formbuilder-lhcforms 6.4.6 → 6.5.2
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/CHANGELOG.md +14 -0
- package/bower.json +4 -3
- package/client/app/config.js +1 -1
- package/client/app/form-builder/answer-lists.js +4 -0
- package/client/app/form-builder/form-builder.controller.js +32 -15
- package/client/app/form-builder/form-builder.html +8 -2
- package/client/app/form-builder/formbuilder.css +4 -0
- package/client/index.html.tpl +1 -0
- package/package.json +1 -1
- package/test/e2e/formbuilder/fixtures/54127-6-x.json +1973 -0
- package/test/e2e/formbuilder/formbuilder.spec.js +13 -0
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{
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"resourceType": "Questionnaire",
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"id": "54127-6-x",
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"meta": {
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"versionId": "1",
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"lastUpdated": "2021-09-19T03:15:58.000-04:00",
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"source": "#tI10Lwl4d1YVVAaF",
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"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|2.7" ],
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"tag": [ {
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"code": "lformsVersion: 25.0.0"
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} ]
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},
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-launchContext",
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"extension": [ {
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"url": "name",
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"valueId": "patient"
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}, {
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"url": "type",
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"valueCode": "Patient"
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}, {
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"url": "descripton",
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"valueString": "For filling in patient information as the subject for the form"
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} ]
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} ],
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"identifier": [ {
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"system": "http://loinc.org",
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"value": "54127-6"
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} ],
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"name": "US Surgeon General family health portrait",
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"title": "US Surgeon General family health portrait",
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"status": "draft",
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"subjectType": [ "Patient", "Person" ],
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"date": "2018-11-05T16:54:56-05:00",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54127-6",
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"display": "US Surgeon General family health portrait"
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} ],
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"item": [ {
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"linkId": "/54126-8",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54126-8",
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"display": "My health history"
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} ],
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"text": "My health history",
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"type": "group",
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"required": false,
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"item": [ {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-initialExpression",
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"valueExpression": {
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"description": "Name from patient resource",
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"language": "text/fhirpath",
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"expression": "%patient.name[0].select(given.first() + ' ' + family)"
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}
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} ],
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"linkId": "/54126-8/54125-0",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54125-0",
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"display": "Name"
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} ],
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"text": "Name",
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"type": "string",
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"required": false
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"valueCodeableConcept": {
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"coding": [ {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
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"code": "drop-down",
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"display": "Drop down"
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} ],
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"text": "Drop down"
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}
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} ],
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"linkId": "/54126-8/54131-8",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54131-8",
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"display": "Gender"
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} ],
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"text": "Gender",
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"type": "choice",
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"required": false,
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"answerOption": [ {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA2-8",
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"display": "Male"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA3-6",
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"display": "Female"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA46-8",
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"display": "Other"
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}
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} ]
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-initialExpression",
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"valueExpression": {
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"description": "Birth date from patient resource",
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"language": "text/fhirpath",
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"expression": "%patient.birthDate"
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}
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} ],
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"linkId": "/54126-8/21112-8",
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"code": [ {
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"system": "http://loinc.org",
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"code": "21112-8",
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"display": "Birth Date"
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} ],
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"text": "Birth Date",
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"type": "date",
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"required": false
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"valueCodeableConcept": {
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"coding": [ {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
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"code": "drop-down",
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"display": "Drop down"
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} ],
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"text": "Drop down"
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}
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} ],
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"linkId": "/54126-8/54132-6",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54132-6",
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"display": "Twin"
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} ],
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"text": "Twin",
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"type": "choice",
