus?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="For any previous hormonal contraception, what impact did they have on your period/cycle?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="En el caso de los anticonceptivos hormonales anteriores, ¿qué efecto tuvieron en tu periodo/ciclo?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Pour toute contraception hormonale antérieure, quel impact a-t-elle eu sur vos règles/cycle?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Relativamente a qualquer contraceção hormonal anterior, qual o impacto que teve no seu período/ciclo?"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="4.7"/>
      <text
            value="Do you have any current or a previous history of sexually transmitted diseases?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie derzeit oder in der Vergangenheit sexuell übertragbare Krankheiten gehabt?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you have any current or a previous history of sexually transmitted diseases?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Padece o ha padecido alguna enfermedad de transmisión sexual?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous des antécédents ou des maladies sexuellement transmissibles?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Tem algum historial atual ou anterior de doenças sexualmente transmissíveis?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
      <item>
        <linkId value="4.7.1"/>
        <text value="Please provide detail (date, type, treatment)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Einzelheiten an (Datum, Art, Behandlung)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Please provide detail (date, type, treatment)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Proporcione detalles (fecha, tipo, tratamiento)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Veuillez fournir des détails (date, type, traitement)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Fornecer pormenores (data, tipo, tratamento)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="4.7"/>
          <operator value="="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373066001"/>
          </answerCoding>
        </enableWhen>
      </item>
    </item>
    <item>
      <linkId value="4.8"/>
      <text
            value="Do you have any other sexual dysfunctions/issues related to sex?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie andere sexuelle Funktionsstörungen/Probleme im Zusammenhang mit Sex?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you have any other sexual dysfunctions/issues related to sex?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Tienes alguna otra disfunción o problema sexual relacionado con el sexo?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous d'autres dysfonctionnements sexuels/problèmes liés à la sexualité?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Tem outras disfunções sexuais/questões relacionadas com o sexo?"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
    </item>
    <item>
      <linkId value="4.9"/>
      <text
            value="Please let us know of any previous pregnancy history including abortions &amp; miscarriages (if comfortable)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte informieren Sie uns über frühere Schwangerschaften, einschliesslich Schwangerschaftsabbrüche und Fehlgeburten (falls möglich)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please let us know of any previous pregnancy history including abortions &amp; miscarriages (if comfortable)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Por favor, infórmenos de cualquier antecedente de embarazo, incluyendo abortos y abortos involuntarios (si se siente cómodo)."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez nous informer de tout antécédent de grossesse, y compris les avortements et les fausses couches (si vous vous sentez à l'aise)."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Informe-nos de qualquer historial de gravidez anterior, incluindo abortos e abortos espontâneos (se for confortável)"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <linkId value="4.9.1"/>
        <text
              value="Please provide the following information for each pregnancy">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie für jede Schwangerschaft die folgenden Informationen an"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Please provide the following information for each pregnancy"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Facilite la siguiente información para cada embarazo"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Veuillez fournir les informations suivantes pour chaque grossesse"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Forneça as seguintes informações para cada gravidez"/>
            </extension>
          </extension>
        </text>
        <type value="group"/>
        <repeats value="true"/>
        <item>
          <linkId value="4.9.1.1"/>
          <text value="Birthplace">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Geburtsort"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Birthplace"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Lugar de nacimiento"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Lieu de naissance"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Local de nascimento"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <linkId value="4.9.1.2"/>
          <text value="Date">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Datum"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Date"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Fecha"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Date"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Data"/>
              </extension>
            </extension>
          </text>
          <type value="date"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
            <valueCoding>
              <system value="http://unitsofmeasure.org"/>
              <code value="wk"/>
              <display value="week"/>
            </valueCoding>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
            <valueInteger value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
            <valueInteger value="45"/>
          </extension>
          <linkId value="4.9.1.3"/>
          <text value="Gestation">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Schwangerschaft"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Gestation"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Gestación"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Gestation"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Gestação"/>
              </extension>
            </extension>
          </text>
          <type value="integer"/>
        </item>
        <item>
          <linkId value="4.9.1.4"/>
          <text value="Type of Birth (e.g. Vaginal or C/S)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Art der Geburt (z.B. vaginal oder Kaiserschnitt)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Type of Birth (e.g. Vaginal or C/S)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Tipo de parto (ej. vaginal o cesárea)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Type d'accouchement (ex. vaginal ou césarienne)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Tipo de parto (ex. vaginal ou cesariana)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <linkId value="4.9.1.5"/>
          <text value="Model of Care (e.g. Midwife, Public/Private OB)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Betreuungsmodell (z.B. Hebamme, öffentliche/private Geburtshilfe)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Model of Care (e.g. Midwife, Public/Private OB)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Modelo de atención (ej. comadrona, obstetricia pública/privada)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Modèle de soins (ex. sage-femme, obstétrique publique/privée)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Modelo de cuidado (ex. parteira, obstetrícia pública/privada)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
            <valueCoding>
              <system value="http://unitsofmeasure.org"/>
              <code value="g"/>
              <display value="gram"/>
            </valueCoding>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
            <valueInteger value="300"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
            <valueInteger value="6000"/>
          </extension>
          <linkId value="4.9.1.6"/>
          <text value="Birth Weight">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Geburtsgewicht"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Birth Weight"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Peso al nacer"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Poids de naissance"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Peso ao nascer"/>
              </extension>
            </extension>
          </text>
          <type value="integer"/>
        </item>
        <item>
          <linkId value="4.9.1.7"/>
          <text value="Name of Child (if applicable)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Name des Kindes (falls zutreffend)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Name of Child (if applicable)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Nombre del niño (si aplica)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Nom de l'enfant (si applicable)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Nome da criança (se aplicável)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
        <item>
          <linkId value="4.9.1.8"/>
          <text value="Sex of Child (if applicable)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Geschlecht des Kindes (falls zutreffend)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Sex of Child (if applicable)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Sexo del niño (si aplica)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Sexe de l'enfant (si applicable)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
              </extension>
              <extension url="content">
                <valueString value="Sexo da criança (se aplicável)"/>
              </extension>
            </extension>
          </text>
          <type value="string"/>
        </item>
      </item>
    </item>
    <item>
      <linkId value="4.10"/>
      <text value="Cervical Screening Test (CST)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Gebärmutterhals-Screening-Test (CST)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Cervical Screening Test (CST)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Prueba de cribado cervical"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Test de dépistage cervical (TDC)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Teste de rastreio cervical (CST)"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <item>