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"required": false,
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"answerOption": [ {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA10427-5",
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"display": "Yes - Identical (Same)"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA10428-3",
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"display": "Yes - Fraternal (Different)"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA32-8",
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"display": "No"
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}
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} ]
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"valueCodeableConcept": {
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"coding": [ {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
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"code": "drop-down",
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"display": "Drop down"
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} ],
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"text": "Drop down"
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}
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} ],
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"linkId": "/54126-8/54128-4",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54128-4",
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"display": "Adopted"
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} ],
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"text": "Adopted",
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"type": "choice",
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"required": false,
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"answerOption": [ {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA33-6",
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"display": "Yes"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA32-8",
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"display": "No"
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}
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} ]
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"valueCodeableConcept": {
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"coding": [ {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
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"code": "drop-down",
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"display": "Drop down"
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} ],
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"text": "Drop down"
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}
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} ],
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"linkId": "/54126-8/54135-9",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54135-9",
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"display": "Parents related"
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} ],
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"text": "Parents related",
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"type": "choice",
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"required": false,
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"answerOption": [ {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA33-6",
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"display": "Yes"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA32-8",
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"display": "No"
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}
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} ]
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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"valueCoding": {
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"system": "http://unitsofmeasure.org",
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"code": "[in_i]"
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}
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}, {
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"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
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"valueDuration": {
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"value": 100,
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"unit": "year",
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"system": "http://unitsofmeasure.org",
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"code": "a"
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}
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} ],
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"linkId": "/54126-8/8302-2",
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"code": [ {
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"system": "http://loinc.org",
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"code": "8302-2",
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"display": "Body height"
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} ],
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"text": "Body height",
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"type": "decimal",
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"required": false
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
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"valueCoding": {
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"system": "http://unitsofmeasure.org",
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"code": "kg"
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}
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}, {
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"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
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"valueDuration": {
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"value": 100,
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"unit": "year",
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"system": "http://unitsofmeasure.org",
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"code": "a"
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}
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} ],
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"linkId": "/54126-8/29463-7",
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"code": [ {
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"system": "http://loinc.org",
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"code": "29463-7",
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"display": "Weight"
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} ],
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"text": "Weight",
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"type": "decimal",
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"required": false
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}, {
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"extension": [ {
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"valueCodeableConcept": {
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"coding": [ {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
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"code": "drop-down",
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"display": "Drop down"
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} ],
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"text": "Drop down"
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}
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} ],
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"linkId": "/54126-8/54134-2",
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"code": [ {
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"system": "http://loinc.org",
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"code": "54134-2",
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"display": "Race"
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} ],
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"text": "Race",
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"type": "choice",
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"required": false,
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"repeats": true,
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"answerOption": [ {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA10608-0",
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"display": "American Indian or Alaska Native"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA6156-9",
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"display": "Asian"
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}
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}, {
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"valueCoding": {
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"system": "http://loinc.org",
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"code": "LA10614-8",
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"display": "-- Asian Indian"
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}
|
|
324
|
+
}, {
|
|
325
|
+
"valueCoding": {
|
|
326
|
+
"system": "http://loinc.org",
|
|
327
|
+
"code": "LA10615-5",
|
|
328
|
+
"display": "-- Chinese"
|
|
329
|
+
}
|
|
330
|
+
}, {
|
|
331
|
+
"valueCoding": {
|
|
332
|
+
"system": "http://loinc.org",
|
|
333
|
+
"code": "LA10616-3",
|
|
334
|
+
"display": "-- Filipino"
|
|
335
|
+
}
|
|
336
|
+
}, {
|
|
337
|
+
"valueCoding": {
|
|
338
|
+
"system": "http://loinc.org",
|
|
339
|
+
"code": "LA10617-1",
|
|
340
|
+
"display": "-- Japanese"
|
|
341
|
+
}
|
|
342
|
+
}, {
|
|
343
|
+
"valueCoding": {
|
|
344
|
+
"system": "http://loinc.org",
|
|
345
|
+
"code": "LA10618-9",
|
|
346
|
+
"display": "-- Korean"
|
|
347
|
+
}
|
|
348
|
+
}, {
|
|
349
|
+
"valueCoding": {
|
|
350
|
+
"system": "http://loinc.org",
|
|
351
|
+
"code": "LA10620-5",
|
|
352
|
+
"display": "-- Vietnamese"
|
|
353
|
+
}
|
|
354
|
+
}, {
|
|
355
|
+
"valueCoding": {
|
|
356
|
+
"system": "http://loinc.org",
|
|
357
|
+
"code": "LA10619-7",
|
|
358
|
+
"display": "-- Other Asian"
|
|
359
|
+
}
|
|
360
|
+
}, {
|
|
361
|
+
"valueCoding": {
|
|
362
|
+
"system": "http://loinc.org",
|
|
363
|
+
"code": "LA10610-6",
|
|
364
|
+
"display": "Black or African American"
|
|
365
|
+
}
|
|
366
|
+
}, {
|
|
367
|
+
"valueCoding": {
|
|
368
|
+
"system": "http://loinc.org",
|
|
369
|
+
"code": "LA10611-4",
|
|
370
|
+
"display": "Native Hawaiian or Other Pacific Islander"
|
|
371
|
+
}
|
|
372
|
+
}, {
|
|
373
|
+
"valueCoding": {
|
|
374
|
+
"system": "http://loinc.org",
|
|
375
|
+
"code": "LA10623-9",
|
|
376
|
+
"display": "-- Native Hawaiian"
|
|
377
|
+
}
|
|
378
|
+
}, {
|
|
379
|
+
"valueCoding": {
|
|
380
|
+
"system": "http://loinc.org",
|
|
381
|
+
"code": "LA10622-1",
|
|
382
|
+
"display": "-- Guamanian"
|
|
383
|
+
}
|
|
384
|
+
}, {
|
|
385
|
+
"valueCoding": {
|
|
386
|
+
"system": "http://loinc.org",
|
|
387
|
+
"code": "LA10621-3",
|
|
388
|
+
"display": "-- Chamorro"
|
|
389
|
+
}
|
|
390
|
+
}, {
|
|
391
|
+
"valueCoding": {
|
|
392
|
+
"system": "http://loinc.org",
|
|
393
|
+
"code": "LA10625-4",
|
|
394
|
+
"display": "-- Samoan"
|
|
395
|
+
}
|
|
396
|
+
}, {
|
|
397
|
+
"valueCoding": {
|
|
398
|
+
"system": "http://loinc.org",
|
|
399
|
+
"code": "LA10624-7",
|
|
400
|
+
"display": "-- Other Pacific Islander"
|
|
401
|
+
}
|
|
402
|
+
}, {
|
|
403
|
+
"valueCoding": {
|
|
404
|
+
"system": "http://loinc.org",
|
|
405
|
+
"code": "LA4457-3",
|
|
406
|
+
"display": "White"
|
|
407
|
+
}
|
|
408
|
+
}, {
|
|
409
|
+
"valueCoding": {
|
|
410
|
+
"system": "http://loinc.org",
|
|
411
|
+
"code": "LA10613-0",
|
|
412
|
+
"display": "Other/Unknown/Refuse To Answer"
|
|
413
|
+
}
|
|
414
|
+
} ]
|
|
415
|
+
}, {
|
|
416
|
+
"extension": [ {
|
|
417
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
418
|
+
"valueCodeableConcept": {
|
|
419
|
+
"coding": [ {
|
|
420
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
421
|
+
"code": "autocomplete",
|
|
422
|
+
"display": "Auto-complete"
|
|
423
|
+
} ],
|
|
424
|
+
"text": "Auto-complete"
|
|
425
|
+
}
|
|
426
|
+
} ],
|
|
427
|
+
"linkId": "/54126-8/54133-4",
|
|
428
|
+
"code": [ {
|
|
429
|
+
"system": "http://loinc.org",
|
|
430
|
+
"code": "54133-4",
|
|
431
|
+
"display": "Ethnicity"
|
|
432
|
+
} ],
|
|
433
|
+
"text": "Ethnicity",
|
|
434
|
+
"type": "choice",
|
|
435
|
+
"required": false,
|
|
436
|
+
"repeats": true,
|
|
437
|
+
"answerValueSet": "http://terminology.hl7.org/ValueSet/v3-Ethnicity"
|
|
438
|
+
}, {
|
|
439
|
+
"linkId": "/54126-8/54137-5",
|
|
440
|
+
"code": [ {
|
|
441
|
+
"system": "http://loinc.org",
|
|
442
|
+
"code": "54137-5",
|
|
443
|
+
"display": "Diseases history panel"
|
|
444
|
+
} ],
|
|
445
|
+
"text": "Diseases history panel",
|
|
446
|
+
"type": "group",
|
|
447
|
+
"required": false,
|
|
448
|
+
"repeats": true,
|
|
449
|
+
"item": [ {
|
|
450
|
+
"extension": [ {
|
|
451
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
452
|
+
"valueCodeableConcept": {
|
|
453
|
+
"coding": [ {
|
|
454
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
455
|
+
"code": "autocomplete",
|
|
456
|
+
"display": "Auto-complete"
|
|
457
|
+
} ],
|
|
458
|
+
"text": "Auto-complete"
|
|
459
|
+
}
|
|
460
|
+
}, {
|
|
461
|
+
"url": "http://hl7.org/fhir/StructureDefinition/terminology-server",
|
|
462
|
+
"valueUrl": "https://clinicaltables.nlm.nih.gov/fhir/R4"
|
|
463
|
+
} ],
|
|
464
|
+
"linkId": "/54126-8/54137-5/54140-9",
|
|
465
|
+
"code": [ {
|
|
466
|
+
"system": "http://loinc.org",
|
|
467
|
+
"code": "54140-9",
|
|
468
|
+
"display": "History of diseases"
|
|
469
|
+
} ],
|
|
470
|
+
"text": "History of diseases",
|
|
471
|
+
"type": "choice",
|
|
472
|
+
"required": false,
|
|
473
|
+
"answerValueSet": "http://clinicaltables.nlm.nih.gov/fhir/R4/ValueSet/conditions"
|
|
474
|
+
}, {
|
|
475
|
+
"extension": [ {
|
|
476
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
477
|
+
"valueCodeableConcept": {
|
|
478
|
+
"coding": [ {
|
|
479
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
480
|
+
"code": "drop-down",
|
|
481
|
+
"display": "Drop down"
|
|
482
|
+
} ],
|
|
483
|
+
"text": "Drop down"
|
|
484
|
+
}
|
|
485
|
+
} ],
|
|
486
|
+
"linkId": "/54126-8/54137-5/54130-0",
|
|
487
|
+
"code": [ {
|
|
488
|
+
"system": "http://loinc.org",
|
|
489
|
+
"code": "54130-0",
|
|
490
|
+
"display": "Age range at onset of disease"
|
|
491
|
+
} ],
|
|
492
|
+
"text": "Age range at onset of disease",
|
|
493
|
+
"type": "choice",
|
|
494
|
+
"required": false,
|
|
495
|
+
"answerOption": [ {
|
|
496
|
+
"valueCoding": {
|
|
497
|
+
"system": "http://loinc.org",
|
|
498
|
+
"code": "LA10402-8",
|
|
499
|
+
"display": "Pre-Birth"
|
|
500
|
+
}
|
|
501
|
+
}, {
|
|
502
|
+
"valueCoding": {
|
|
503
|
+
"system": "http://loinc.org",
|
|
504
|
+
"code": "LA10403-6",
|
|
505
|
+
"display": "Newborn"
|
|
506
|
+
}
|
|
507
|
+
}, {
|
|
508
|
+
"valueCoding": {
|
|
509
|
+
"system": "http://loinc.org",
|
|
510
|
+
"code": "LA10394-7",
|
|
511
|
+
"display": "Infancy"
|
|
512
|
+
}
|
|
513
|
+
}, {
|
|
514
|
+
"valueCoding": {
|
|
515
|
+
"system": "http://loinc.org",
|
|
516
|
+
"code": "LA10395-4",
|
|
517
|
+
"display": "Childhood"
|
|
518
|
+
}
|
|
519
|
+
}, {
|
|
520
|
+
"valueCoding": {
|
|
521
|
+
"system": "http://loinc.org",
|
|
522
|
+
"code": "LA10404-4",
|
|
523
|
+
"display": "Adolescence"
|
|
524
|
+
}
|
|
525
|
+
}, {
|
|
526
|
+
"valueCoding": {
|
|
527
|
+
"system": "http://loinc.org",
|
|
528
|
+
"code": "LA10396-2",
|
|
529
|
+
"display": "20-29"
|
|
530
|
+
}
|
|
531
|
+
}, {
|
|
532
|
+
"valueCoding": {
|
|
533
|
+
"system": "http://loinc.org",
|
|
534
|
+
"code": "LA10397-0",
|
|
535
|
+
"display": "30-39"
|
|
536
|
+
}
|
|
537
|
+
}, {
|
|
538
|
+
"valueCoding": {
|
|
539
|
+
"system": "http://loinc.org",
|
|
540
|
+
"code": "LA10398-8",
|
|
541
|
+
"display": "40-49"
|
|
542
|
+
}
|
|
543
|
+
}, {
|
|
544
|
+
"valueCoding": {
|
|
545
|
+
"system": "http://loinc.org",
|
|
546
|
+
"code": "LA10399-6",
|
|
547
|
+
"display": "50-59"
|
|
548
|
+
}
|
|
549
|
+
}, {
|
|
550
|
+
"valueCoding": {
|
|
551
|
+
"system": "http://loinc.org",
|
|
552
|
+
"code": "LA10400-2",
|
|
553
|
+
"display": "OVER 60"
|
|
554
|
+
}
|
|
555
|
+
}, {
|
|
556
|
+
"valueCoding": {
|
|
557
|
+
"system": "http://loinc.org",
|
|
558
|
+
"code": "LA4489-6",
|
|
559
|
+
"display": "Unknown"
|
|
560
|
+
}
|
|
561
|
+
} ]
|
|
562
|
+
} ]
|
|
563
|
+
} ]
|
|
564
|
+
}, {
|
|
565
|
+
"linkId": "/54114-4",
|
|
566
|
+
"code": [ {
|
|
567
|
+
"system": "http://loinc.org",
|
|
568
|
+
"code": "54114-4",
|
|
569
|
+
"display": "Family member health history"
|
|
570
|
+
} ],
|
|
571
|
+
"text": "Family member health history",
|
|
572
|
+
"type": "group",
|
|
573
|
+
"required": false,
|
|
574
|
+
"repeats": true,
|
|
575
|
+
"item": [ {
|
|
576
|
+
"extension": [ {
|
|
577
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
578
|
+
"valueCodeableConcept": {
|
|
579
|
+
"coding": [ {
|
|
580
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
581
|
+
"code": "drop-down",
|
|
582
|
+
"display": "Drop down"
|
|
583
|
+
} ],
|
|
584
|
+
"text": "Drop down"
|
|
585
|
+
}
|
|
586
|
+
}, {
|
|
587
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory",
|
|
588
|
+
"valueCodeableConcept": {
|
|
589
|
+
"coding": [ {
|
|
590
|
+
"display": "The relationship of a family member to the patient."
|
|
591
|
+
} ],
|
|
592
|
+
"text": "The relationship of a family member to the patient."