        <linkId value="4.10.1"/>
        <text value="When was your most recent CST (Pap Smear)?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Wann war Ihr letzter CST (Pap-Abstrich)?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="When was your most recent CST (Pap Smear)?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="¿Cuándo fue su última citología vaginal?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Quelle est la date de votre dernier frottis cervical?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Quando foi o seu último CST (Papanicolau)?"/>
            </extension>
          </extension>
        </text>
        <type value="date"/>
      </item>
      <item>
        <linkId value="4.10.2"/>
        <text value="What was the result of your most recent CST?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Was war das Ergebnis Ihres letzten CST?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="What was the result of your most recent CST?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Cuál ha sido el resultado de su último CST?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Quel a été le résultat de votre dernière CST?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Qual foi o resultado do seu último CST?"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="4.10.3"/>
        <text value="Any past abnormal CST(s)? Please provide details">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Gab es in der Vergangenheit abnormale CSTs? Bitte Einzelheiten angeben"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Any past abnormal CST(s)? Please provide details"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="¿Alguna(s) CST(s) anormal(es) en el pasado? Indique los detalles"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Avez-vous déjà eu des TCC anormales? Veuillez fournir des détails"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Alguma CST anormal no passado? Fornecer pormenores"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="4.10.4"/>
        <text
              value="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.">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Wenn möglich, legen Sie bitte eine Kopie der Ergebnisse Ihrer letzten Früherkennungsuntersuchung(en) vor oder bringen Sie eine Kopie dieser Ergebnisse zum Termin mit."/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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."/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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."/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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."/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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."/>
            </extension>
          </extension>
        </text>
        <type value="display"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="5"/>
    <text value="ASSOCIATED OR SYSTEMIC SYMPTOMS">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="ASSOZIIERTE ODER SYSTEMISCHE SYMPTOME"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="ASSOCIATED OR SYSTEMIC SYMPTOMS"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="SÍNTOMAS ASOCIADOS O SISTÉMICOS"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="SYMPTÔMES ASSOCIÉS OU SYSTÉMIQUES"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="SINTOMAS ASSOCIADOS OU SISTÉMICOS"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="5.1"/>
      <text value="Do you experience any pelvic pain?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Haben Sie Schmerzen im Unterleib?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Do you experience any pelvic pain?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Siente dolor pélvico?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Souffrez-vous de douleurs pelviennes?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Sente alguma dor pélvica?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="slider"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue">
        <valueInteger value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
        <valueInteger value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueInteger value="10"/>
      </extension>
      <linkId value="5.1.1"/>
      <text
            value="Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indique en la escala del 1 al 10 cómo describiría este dolor (0 = Poco o ningún dolor, 5 = Dolor moderado, 10 = Dolor intenso)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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)."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indique, numa escala de 1 a 10, como descreveria esta dor (0 = Pouca ou nenhuma dor, 5 = Dor moderada, 10 = Dor grave)"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
      <enableWhen>
        <question value="5.1"/>
        <operator value="="/>
        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
        </answerCoding>
      </enableWhen>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="5.2"/>
      <text value="Have you noticed any abnormal vaginal discharge?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie anormalen Ausfluss aus der Scheide bemerkt?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Have you noticed any abnormal vaginal discharge?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Ha notado algún flujo vaginal anormal?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous remarqué des pertes vaginales anormales?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Notou algum corrimento vaginal anormal?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
    </item>
    <item>
      <linkId value="5.2.1"/>
      <text value="Please provide detail">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Bitte geben Sie Einzelheiten an"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Please provide detail"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Proporcione detalles"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Veuillez fournir des détails"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Fornecer pormenores"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <enableWhen>
        <question value="5.2"/>
        <operator value="="/>
        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
        </answerCoding>
      </enableWhen>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="5.3"/>
      <text
            value="Do you currently have any urinary and/or bowel related concerns?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie derzeit Probleme mit dem Harn- und/oder Stuhlgang?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Do you currently have any urinary and/or bowel related concerns?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Tiene actualmente algún problema urinario o intestinal?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous actuellement des problèmes urinaires et/ou intestinaux?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Tem atualmente algum problema urinário e/ou intestinal?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
    </item>
    <item>
      <linkId value="5.3.1"/>
      <text
            value="Please provide detail (i.e. motion of passing/incontinence issues etc.)">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte geben Sie Einzelheiten an (z. B. Passagebewegungen, Inkontinenzprobleme usw.)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please provide detail (i.e. motion of passing/incontinence issues etc.)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Proporcione detalles (por ejemplo, movimiento de paso/problemas de incontinencia, etc.)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez fournir des détails (par exemple, mouvement de passage/problèmes d'incontinence, etc.)"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Forneça pormenores (ou seja, movimento de passagem/ problemas de incontinência, etc.)"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
      <enableWhen>
        <question value="5.3"/>
        <operator value="="/>
        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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      </enableWhen>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
        <valueCoding>
          <system value="http://unitsofmeasure.org"/>
          <code value="kg"/>
          <display value="kilogram"/>
        </valueCoding>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
        <valueDecimal value="20"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueDecimal value="300"/>
      </extension>
      <linkId value="5.4"/>
      <text value="What is your current weight?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Wie hoch ist Ihr derzeitiges Gewicht?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="What is your current weight?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Cuál es su peso actual?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Quel est votre poids actuel?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Qual é o seu peso atual?"/>
          </extension>
        </extension>
      </text>
      <type value="decimal"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
        <valueCoding>
          <system value="http://unitsofmeasure.org"/>
          <code value="cm"/>
          <display value="centimeter"/>
        </valueCoding>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
        <valueInteger value="100"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
        <valueInteger value="250"/>
      </extension>
      <linkId value="5.5"/>
      <text value="What is your height?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Wie gross sind Sie?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="What is your height?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Cuál es su estatura?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Quelle est votre taille?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Qual é a sua altura?"/>
          </extension>
        </extension>
      </text>
      <type value="integer"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="5.6"/>
      <text value="Have you noticed any significant weight loss or gain?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie eine deutliche Gewichtsabnahme oder -zunahme festgestellt?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Have you noticed any significant weight loss or gain?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Ha notado alguna pérdida o ganancia de peso significativa?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous remarqué une perte ou une prise de poids significative?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Notou alguma perda ou ganho de peso significativo?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
      <linkId value="5.6.1"/>
      <text value="Details">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Einzelheiten"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Details"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Detalles"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Détails"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Detalhes"/>
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        </extension>
      </text>
      <type value="string"/>
      <enableWhen>
        <question value="5.6"/>
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        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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      </enableWhen>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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        </valueCodeableConcept>
      </extension>
      <linkId value="5.7"/>
      <text value="Have you had any blood tests done in the past 12 months?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Wurden bei Ihnen in den letzten 12 Monaten Bluttests durchgeführt?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Have you had any blood tests done in the past 12 months?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Se ha hecho algún análisis de sangre en los últimos 12 meses?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous effectué des analyses de sang au cours des 12 derniers mois?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Fez alguma análise ao sangue nos últimos 12 meses?"/>
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        </extension>
      </text>
      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
      <linkId value="5.7.1"/>
      <text value="Date of most recent test">
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          <extension url="lang">
            <valueCode value="de"/>
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          <extension url="content">
            <valueString value="Datum des letzten Tests"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
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          <extension url="content">
            <valueString value="Date of most recent test"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString value="Fecha de la prueba más reciente"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Date du dernier test"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
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          <extension url="content">
            <valueString value="Data do teste mais recente"/>
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      </text>
      <type value="date"/>
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        <question value="5.7"/>
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        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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    </item>
    <item>
      <linkId value="5.7.2"/>
      <text value="Pathology Provider">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Pathologie-Anbieter"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Pathology Provider"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString value="Proveedor de patología"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Fournisseur de services de pathologie"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Fornecedor de patologia"/>
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        </extension>
      </text>
      <type value="string"/>
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        <question value="5.7"/>
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    </item>
    <item>
      <linkId value="5.7.3"/>
      <text value="Any clinically significant blood results &amp; outcomes?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
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          <extension url="content">
            <valueString
                         value="Irgendwelche klinisch bedeutsamen Blutwerte und Ergebnisse?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Any clinically significant blood results &amp; outcomes?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Algún resultado sanguíneo clínicamente significativo?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Résultats sanguins et résultats cliniquement significatifs?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Quaisquer resultados sanguíneos e resultados clinicamente significativos?"/>
          </extension>
        </extension>
      </text>
      <type value="string"/>
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        <question value="5.7"/>
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    <item>
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            <code value="radio-button"/>
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      <linkId value="5.8"/>
      <text
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          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Wurden bei Ihnen in den letzten 12 Monaten bildgebende Verfahren (z. B. Ultraschall, MRT des Beckens/Unterleibs) durchgeführt?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
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          <extension url="content">
            <valueString
                         value="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="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous eu recours à l'imagerie médicale (échographie, IRM du bassin/abdomen) au cours des 12 derniers mois?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Fez alguma imagiologia médica (ou seja, ecografia, ressonância magnética da pélvis/abdómen) nos últimos 12 meses?"/>
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        </extension>
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      <type value="choice"/>
      <repeats value="false"/>
      <answerValueSet value="#yes-no"/>
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    <item>
      <linkId value="5.8.1"/>
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          <extension url="lang">
            <valueCode value="de"/>
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          <extension url="content">
            <valueString
                         value="Bitte geben Sie die folgenden Details zur Bildgebung an"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
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          <extension url="content">
            <valueString
                         value="Please provide the following imaging details"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Proporcione los siguientes datos de imagen"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez fournir les détails d'imagerie suivants"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Forneça os seguintes pormenores relativos à imagiologia"/>
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        </extension>
      </text>
      <type value="group"/>
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        <question value="5.8"/>
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        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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      <repeats value="true"/>
      <item>
        <linkId value="5.8.1.1"/>
        <text value="Type of Imaging">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Art der Bildgebung"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Type of Imaging"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Tipo de imagen"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Type d'imagerie"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Tipo de imagiologia"/>
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        </text>
        <type value="string"/>
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      <item>
        <linkId value="5.8.1.2"/>
        <text value="Date">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Datum"/>
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          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Date"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Fecha"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Date"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Data"/>
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        </text>
        <type value="date"/>
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      <item>
        <linkId value="5.8.1.3"/>
        <text value="Imaging Provider &amp; Location">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Bildgebungsanbieter &amp; Standort"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Imaging Provider &amp; Location"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Proveedor de imágenes y ubicación"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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              <valueString value="Fournisseur d'imagerie et lieu"/>
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          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Fornecedor de imagiologia e localização"/>
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          </extension>
        </text>
        <type value="string"/>
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      <item>
        <linkId value="5.8.1.4"/>
        <text value="Clinical Reason">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Klinischer Grund"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Clinical Reason"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Razón clínica"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Raison clinique"/>
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          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Motivo clínico"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="5.8.1.5"/>
        <text value="Results / Findings">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Ergebnisse / Befunde"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Results / Findings"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="RESULTADOS"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Résultats / Constatations"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Resultados / Conclusões"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="6"/>
    <text value="CURRENT MEDICATIONS">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="AKTUELLE MEDIKAMENTE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="CURRENT MEDICATIONS"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="MEDICAMENTOS ACTUALES"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="MÉDICAMENTS ACTUELS"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="MEDICAMENTOS ATUAIS"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="6.1"/>