|
|
593
|
+
}
|
|
594
|
+
} ],
|
|
595
|
+
"linkId": "/54114-4/54136-7",
|
|
596
|
+
"code": [ {
|
|
597
|
+
"system": "http://loinc.org",
|
|
598
|
+
"code": "54136-7",
|
|
599
|
+
"display": "Relationship to patient"
|
|
600
|
+
} ],
|
|
601
|
+
"text": "Relationship to patient",
|
|
602
|
+
"type": "choice",
|
|
603
|
+
"required": false,
|
|
604
|
+
"answerOption": [ {
|
|
605
|
+
"extension": [ {
|
|
606
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
607
|
+
"valueString": "DAU"
|
|
608
|
+
} ],
|
|
609
|
+
"valueCoding": {
|
|
610
|
+
"system": "http://loinc.org",
|
|
611
|
+
"code": "LA10405-1",
|
|
612
|
+
"display": "Daughter"
|
|
613
|
+
}
|
|
614
|
+
}, {
|
|
615
|
+
"extension": [ {
|
|
616
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
617
|
+
"valueString": "GRNDDAU"
|
|
618
|
+
} ],
|
|
619
|
+
"valueCoding": {
|
|
620
|
+
"system": "http://loinc.org",
|
|
621
|
+
"code": "LA10406-9",
|
|
622
|
+
"display": "Granddaughter"
|
|
623
|
+
}
|
|
624
|
+
}, {
|
|
625
|
+
"extension": [ {
|
|
626
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
627
|
+
"valueString": "GRNDSON"
|
|
628
|
+
} ],
|
|
629
|
+
"valueCoding": {
|
|
630
|
+
"system": "http://loinc.org",
|
|
631
|
+
"code": "LA10407-7",
|
|
632
|
+
"display": "Grandson"
|
|
633
|
+
}
|
|
634
|
+
}, {
|
|
635
|
+
"extension": [ {
|
|
636
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
637
|
+
"valueString": "HBRO"
|
|
638
|
+
} ],
|
|
639
|
+
"valueCoding": {
|
|
640
|
+
"system": "http://loinc.org",
|
|
641
|
+
"code": "LA10408-5",
|
|
642
|
+
"display": "Half-brother"
|
|
643
|
+
}
|
|
644
|
+
}, {
|
|
645
|
+
"extension": [ {
|
|
646
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
647
|
+
"valueString": "HSIS"
|
|
648
|
+
} ],
|
|
649
|
+
"valueCoding": {
|
|
650
|
+
"system": "http://loinc.org",
|
|
651
|
+
"code": "LA10409-3",
|
|
652
|
+
"display": "Half-sister"
|
|
653
|
+
}
|
|
654
|
+
}, {
|
|
655
|
+
"extension": [ {
|
|
656
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
657
|
+
"valueString": "MAUNT"
|
|
658
|
+
} ],
|
|
659
|
+
"valueCoding": {
|
|
660
|
+
"system": "http://loinc.org",
|
|
661
|
+
"code": "LA10410-1",
|
|
662
|
+
"display": "Maternal Aunt"
|
|
663
|
+
}
|
|
664
|
+
}, {
|
|
665
|
+
"extension": [ {
|
|
666
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
667
|
+
"valueString": "MCOUSN"
|
|
668
|
+
} ],
|
|
669
|
+
"valueCoding": {
|
|
670
|
+
"system": "http://loinc.org",
|
|
671
|
+
"code": "LA10411-9",
|
|
672
|
+
"display": "Maternal Cousin"
|
|
673
|
+
}
|
|
674
|
+
}, {
|
|
675
|
+
"extension": [ {
|
|
676
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
677
|
+
"valueString": "MGRFTH"
|
|
678
|
+
} ],
|
|
679
|
+
"valueCoding": {
|
|
680
|
+
"system": "http://loinc.org",
|
|
681
|
+
"code": "LA10412-7",
|
|
682
|
+
"display": "Maternal Grandfather"
|
|
683
|
+
}
|
|
684
|
+
}, {
|
|
685
|
+
"extension": [ {
|
|
686
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
687
|
+
"valueString": "MGRMTH"
|
|
688
|
+
} ],
|
|
689
|
+
"valueCoding": {
|
|
690
|
+
"system": "http://loinc.org",
|
|
691
|
+
"code": "LA10413-5",
|
|
692
|
+
"display": "Maternal Grandmother"
|
|
693
|
+
}
|
|
694
|
+
}, {
|
|
695
|
+
"extension": [ {
|
|
696
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
697
|
+
"valueString": "MUNCLE"
|
|
698
|
+
} ],
|
|
699
|
+
"valueCoding": {
|
|
700
|
+
"system": "http://loinc.org",
|
|
701
|
+
"code": "LA10414-3",
|
|
702
|
+
"display": "Maternal Uncle"
|
|
703
|
+
}
|
|
704
|
+
}, {
|
|
705
|
+
"extension": [ {
|
|
706
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
707
|
+
"valueString": "NBRO"
|
|
708
|
+
} ],
|
|
709
|
+
"valueCoding": {
|
|
710
|
+
"system": "http://loinc.org",
|
|
711
|
+
"code": "LA10415-0",
|
|
712
|
+
"display": "Brother"
|
|
713
|
+
}
|
|
714
|
+
}, {
|
|
715
|
+
"extension": [ {
|
|
716
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
717
|
+
"valueString": "NFTH"
|
|
718
|
+
} ],
|
|
719
|
+
"valueCoding": {
|
|
720
|
+
"system": "http://loinc.org",
|
|
721
|
+
"code": "LA10416-8",
|
|
722
|
+
"display": "Father"
|
|
723
|
+
}
|
|
724
|
+
}, {
|
|
725
|
+
"extension": [ {
|
|
726
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
727
|
+
"valueString": "NMTH"
|
|
728
|
+
} ],
|
|
729
|
+
"valueCoding": {
|
|
730
|
+
"system": "http://loinc.org",
|
|
731
|
+
"code": "LA10417-6",
|
|
732
|
+
"display": "Mother"
|
|
733
|
+
}
|
|
734
|
+
}, {
|
|
735
|
+
"extension": [ {
|
|
736
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
737
|
+
"valueString": "NSIS"
|
|
738
|
+
} ],
|
|
739
|
+
"valueCoding": {
|
|
740
|
+
"system": "http://loinc.org",
|
|
741
|
+
"code": "LA10418-4",
|
|
742
|
+
"display": "Sister"
|
|
743
|
+
}
|
|
744
|
+
}, {
|
|
745
|
+
"extension": [ {
|