      <text value="Please provide your current medications">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte geben Sie Ihre derzeitige Medikation an"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Please provide your current medications"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Indique su medicación actual"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Veuillez indiquer vos médicaments actuels"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Indique os seus medicamentos actuais"/>
          </extension>
        </extension>
      </text>
      <type value="group"/>
      <repeats value="true"/>
      <item>
        <linkId value="6.1.1"/>
        <text value="Medication">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Medikation"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Medication"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Medicación"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Médicaments"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Medicamentos"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="6.1.2"/>
        <text value="Dose">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Dosis"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Dose"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Dosis"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Dose"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Dose"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="6.1.3"/>
        <text value="Frequency">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Frequenz"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Frequency"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Frecuencia"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Fréquence"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Frequência"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="6.1.4"/>
        <text value="Reason for Medication">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Grund für die Medikation"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Reason for Medication"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Motivo de la medicación"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Raison de la prise de médicaments"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Motivo da medicação"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
      <item>
        <linkId value="6.1.5"/>
        <text value="Duration you have been taking this medication for">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Dauer der Einnahme dieses Medikaments seit"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Duration you have been taking this medication for"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Duración del tratamiento"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Durée Vous avez pris ce médicament pendant"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Duração do tratamento com este medicamento"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="7"/>
    <text value="FAMILY HISTORY">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="FAMILIENGESCHICHTE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="FAMILY HISTORY"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIA FAMILIAR"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="HISTOIRE FAMILIALE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="HISTÓRIA DA FAMÍLIA"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="7.1"/>
      <text value="Blood and Clotting Disorders">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Blut- und Gerinnungsstörungen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Blood and Clotting Disorders"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Trastornos de la sangre y la coagulación"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Troubles du sang et de la coagulation"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Perturbações do sangue e da coagulação"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="true"/>
      <answerOption>
        <valueCoding>
          <code value="vwd"/>
          <display value="Von Willebrand disease"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="haem"/>
          <display value="Haemophilia"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="thromb"/>
          <display
                   value="Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="bruising"/>
          <display value="Easy bruising or excessive bleeding"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="clots"/>
          <display
                   value="History of blood clots (DVT, stroke before age 50)"/>
        </valueCoding>
      </answerOption>
      <item>
        <linkId value="7.1.1"/>
        <text
              value="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.)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Details zu den oben ausgewählten Blut- und Gerinnungsstörungen an (d.h. Datum &amp; Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="7.1"/>
          <operator value="="/>
          <answerCoding>
            <code value="vwd"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.1"/>
          <operator value="="/>
          <answerCoding>
            <code value="haem"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.1"/>
          <operator value="="/>
          <answerCoding>
            <code value="thromb"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.1"/>
          <operator value="="/>
          <answerCoding>
            <code value="bruising"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.1"/>
          <operator value="="/>
          <answerCoding>
            <code value="clots"/>
          </answerCoding>
        </enableWhen>
        <enableBehavior value="any"/>
        <repeats value="true"/>
      </item>
    </item>
    <item>
      <linkId value="7.2"/>
      <text value="Endocrine and Hormonal Conditions">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Endokrine und hormonelle Bedingungen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Endocrine and Hormonal Conditions"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Enfermedades endocrinas y hormonales"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Conditions endocriniennes et hormonales"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Doenças endócrinas e hormonais"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="true"/>
      <answerOption>
        <valueCoding>
          <code value="thyroid"/>
          <display value="Thyroid Disease"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="pcos"/>
          <display value="PCOS"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="diabetes"/>
          <display value="Diabetes (Type 1 or Type 2)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="menopause"/>
          <display value="Early menopause / premature ovarian insufficiency"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="adrenal"/>
          <display value="Adrenal disorders"/>
        </valueCoding>
      </answerOption>
      <item>
        <linkId value="7.2.1"/>
        <text
              value="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.)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Details zu den oben ausgewählten endokrinen und hormonellen Erkrankungen an (d.h. Datum &amp; Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="7.2"/>
          <operator value="="/>
          <answerCoding>
            <code value="thyroid"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.2"/>
          <operator value="="/>
          <answerCoding>
            <code value="pcos"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.2"/>
          <operator value="="/>
          <answerCoding>
            <code value="diabetes"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.2"/>
          <operator value="="/>
          <answerCoding>
            <code value="menopause"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.2"/>
          <operator value="="/>
          <answerCoding>
            <code value="adrenal"/>
          </answerCoding>
        </enableWhen>
        <enableBehavior value="any"/>
        <repeats value="true"/>
      </item>
    </item>
    <item>
      <linkId value="7.3"/>
      <text value="Cancer / Malignancy">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Krebs / Malignität"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Cancer / Malignancy"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Cáncer / Malignidad"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Cancer / Malignité"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Cancro / Malignidade"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="true"/>
      <answerOption>
        <valueCoding>
          <code value="breast"/>
          <display value="Breast Cancer"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="ovarian"/>
          <display value="Ovarian cancer"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="uterine"/>
          <display value="Uterine (endometrial cancer)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="cervical"/>
          <display value="Cervical cancer"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="colon"/>
          <display
                   value="Colon cancer (&lt;50 yrs or related to Lynch Syndrome)"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="hereditary"/>
          <display
                   value="Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)"/>
        </valueCoding>
      </answerOption>
      <item>
        <linkId value="7.3.1"/>
        <text
              value="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.)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Details zu den oben ausgewählten Krebs-/Tumorerkrankungen an (d.h. Datum &amp; Alter bei Diagnose, Ergebnis der Diagnose, Art des Krebses, betroffenes Familienmitglied usw.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="breast"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="ovarian"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="uterine"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="cervical"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="colon"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.3"/>
          <operator value="="/>
          <answerCoding>
            <code value="hereditary"/>
          </answerCoding>
        </enableWhen>
        <enableBehavior value="any"/>
        <repeats value="true"/>
      </item>
    </item>
    <item>
      <linkId value="7.4"/>
      <text value="Other relevant conditions">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Andere relevante Bedingungen"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Other relevant conditions"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="Otras condiciones pertinentes"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Autres conditions pertinentes"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Outras condições relevantes"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <repeats value="true"/>