|
746
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
747
|
+
"valueString": "NEPHEW"
|
|
748
|
+
} ],
|
|
749
|
+
"valueCoding": {
|
|
750
|
+
"system": "http://loinc.org",
|
|
751
|
+
"code": "LA10419-2",
|
|
752
|
+
"display": "Nephew"
|
|
753
|
+
}
|
|
754
|
+
}, {
|
|
755
|
+
"extension": [ {
|
|
756
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
757
|
+
"valueString": "NIECE"
|
|
758
|
+
} ],
|
|
759
|
+
"valueCoding": {
|
|
760
|
+
"system": "http://loinc.org",
|
|
761
|
+
"code": "LA10420-0",
|
|
762
|
+
"display": "Niece"
|
|
763
|
+
}
|
|
764
|
+
}, {
|
|
765
|
+
"extension": [ {
|
|
766
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
767
|
+
"valueString": "PAUNT"
|
|
768
|
+
} ],
|
|
769
|
+
"valueCoding": {
|
|
770
|
+
"system": "http://loinc.org",
|
|
771
|
+
"code": "LA10421-8",
|
|
772
|
+
"display": "Paternal Aunt"
|
|
773
|
+
}
|
|
774
|
+
}, {
|
|
775
|
+
"extension": [ {
|
|
776
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
777
|
+
"valueString": "PCOUSN"
|
|
778
|
+
} ],
|
|
779
|
+
"valueCoding": {
|
|
780
|
+
"system": "http://loinc.org",
|
|
781
|
+
"code": "LA10422-6",
|
|
782
|
+
"display": "Paternal Cousin"
|
|
783
|
+
}
|
|
784
|
+
}, {
|
|
785
|
+
"extension": [ {
|
|
786
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
787
|
+
"valueString": "PGRFTH"
|
|
788
|
+
} ],
|
|
789
|
+
"valueCoding": {
|
|
790
|
+
"system": "http://loinc.org",
|
|
791
|
+
"code": "LA10423-4",
|
|
792
|
+
"display": "Paternal Grandfather"
|
|
793
|
+
}
|
|
794
|
+
}, {
|
|
795
|
+
"extension": [ {
|
|
796
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
797
|
+
"valueString": "PGRMTH"
|
|
798
|
+
} ],
|
|
799
|
+
"valueCoding": {
|
|
800
|
+
"system": "http://loinc.org",
|
|
801
|
+
"code": "LA10424-2",
|
|
802
|
+
"display": "Paternal Grandmother"
|
|
803
|
+
}
|
|
804
|
+
}, {
|
|
805
|
+
"extension": [ {
|
|
806
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
807
|
+
"valueString": "PUNCLE"
|
|
808
|
+
} ],
|
|
809
|
+
"valueCoding": {
|
|
810
|
+
"system": "http://loinc.org",
|
|
811
|
+
"code": "LA10425-9",
|
|
812
|
+
"display": "Paternal Uncle"
|
|
813
|
+
}
|
|
814
|
+
}, {
|
|
815
|
+
"extension": [ {
|
|
816
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
|
|
817
|
+
"valueString": "SON"
|
|
818
|
+
} ],
|
|
819
|
+
"valueCoding": {
|
|
820
|
+
"system": "http://loinc.org",
|
|
821
|
+
"code": "LA10426-7",
|
|
822
|
+
"display": "Son"
|
|
823
|
+
}
|
|
824
|
+
} ]
|
|
825
|
+
}, {
|
|
826
|
+
"linkId": "/54114-4/54138-3",
|
|
827
|
+
"code": [ {
|
|
828
|
+
"system": "http://loinc.org",
|
|
829
|
+
"code": "54138-3",
|
|
830
|
+
"display": "Name"
|
|
831
|
+
} ],
|
|
832
|
+
"text": "Name",
|
|
833
|
+
"type": "string",
|
|
834
|
+
"required": false
|
|
835
|
+
}, {
|
|
836
|
+
"extension": [ {
|
|
837
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
838
|
+
"valueCodeableConcept": {
|
|
839
|
+
"coding": [ {
|
|
840
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
841
|
+
"code": "drop-down",
|
|
842
|
+
"display": "Drop down"
|
|
843
|
+
} ],
|
|
844
|
+
"text": "Drop down"
|
|
845
|
+
}
|
|
846
|
+
}, {
|
|
847
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-initialExpression",
|
|
848
|
+
"valueExpression": {
|
|
849
|
+
"description": "Gender from patient resource",
|
|
850
|
+
"language": "text/fhirpath",
|
|
851
|
+
"expression": "%patient.gender"
|
|
852
|
+
}
|
|
853
|
+
} ],
|
|
854
|
+
"linkId": "/54114-4/54123-5",
|
|
855
|
+
"code": [ {
|
|
856
|
+
"system": "http://loinc.org",
|
|
857
|
+
"code": "54123-5",
|
|
858
|
+
"display": "Gender"
|
|
859
|
+
} ],
|
|
860
|
+
"text": "Gender",
|
|
861
|
+
"type": "choice",
|
|
862
|
+
"required": false,
|
|
863
|
+
"answerOption": [ {
|
|
864
|
+
"valueCoding": {
|
|
865
|
+
"system": "http://loinc.org",
|
|
866
|
+
"code": "LA2-8",
|
|
867
|
+
"display": "Male"
|
|
868
|
+
}
|
|
869
|
+
}, {
|
|
870
|
+
"valueCoding": {
|
|
871
|
+
"system": "http://loinc.org",
|
|
872
|
+
"code": "LA3-6",
|
|
873
|
+
"display": "Female"
|
|
874
|
+
}
|
|
875
|
+
}, {
|
|
876
|
+
"valueCoding": {
|
|
877
|
+
"system": "http://loinc.org",
|
|
878
|
+
"code": "LA46-8",
|
|
879
|
+
"display": "Other"
|
|
880
|
+
}
|
|
881
|
+
} ]
|
|
882
|
+
}, {
|
|
883
|
+
"extension": [ {
|
|
884
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
885
|
+
"valueCodeableConcept": {
|
|
886
|
+
"coding": [ {
|
|
887
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
888
|
+
"code": "drop-down",
|
|
889
|
+
"display": "Drop down"
|
|
890
|
+
} ],
|
|
891
|
+
"text": "Drop down"
|
|
892
|
+
}
|
|
893
|
+
} ],
|
|
894
|
+
"linkId": "/54114-4/54139-1",
|
|
895
|
+
"code": [ {
|
|
896
|
+
"system": "http://loinc.org",
|
|
897
|
+
"code": "54139-1",
|
|
898
|
+
"display": "Living?"