      <answerOption>
        <valueCoding>
          <code value="endometriosis"/>
          <display value="Endometriosis or adenomyosis"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="fibroids"/>
          <display value="Fibroids"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="osteoporosis"/>
          <display value="Osteoporosis or early bone loss"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="cardio"/>
          <display value="Cardiovascular disease"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="autoimmune"/>
          <display value="Autoimmune conditions"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <code value="genetic"/>
          <display
                   value="Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)"/>
        </valueCoding>
      </answerOption>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="7.4.1"/>
        <text value="Cardiovascular disease &lt;55 yrs">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Herz-Kreislauf-Erkrankungen &lt;55 Jahre"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Cardiovascular disease &lt;55 yrs"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Enfermedad cardiovascular &lt;55 años"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Maladie cardiovasculaire &lt;55 ans"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Doença cardiovascular &lt;55 anos"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="cardio"/>
          </answerCoding>
        </enableWhen>
        <repeats value="false"/>
        <answerValueSet value="#yes-no"/>
      </item>
      <item>
        <linkId value="7.4.2"/>
        <text
              value="Please provide details about the other relevant conditions selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, affected family member etc.)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Details zu den oben ausgewählten anderen relevanten Erkrankungen an (d.h. Datum &amp; Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Please provide details about the other relevant conditions selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, affected family member etc.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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.)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="endometriosis"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="fibroids"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="osteoporosis"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="cardio"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="autoimmune"/>
          </answerCoding>
        </enableWhen>
        <enableWhen>
          <question value="7.4"/>
          <operator value="="/>
          <answerCoding>
            <code value="genetic"/>
          </answerCoding>
        </enableWhen>
        <enableBehavior value="any"/>
        <repeats value="true"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="8"/>
    <text value="SOCIAL HISTORY">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="SOZIALGESCHICHTE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="SOCIAL HISTORY"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIA SOCIAL"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="HISTOIRE SOCIALE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="HISTÓRIA SOCIAL"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="8.1"/>
      <text value="Do you currently have a partner(s)?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Haben Sie derzeit einen Partner oder mehrere Partner?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Do you currently have a partner(s)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Tiene pareja(s) actualmente?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Avez-vous actuellement un (des) partenaire(s)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Tem atualmente um parceiro(s)?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <answerValueSet value="#yes-no"/>
      <item>
        <linkId value="8.1.1"/>
        <text
              value="If you are comfortable to share, what is your partner/s' name and sex/gender/age?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Wenn Sie es uns mitteilen möchten, wie lautet der Name Ihres Partners/ihrer Partnerin und Geschlecht/Alter?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString
                           value="If you are comfortable to share, what is your partner/s' name and sex/gender/age?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Si no tiene inconveniente en decirlo, ¿cómo se llama su pareja y cuál es su sexo, género y edad?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="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?"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Se se sentir à vontade para partilhar, qual é o nome e o sexo/género/idade do(s) seu(s) parceiro(s)?"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
        <enableWhen>
          <question value="8.1"/>
          <operator value="="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373066001"/>
          </answerCoding>
        </enableWhen>
        <repeats value="true"/>
      </item>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="8.2"/>
      <text value="Are you currently working?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString value="Sind Sie derzeit berufstätig?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString value="Are you currently working?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString value="¿Trabaja actualmente?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString value="Travaillez-vous actuellement?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString value="Está atualmente a trabalhar?"/>
          </extension>
        </extension>
      </text>
      <type value="choice"/>
      <answerValueSet value="#yes-no"/>
      <item>
        <linkId value="8.2.1"/>
        <text value="Please provide details about your work">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Bitte geben Sie Einzelheiten zu Ihrer Arbeit an"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Please provide details about your work"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Proporcione detalles sobre su trabajo"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Veuillez fournir des détails sur votre travail"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Forneça pormenores sobre o seu trabalho"/>
            </extension>
          </extension>
        </text>
        <type value="group"/>
        <enableWhen>
          <question value="8.2"/>
          <operator value="="/>
          <answerCoding>
            <system value="http://snomed.info/sct"/>
            <code value="373066001"/>
          </answerCoding>
        </enableWhen>
        <repeats value="true"/>
        <item>
          <linkId value="8.2.1.1"/>
          <text value="Employment Type (PT, FT, Casual)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="Beschäftigungsart (TZ, VZ, Aushilfe)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="en"/>
              </extension>
              <extension url="content">
                <valueString value="Employment Type (PT, FT, Casual)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="es"/>
              </extension>
              <extension url="content">
                <valueString value="Tipo de empleo (TC, TP, Casual)"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
              </extension>
              <extension url="content">
                <valueString value="Type d'emploi (TP, TT, Occasionnel)"/>
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            <extension
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              <extension url="lang">
                <valueCode value="pt"/>
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              <extension url="content">
                <valueString value="Tipo de emprego (MI, TI, Casual)"/>
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            </extension>
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          <type value="string"/>
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        <item>
          <linkId value="8.2.1.2"/>
          <text value="Occupation">
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              <extension url="lang">
                <valueCode value="de"/>
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              <extension url="content">
                <valueString value="Beruf"/>
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            <extension
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              <extension url="lang">
                <valueCode value="en"/>
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              <extension url="content">
                <valueString value="Occupation"/>
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            <extension
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              <extension url="lang">
                <valueCode value="es"/>
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              <extension url="content">
                <valueString value="Ocupación"/>
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            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="fr"/>
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              <extension url="content">
                <valueString value="Profession"/>
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            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
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              <extension url="content">
                <valueString value="Ocupação"/>
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          <type value="string"/>
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    <item>
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        <valueCodeableConcept>
          <coding>
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            <code value="radio-button"/>
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      <linkId value="8.3"/>
      <text value="Are you currently studying?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
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          <extension url="content">
            <valueString value="Studieren Sie derzeit?"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
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          <extension url="content">
            <valueString value="Are you currently studying?"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString value="¿Está estudiando actualmente?"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
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          <extension url="content">
            <valueString value="Êtes-vous en train d'étudier?"/>
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          <extension url="lang">
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          <extension url="content">
            <valueString value="Está atualmente a estudar?"/>
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            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Einrichtung"/>
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          <extension
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              <valueString value="Institution"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Institución"/>
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          <extension
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              <valueString value="Institution"/>
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          <extension
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        <linkId value="8.3.2"/>
        <text value="Level &amp; Area of study">
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            <extension url="lang">
              <valueCode value="de"/>
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              <valueString value="Niveau und Fachrichtung"/>
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              <valueString value="Level &amp; Area of study"/>
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              <valueString value="Nivel y área de estudio"/>
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          <extension
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              <valueCode value="fr"/>
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              <valueString value="Niveau et domaine d'études"/>
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          <extension
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              <valueCode value="pt"/>
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              <valueString value="Nível e área de estudo"/>
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            <valueString value="Lebensstil"/>
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            <valueString value="Lifestyle"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString value="Estilo de vida"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
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          <extension url="content">
            <valueString value="Mode de vie"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
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              <code value="radio-button"/>
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        <linkId value="8.4.1"/>
        <text value="Do you currently smoke?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Rauchen Sie derzeit?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Do you currently smoke?"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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              <valueString value="¿Fuma actualmente?"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Fumez-vous actuellement?"/>
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          <extension
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              <valueString value="Fuma atualmente?"/>
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        <text value="Do you take any recreational drugs?">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Nimmst du irgendwelche Freizeitdrogen?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Do you take any recreational drugs?"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="¿Tomas alguna droga recreativa?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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              <valueString value="Prenez-vous des drogues récréatives?"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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              <valueString value="Consome drogas recreativas?"/>
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            <extension url="content">
              <valueString value="Wie oft trinken Sie Alkohol?"/>
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          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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              <valueString value="How often do you drink Alcohol?"/>
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          <extension
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              <valueCode value="es"/>
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              <valueString value="¿Con qué frecuencia bebe alcohol?"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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              <valueString
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          <extension
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              <valueCode value="pt"/>
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              <valueString value="Com que frequência bebe álcool?"/>
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                <valueCode value="de"/>
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                <valueString
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                <valueString
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              <valueCode value="de"/>
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              <valueString
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              <valueCode value="es"/>
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              <valueString
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              <valueString
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            <extension url="lang">
              <valueCode value="pt"/>
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              <valueString
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                <valueCode value="de"/>
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                <valueString value="Häufigkeit (Mal pro Woche)"/>
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                <valueString value="Frequency (times per week)"/>
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              <extension url="lang">
                <valueCode value="es"/>
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                <valueString value="Frecuencia (veces por semana)"/>
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            <extension
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              <extension url="lang">
                <valueCode value="fr"/>
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              <extension url="content">
                <valueString value="Fréquence (fois par semaine)"/>
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            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="pt"/>
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              <extension url="content">
                <valueString value="Frequência (vezes por semana)"/>
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          <type value="integer"/>
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          <text value="Intensity">
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              <extension url="lang">
                <valueCode value="de"/>
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              <extension url="content">
                <valueString value="Intensität"/>
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            <extension
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              <extension url="lang">
                <valueCode value="en"/>
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              <extension url="content">
                <valueString value="Intensity"/>
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            <extension
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              <extension url="lang">
                <valueCode value="es"/>
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              <extension url="content">
                <valueString value="Intensidad"/>
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            <extension
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              <extension url="lang">
                <valueCode value="fr"/>
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              <extension url="content">
                <valueString value="Intensité"/>
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            <extension
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              <extension url="lang">
                <valueCode value="pt"/>
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              <extension url="content">
                <valueString value="Intensidade"/>
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  <item>
    <linkId value="9"/>
    <text value="SURGICAL HISTORY">
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        <extension url="lang">
          <valueCode value="de"/>
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        <extension url="content">
          <valueString value="CHIRURGISCHE VORGESCHICHTE"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="SURGICAL HISTORY"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="HISTORIAL QUIRÚRGICO"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="ANTÉCÉDENTS CHIRURGICAUX"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="HISTÓRICO CIRÚRGICO"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="9.1"/>
      <text value="Please provide details for each surgery you have had">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Bitte geben Sie Einzelheiten zu jeder Operation an, die Sie hatten"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Please provide details for each surgery you have had"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indique los detalles de cada intervención quirúrgica a la que se haya sometido"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Veuillez indiquer les détails de chaque intervention chirurgicale que vous avez subie"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Indique os pormenores de cada cirurgia a que foi submetido"/>
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        </extension>
      </text>
      <type value="group"/>
      <repeats value="true"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
          <valueInteger value="1900"/>
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        <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
          <valueInteger value="2100"/>