|
|
899
|
+
} ],
|
|
900
|
+
"text": "Living?",
|
|
901
|
+
"type": "choice",
|
|
902
|
+
"required": false,
|
|
903
|
+
"answerOption": [ {
|
|
904
|
+
"valueCoding": {
|
|
905
|
+
"system": "http://loinc.org",
|
|
906
|
+
"code": "LA33-6",
|
|
907
|
+
"display": "Yes"
|
|
908
|
+
}
|
|
909
|
+
}, {
|
|
910
|
+
"valueCoding": {
|
|
911
|
+
"system": "http://loinc.org",
|
|
912
|
+
"code": "LA32-8",
|
|
913
|
+
"display": "No"
|
|
914
|
+
}
|
|
915
|
+
}, {
|
|
916
|
+
"valueCoding": {
|
|
917
|
+
"system": "http://loinc.org",
|
|
918
|
+
"code": "LA4489-6",
|
|
919
|
+
"display": "Unknown"
|
|
920
|
+
}
|
|
921
|
+
} ],
|
|
922
|
+
"item": [ {
|
|
923
|
+
"linkId": "/54114-4/54139-1/54124-3",
|
|
924
|
+
"code": [ {
|
|
925
|
+
"system": "http://loinc.org",
|
|
926
|
+
"code": "54124-3",
|
|
927
|
+
"display": "Date of Birth"
|
|
928
|
+
} ],
|
|
929
|
+
"text": "Date of Birth",
|
|
930
|
+
"type": "date",
|
|
931
|
+
"enableWhen": [ {
|
|
932
|
+
"question": "/54114-4/54139-1",
|
|
933
|
+
"operator": "=",
|
|
934
|
+
"answerCoding": {
|
|
935
|
+
"system": "http://loinc.org",
|
|
936
|
+
"code": "LA33-6"
|
|
937
|
+
}
|
|
938
|
+
} ],
|
|
939
|
+
"required": false
|
|
940
|
+
}, {
|
|
941
|
+
"extension": [ {
|
|
942
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
|
|
943
|
+
"valueCoding": {
|
|
944
|
+
"system": "http://unitsofmeasure.org",
|
|
945
|
+
"code": "a",
|
|
946
|
+
"display": "year"
|
|
947
|
+
}
|
|
948
|
+
} ],
|
|
949
|
+
"linkId": "/54114-4/54139-1/54141-7",
|
|
950
|
+
"code": [ {
|
|
951
|
+
"system": "http://loinc.org",
|
|
952
|
+
"code": "54141-7",
|
|
953
|
+
"display": "Current Age"
|
|
954
|
+
} ],
|
|
955
|
+
"text": "Current Age",
|
|
956
|
+
"type": "decimal",
|
|
957
|
+
"enableWhen": [ {
|
|
958
|
+
"question": "/54114-4/54139-1",
|
|
959
|
+
"operator": "=",
|
|
960
|
+
"answerCoding": {
|
|
961
|
+
"system": "http://loinc.org",
|
|
962
|
+
"code": "LA33-6"
|
|
963
|
+
}
|
|
964
|
+
} ],
|
|
965
|
+
"required": false
|
|
966
|
+
}, {
|
|
967
|
+
"extension": [ {
|
|
968
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
969
|
+
"valueCodeableConcept": {
|
|
970
|
+
"coding": [ {
|
|
971
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
972
|
+
"code": "drop-down",
|
|
973
|
+
"display": "Drop down"
|
|
974
|
+
} ],
|
|
975
|
+
"text": "Drop down"
|
|
976
|
+
}
|
|
977
|
+
} ],
|
|
978
|
+
"linkId": "/54114-4/54139-1/54112-8",
|
|
979
|
+
"code": [ {
|
|
980
|
+
"system": "http://loinc.org",
|
|
981
|
+
"code": "54112-8",
|
|
982
|
+
"display": "Cause of Death"
|
|
983
|
+
} ],
|
|
984
|
+
"text": "Cause of Death",
|
|
985
|
+
"type": "choice",
|
|
986
|
+
"enableWhen": [ {
|
|
987
|
+
"question": "/54114-4/54139-1",
|
|
988
|
+
"operator": "=",
|
|
989
|
+
"answerCoding": {
|
|
990
|
+
"system": "http://loinc.org",
|
|
991
|
+
"code": "LA32-8"
|
|
992
|
+
}
|
|
993
|
+
} ],
|
|
994
|
+
"required": false,
|
|
995
|
+
"answerOption": [ {
|
|
996
|
+
"valueCoding": {
|
|
997
|
+
"system": "http://loinc.org",
|
|
998
|
+
"code": "LA10533-0",
|
|
999
|
+
"display": "Blood Clots"
|
|
1000
|
+
}
|
|
1001
|
+
}, {
|
|
1002
|
+
"valueCoding": {
|
|
1003
|
+
"system": "http://loinc.org",
|
|
1004
|
+
"code": "LA10572-8",
|
|
1005
|
+
"display": "-- Blood Clot in Leg"
|
|
1006
|
+
}
|
|
1007
|
+
}, {
|
|
1008
|
+
"valueCoding": {
|
|
1009
|
+
"system": "http://loinc.org",
|
|
1010
|
+
"code": "LA10573-6",
|
|
1011
|
+
"display": "-- Blood Clot in Lungs"
|
|
1012
|
+
}
|
|
1013
|
+
}, {
|
|
1014
|
+
"valueCoding": {
|
|
1015
|
+
"system": "http://loinc.org",
|
|
1016
|
+
"code": "LA10524-9",
|
|
1017
|
+
"display": "Cancer"
|
|
1018
|
+
}
|
|
1019
|
+
}, {
|
|
1020
|
+
"valueCoding": {
|
|
1021
|
+
"system": "http://loinc.org",
|
|
1022
|
+
"code": "LA10549-6",
|
|
1023
|
+
"display": "-- Bone Cancer"
|
|
1024
|
+
}
|
|
1025
|
+
}, {
|
|
1026
|
+
"valueCoding": {
|
|
1027
|
+
"system": "http://loinc.org",
|
|
1028
|
+
"code": "LA10536-3",
|
|
1029
|
+
"display": "-- Breast Cancer"
|
|
1030
|
+
}
|
|
1031
|
+
}, {
|
|
1032
|
+
"valueCoding": {
|
|
1033
|
+
"system": "http://loinc.org",
|
|
1034
|
+
"code": "LA10537-1",
|
|
1035
|
+
"display": "-- Colon Cancer"
|
|
1036
|
+
}
|
|
1037
|
+
}, {
|
|
1038
|
+
"valueCoding": {
|
|
1039
|
+
"system": "http://loinc.org",
|
|
1040
|
+
"code": "LA10548-8",
|
|
1041
|
+
"display": "-- Esophageal Cancer"
|
|
1042
|
+
}
|
|
1043
|
+
}, {
|
|
1044
|
+
"valueCoding": {
|
|
1045
|
+
"system": "http://loinc.org",
|
|
1046
|
+
"code": "LA10547-0",
|
|
1047
|
+
"display": "-- Gastric Cancer"
|
|
1048
|
+
}
|
|
1049
|
+
}, {
|
|
1050
|
+
"valueCoding": {
|
|
1051
|
+
"system": "http://loinc.org",
|
|
1052
|
+
"code": "LA10541-3",
|
|
1053
|
+
"display": "-- Kidney Cancer"
|
|
1054
|
+
}
|
|
1055
|
+
}, {
|
|