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        <linkId value="9.1.1"/>
        <text value="Year">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Jahr"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Year"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Año"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Année"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Ano"/>
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          </extension>
        </text>
        <type value="integer"/>
      </item>
      <item>
        <linkId value="9.1.2"/>
        <text value="Place of Surgery">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Ort der Operation"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Place of Surgery"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Lugar de la intervención"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Lieu de l'intervention chirurgicale"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Local da cirurgia"/>
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          </extension>
        </text>
        <type value="string"/>
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      <item>
        <linkId value="9.1.3"/>
        <text
              value="Details (Surgeon, Type of Procedure, any complications or issues?, findings)">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString
                           value="Detalles (cirujano, tipo de intervención, complicaciones o problemas, resultados)"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString
                           value="Détails (chirurgien, type d'intervention, complications ou problèmes éventuels, résultats)"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString
                           value="Detalhes (cirurgião, tipo de procedimento, quaisquer complicações ou problemas?, resultados)"/>
            </extension>
          </extension>
        </text>
        <type value="string"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="10"/>
    <text value="MENOPAUSE">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="MENOPAUSE"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="MENOPAUSE"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
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        <extension url="content">
          <valueString value="MENOPAUSIA"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="MÉNOPAUSE"/>
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      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="MENOPAUSA"/>
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      </extension>
    </text>
    <type value="group"/>
    <item>
      <extension
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        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="radio-button"/>
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      </extension>
      <linkId value="10.1"/>
      <text
            value="Does this section apply to you (menopausal or perimenopausal)?">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Trifft dieser Abschnitt auf Sie zu (menopausal oder perimenopausal)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Does this section apply to you (menopausal or perimenopausal)?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="¿Esta sección se aplica a usted (menopáusica o perimenopáusica)?"/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Cette section vous concerne-t-elle (ménopause ou périménopause)?"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Esta secção aplica-se a si (menopausa ou perimenopausa)?"/>
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        </extension>
      </text>
      <type value="choice"/>
      <required value="true"/>
      <answerValueSet value="#yes-no"/>
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    <item>
      <linkId value="10.1.1"/>
      <text
            value="On the Modified Greene Scale below, judge the severity of your symptoms and record the score.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Beurteilen Sie auf der nachstehenden modifizierten Greene-Skala den Schweregrad Ihrer Symptome und notieren Sie den Wert."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="On the Modified Greene Scale below, judge the severity of your symptoms and record the score."/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
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          <extension url="content">
            <valueString
                         value="En la escala de Greene modificada que aparece a continuación, juzgue la gravedad de sus síntomas y anote la puntuación."/>
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        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Sur l'échelle de Greene modifiée ci-dessous, évaluez la gravité de vos symptômes et notez le résultat."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Na Escala de Greene Modificada abaixo, avalie a gravidade dos seus sintomas e registe a pontuação."/>
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        </extension>
      </text>
      <type value="group"/>
      <enableWhen>
        <question value="10.1"/>
        <operator value="="/>
        <answerCoding>
          <system value="http://snomed.info/sct"/>
          <code value="373066001"/>
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      <item>
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          <valueCodeableConcept>
            <coding>
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              <code value="radio-button"/>
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        <linkId value="10.1.1.1"/>
        <code>
          <system value="http://snomed.info/sct"/>
          <code value="198436008"/>
          <display value="Menopausal flushing (finding)"/>
        </code>
        <text value="Hot flushes">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Hitzewallungen"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Hot flushes"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Sofocos"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Bouffées de chaleur"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Afrontamentos"/>
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          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
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          <valueCodeableConcept>
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              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.2"/>
        <text value="Lightheaded feelings">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Schwindelgefühle"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Lightheaded feelings"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Sensación de mareo"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Sensations de tête légère"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Sensação de tonturas"/>
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        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
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          <valueCodeableConcept>
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              <code value="radio-button"/>
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        <linkId value="10.1.1.3"/>
        <text value="Headaches">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Kopfschmerzen"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Headaches"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Dolores de cabeza"/>
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          </extension>
          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Maux de tête"/>
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          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Dores de cabeça"/>
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        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
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          <valueCodeableConcept>
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              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.4"/>
        <text value="Irritability">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Reizbarkeit"/>
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          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Irritability"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Irritabilidad"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Irritabilité"/>
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          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Irritabilidade"/>
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        <answerValueSet value="#severity"/>
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            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Depression"/>
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          <extension
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              <valueString value="Depression"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Depresión"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Dépression"/>
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          <extension
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            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Depressão"/>
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            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Ungeliebte Gefühle"/>
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          <extension
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            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Unloved feelings"/>
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          <extension
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            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Sentimientos no queridos"/>
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          <extension
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            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Sentiments de mal-aimé"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Sentimentos não amados"/>
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        <answerValueSet value="#severity"/>
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        <linkId value="10.1.1.7"/>
        <text value="Anxiety">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Ängste"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Anxiety"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Ansiedad"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Anxiété"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Ansiedade"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.8"/>