1056
|
+
"valueCoding": {
|
|
1057
|
+
"system": "http://loinc.org",
|
|
1058
|
+
"code": "LA10545-4",
|
|
1059
|
+
"display": "-- Leukemia"
|
|
1060
|
+
}
|
|
1061
|
+
}, {
|
|
1062
|
+
"valueCoding": {
|
|
1063
|
+
"system": "http://loinc.org",
|
|
1064
|
+
"code": "LA10542-1",
|
|
1065
|
+
"display": "-- Lung Cancer"
|
|
1066
|
+
}
|
|
1067
|
+
}, {
|
|
1068
|
+
"valueCoding": {
|
|
1069
|
+
"system": "http://loinc.org",
|
|
1070
|
+
"code": "LA10546-2",
|
|
1071
|
+
"display": "-- Muscle Cancer"
|
|
1072
|
+
}
|
|
1073
|
+
}, {
|
|
1074
|
+
"valueCoding": {
|
|
1075
|
+
"system": "http://loinc.org",
|
|
1076
|
+
"code": "LA10539-7",
|
|
1077
|
+
"display": "-- Ovarian Cancer"
|
|
1078
|
+
}
|
|
1079
|
+
}, {
|
|
1080
|
+
"valueCoding": {
|
|
1081
|
+
"system": "http://loinc.org",
|
|
1082
|
+
"code": "LA10538-9",
|
|
1083
|
+
"display": "-- Prostate Cancer"
|
|
1084
|
+
}
|
|
1085
|
+
}, {
|
|
1086
|
+
"valueCoding": {
|
|
1087
|
+
"system": "http://loinc.org",
|
|
1088
|
+
"code": "LA10543-9",
|
|
1089
|
+
"display": "-- Skin Cancer"
|
|
1090
|
+
}
|
|
1091
|
+
}, {
|
|
1092
|
+
"valueCoding": {
|
|
1093
|
+
"system": "http://loinc.org",
|
|
1094
|
+
"code": "LA10540-5",
|
|
1095
|
+
"display": "-- Thyroid Cancer"
|
|
1096
|
+
}
|
|
1097
|
+
}, {
|
|
1098
|
+
"valueCoding": {
|
|
1099
|
+
"system": "http://loinc.org",
|
|
1100
|
+
"code": "LA10544-7",
|
|
1101
|
+
"display": "-- Uterine Cancer"
|
|
1102
|
+
}
|
|
1103
|
+
}, {
|
|
1104
|
+
"valueCoding": {
|
|
1105
|
+
"system": "http://loinc.org",
|
|
1106
|
+
"code": "LA10550-4",
|
|
1107
|
+
"display": "-- Other Cancer"
|
|
1108
|
+
}
|
|
1109
|
+
}, {
|
|
1110
|
+
"valueCoding": {
|
|
1111
|
+
"system": "http://loinc.org",
|
|
1112
|
+
"code": "LA10529-8",
|
|
1113
|
+
"display": "Diabetes"
|
|
1114
|
+
}
|
|
1115
|
+
}, {
|
|
1116
|
+
"valueCoding": {
|
|
1117
|
+
"system": "http://loinc.org",
|
|
1118
|
+
"code": "LA10551-2",
|
|
1119
|
+
"display": "-- Diabetes Type 1"
|
|
1120
|
+
}
|
|
1121
|
+
}, {
|
|
1122
|
+
"valueCoding": {
|
|
1123
|
+
"system": "http://loinc.org",
|
|
1124
|
+
"code": "LA10552-0",
|
|
1125
|
+
"display": "-- Diabetes Type 2"
|
|
1126
|
+
}
|
|
1127
|
+
}, {
|
|
1128
|
+
"valueCoding": {
|
|
1129
|
+
"system": "http://loinc.org",
|
|
1130
|
+
"code": "LA10553-8",
|
|
1131
|
+
"display": "-- Gestational Diabetes"
|
|
1132
|
+
}
|
|
1133
|
+
}, {
|
|
1134
|
+
"valueCoding": {
|
|
1135
|
+
"system": "http://loinc.org",
|
|
1136
|
+
"code": "LA10532-2",
|
|
1137
|
+
"display": "Gastrointestinal Disease"
|
|
1138
|
+
}
|
|
1139
|
+
}, {
|
|
1140
|
+
"valueCoding": {
|
|
1141
|
+
"system": "http://loinc.org",
|
|
1142
|
+
"code": "LA10554-6",
|
|
1143
|
+
"display": "-- Crohn's Disease"
|
|
1144
|
+
}
|
|
1145
|
+
}, {
|
|
1146
|
+
"valueCoding": {
|
|
1147
|
+
"system": "http://loinc.org",
|
|
1148
|
+
"code": "LA10555-3",
|
|
1149
|
+
"display": "-- Irritable Bowel Syndrome"
|
|
1150
|
+
}
|
|
1151
|
+
}, {
|
|
1152
|
+
"valueCoding": {
|
|
1153
|
+
"system": "http://loinc.org",
|
|
1154
|
+
"code": "LA10556-1",
|
|
1155
|
+
"display": "-- Ulceritive Colitis"
|
|
1156
|
+
}
|
|
1157
|
+
}, {
|
|
1158
|
+
"valueCoding": {
|
|
1159
|
+
"system": "http://loinc.org",
|
|
1160
|
+
"code": "LA10557-9",
|
|
1161
|
+
"display": "-- Colon Polyps"
|
|
1162
|
+
}
|
|
1163
|
+
}, {
|
|
1164
|
+
"valueCoding": {
|
|
1165
|
+
"system": "http://loinc.org",
|
|
1166
|
+
"code": "LA10523-1",
|
|
1167
|
+
"display": "Heart Disease"
|
|
1168
|
+
}
|
|
1169
|
+
}, {
|
|
1170
|
+
"valueCoding": {
|
|
1171
|
+
"system": "http://loinc.org",
|
|
1172
|
+
"code": "LA10558-7",
|
|
1173
|
+
"display": "-- Heart Attack"
|
|
1174
|
+
}
|
|
1175
|
+
}, {
|
|
1176
|
+
"valueCoding": {
|
|
1177
|
+
"system": "http://loinc.org",
|
|
1178
|
+
"code": "LA10526-4",
|
|
1179
|
+
"display": "High Cholesterol/Hyperlipidemia"
|
|
1180
|
+
}
|
|
1181
|
+
}, {
|
|
1182
|
+
"valueCoding": {
|
|
1183
|
+
"system": "http://loinc.org",
|
|
1184
|
+
"code": "LA7444-8",
|
|
1185
|
+
"display": "Hypertension"
|
|
1186
|
+
}
|
|
1187
|
+
}, {
|
|
1188
|
+
"valueCoding": {
|
|
1189
|
+
"system": "http://loinc.org",
|
|
1190
|
+
"code": "LA10528-0",
|
|
1191
|
+
"display": "Kidney Disease"
|
|
1192
|
+
}
|
|
1193
|
+
}, {
|
|
1194
|
+
"valueCoding": {
|
|
1195
|
+
"system": "http://loinc.org",
|
|
1196
|
+
"code": "LA10565-2",
|
|
1197
|
+
"display": "-- Cystic Kidney Disease"
|
|
1198
|
+
}
|
|
1199
|
+
}, {
|
|
1200
|
+
"valueCoding": {
|
|
1201
|
+
"system": "http://loinc.org",
|
|
1202
|
+
"code": "LA10566-0",
|
|
1203
|
+
"display": "-- Kidney Disease Present From Birth"
|
|
1204
|
+
}
|
|
1205
|
+
}, {
|
|
1206
|
+
"valueCoding": {
|
|
1207
|
+
"system": "http://loinc.org",
|
|
1208
|
+
"code": "LA10567-8",
|
|
1209
|
+
"display": "-- Nephrosis"