        <text value="Mood changes">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Stimmungsschwankungen"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Mood changes"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Cambios de humor"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Changements d'humeur"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Alterações de humor"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.9"/>
        <text value="Sleeplessness">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Schlaflosigkeit"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Sleeplessness"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Insomnio"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Insomnie"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Insónias"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
      </item>
      <item>
        <extension
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          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.10"/>
        <text value="Unusual tiredness">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Ungewöhnliche Müdigkeit"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Unusual tiredness"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Cansancio inusual"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Fatigue inhabituelle"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Cansaço invulgar"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.11"/>
        <text value="Backache">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Rückenschmerzen"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Backache"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Dolor de espalda"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Mal de dos"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Dor nas costas"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.12"/>
        <text value="Joint pains">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Gelenkbeschwerden"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Joint pains"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
            </extension>
            <extension url="content">
              <valueString value="Dolores articulares"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Douleurs articulaires"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Dores nas articulações"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
        <extension
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          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <linkId value="10.1.1.13"/>
        <text value="Muscle pains">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Muskelschmerzen"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Muscle pains"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Dolores musculares"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Douleurs musculaires"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Dores musculares"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
        <extension
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          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.14"/>
        <text value="New facial hair">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Neue Gesichtsbehaarung"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="New facial hair"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Nuevo vello facial"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Nouvelle pilosité faciale"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Novos pêlos faciais"/>
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          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
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          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.15"/>
        <text value="Dry skin">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Trockene Haut"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Dry skin"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Piel seca"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Peau sèche"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Pele seca"/>
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        </text>
        <type value="choice"/>
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        <answerValueSet value="#severity"/>
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            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.16"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Krabbelnde Gefühle unter der Haut"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Crawling feelings under the skin"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Sensación de arrastre bajo la piel"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Sensations de reptation sous la peau"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Sensações de rastejamento sob a pele"/>
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        <type value="choice"/>
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        <answerValueSet value="#severity"/>
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            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
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        <linkId value="10.1.1.17"/>
        <text value="Less sexual feelings">
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Weniger sexuelle Gefühle"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Less sexual feelings"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Menos sentimientos sexuales"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Moins de sentiments sexuels"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Menos sentimentos sexuais"/>
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        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
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        <linkId value="10.1.1.18"/>
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                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Trockene Vagina"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Dry vagina"/>
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          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Vagina seca"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
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            <extension url="content">
              <valueString value="Vagin sec"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
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            <extension url="content">
              <valueString value="Vagina seca"/>
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        <type value="choice"/>
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        <answerValueSet value="#severity"/>
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      <item>
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            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        <linkId value="10.1.1.19"/>
        <text value="Uncomfortable intercourse">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
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            <extension url="content">
              <valueString value="Unbequemer Geschlechtsverkehr"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Uncomfortable intercourse"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Relaciones sexuales incómodas"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Rapports sexuels inconfortables"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Relações sexuais incómodas"/>
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          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
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      <item>
        <extension
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          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="radio-button"/>
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        </extension>
        <linkId value="10.1.1.20"/>
        <text value="Urinary frequency changes">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="de"/>
            </extension>
            <extension url="content">
              <valueString value="Veränderungen der Harnfrequenz"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
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            <extension url="content">
              <valueString value="Urinary frequency changes"/>
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          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="es"/>
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            <extension url="content">
              <valueString value="Cambios en la frecuencia urinaria"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr"/>
            </extension>
            <extension url="content">
              <valueString value="Modifications de la fréquence urinaire"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="pt"/>
            </extension>
            <extension url="content">
              <valueString value="Alterações da frequência urinária"/>
            </extension>
          </extension>
        </text>
        <type value="choice"/>
        <required value="true"/>
        <answerValueSet value="#severity"/>
      </item>
    </item>
  </item>
  <item>
    <linkId value="11"/>
    <text value="OTHER NOTES">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString value="WEITERE HINWEISE"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="OTHER NOTES"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="es"/>
        </extension>
        <extension url="content">
          <valueString value="OTRAS NOTAS"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr"/>
        </extension>
        <extension url="content">
          <valueString value="AUTRES REMARQUES"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="pt"/>
        </extension>
        <extension url="content">
          <valueString value="OUTRAS NOTAS"/>
        </extension>
      </extension>
    </text>
    <type value="group"/>
    <item>
      <linkId value="11.1"/>
      <text
            value="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">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="en"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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"/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="es"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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."/>
          </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="pt"/>
          </extension>
          <extension url="content">
            <valueString
                         value="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"/>
          </extension>
        </extension>
      </text>
      <type value="text"/>
    </item>
  </item>
</Questionnaire>