|
|
1210
|
+
}
|
|
1211
|
+
}, {
|
|
1212
|
+
"valueCoding": {
|
|
1213
|
+
"system": "http://loinc.org",
|
|
1214
|
+
"code": "LA10568-6",
|
|
1215
|
+
"display": "-- Nephritis"
|
|
1216
|
+
}
|
|
1217
|
+
}, {
|
|
1218
|
+
"valueCoding": {
|
|
1219
|
+
"system": "http://loinc.org",
|
|
1220
|
+
"code": "LA10569-4",
|
|
1221
|
+
"display": "-- Nephrotic Syndrome"
|
|
1222
|
+
}
|
|
1223
|
+
}, {
|
|
1224
|
+
"valueCoding": {
|
|
1225
|
+
"system": "http://loinc.org",
|
|
1226
|
+
"code": "LA10570-2",
|
|
1227
|
+
"display": "-- Diabetic Kidney Disease"
|
|
1228
|
+
}
|
|
1229
|
+
}, {
|
|
1230
|
+
"valueCoding": {
|
|
1231
|
+
"system": "http://loinc.org",
|
|
1232
|
+
"code": "LA10571-0",
|
|
1233
|
+
"display": "-- Other/Unknown"
|
|
1234
|
+
}
|
|
1235
|
+
}, {
|
|
1236
|
+
"valueCoding": {
|
|
1237
|
+
"system": "http://loinc.org",
|
|
1238
|
+
"code": "LA10531-4",
|
|
1239
|
+
"display": "Lung Disease"
|
|
1240
|
+
}
|
|
1241
|
+
}, {
|
|
1242
|
+
"valueCoding": {
|
|
1243
|
+
"system": "http://loinc.org",
|
|
1244
|
+
"code": "LA10559-5",
|
|
1245
|
+
"display": "-- COPD"
|
|
1246
|
+
}
|
|
1247
|
+
}, {
|
|
1248
|
+
"valueCoding": {
|
|
1249
|
+
"system": "http://loinc.org",
|
|
1250
|
+
"code": "LA10560-3",
|
|
1251
|
+
"display": "-- Chronic Bronchitis"
|
|
1252
|
+
}
|
|
1253
|
+
}, {
|
|
1254
|
+
"valueCoding": {
|
|
1255
|
+
"system": "http://loinc.org",
|
|
1256
|
+
"code": "LA10561-1",
|
|
1257
|
+
"display": "-- Emphysema"
|
|
1258
|
+
}
|
|
1259
|
+
}, {
|
|
1260
|
+
"valueCoding": {
|
|
1261
|
+
"system": "http://loinc.org",
|
|
1262
|
+
"code": "LA10562-9",
|
|
1263
|
+
"display": "-- Chronic Lower Respiratory Disease"
|
|
1264
|
+
}
|
|
1265
|
+
}, {
|
|
1266
|
+
"valueCoding": {
|
|
1267
|
+
"system": "http://loinc.org",
|
|
1268
|
+
"code": "LA10563-7",
|
|
1269
|
+
"display": "-- Influenza/Pneumonia"
|
|
1270
|
+
}
|
|
1271
|
+
}, {
|
|
1272
|
+
"valueCoding": {
|
|
1273
|
+
"system": "http://loinc.org",
|
|
1274
|
+
"code": "LA10564-5",
|
|
1275
|
+
"display": "-- Asthma"
|
|
1276
|
+
}
|
|
1277
|
+
}, {
|
|
1278
|
+
"valueCoding": {
|
|
1279
|
+
"system": "http://loinc.org",
|
|
1280
|
+
"code": "LA10590-0",
|
|
1281
|
+
"display": "Neurological Disorders"
|
|
1282
|
+
}
|
|
1283
|
+
}, {
|
|
1284
|
+
"valueCoding": {
|
|
1285
|
+
"system": "http://loinc.org",
|
|
1286
|
+
"code": "LA10527-2",
|
|
1287
|
+
"display": "Osteoporosis"
|
|
1288
|
+
}
|
|
1289
|
+
}, {
|
|
1290
|
+
"valueCoding": {
|
|
1291
|
+
"system": "http://loinc.org",
|
|
1292
|
+
"code": "LA10535-5",
|
|
1293
|
+
"display": "Psychological Disorders"
|
|
1294
|
+
}
|
|
1295
|
+
}, {
|
|
1296
|
+
"valueCoding": {
|
|
1297
|
+
"system": "http://loinc.org",
|
|
1298
|
+
"code": "LA10574-4",
|
|
1299
|
+
"display": "-- Anxiety"
|
|
1300
|
+
}
|
|
1301
|
+
}, {
|
|
1302
|
+
"valueCoding": {
|
|
1303
|
+
"system": "http://loinc.org",
|
|
1304
|
+
"code": "LA10575-1",
|
|
1305
|
+
"display": "-- Bipolar/Manic Depressive Disorder"
|
|
1306
|
+
}
|
|
1307
|
+
}, {
|
|
1308
|
+
"valueCoding": {
|
|
1309
|
+
"system": "http://loinc.org",
|
|
1310
|
+
"code": "LA10576-9",
|
|
1311
|
+
"display": "-- Depression"
|
|
1312
|
+
}
|
|
1313
|
+
}, {
|
|
1314
|
+
"valueCoding": {
|
|
1315
|
+
"system": "http://loinc.org",
|
|
1316
|
+
"code": "LA10577-7",
|
|
1317
|
+
"display": "-- Attention Deficit Hyper Activity"
|
|
1318
|
+
}
|
|
1319
|
+
}, {
|
|
1320
|
+
"valueCoding": {
|
|
1321
|
+
"system": "http://loinc.org",
|
|
1322
|
+
"code": "LA10578-5",
|
|
1323
|
+
"display": "-- Autism"
|
|
1324
|
+
}
|
|
1325
|
+
}, {
|
|
1326
|
+
"valueCoding": {
|
|
1327
|
+
"system": "http://loinc.org",
|
|
1328
|
+
"code": "LA10579-3",
|
|
1329
|
+
"display": "-- Personality Disorder"
|
|
1330
|
+
}
|
|
1331
|
+
}, {
|
|
1332
|
+
"valueCoding": {
|
|
1333
|
+
"system": "http://loinc.org",
|
|
1334
|
+
"code": "LA10580-1",
|
|
1335
|
+
"display": "-- Eating Disorder"
|
|
1336
|
+
}
|
|
1337
|
+
}, {
|
|
1338
|
+
"valueCoding": {
|
|
1339
|
+
"system": "http://loinc.org",
|
|
1340
|
+
"code": "LA10581-9",
|
|
1341
|
+
"display": "-- Obsessive Compulsive Disorder"
|
|
1342
|
+
}
|
|
1343
|
+
}, {
|
|
1344
|
+
"valueCoding": {
|
|
1345
|
+
"system": "http://loinc.org",
|
|
1346
|
+
"code": "LA10582-7",
|
|
1347
|
+
"display": "-- Panic Disorder"
|
|
1348
|
+
}
|
|
1349
|
+
}, {
|
|
1350
|
+
"valueCoding": {
|
|
1351
|
+
"system": "http://loinc.org",
|
|
1352
|
+
"code": "LA10583-5",
|
|
1353
|
+
"display": "-- Post Traumatic Stress Disorder"
|
|
1354
|
+
}
|
|
1355
|
+
}, {
|
|
1356
|
+
"valueCoding": {
|
|
1357
|
+
"system": "http://loinc.org",
|
|
1358
|
+
"code": "LA10584-3",
|
|
1359
|
+
"display": "-- Schizophrenia"
|
|
1360
|
+
}
|
|
1361
|
+
}, {
|
|
1362
|
+
"valueCoding": {
|
|
1363
|
+
"system": "http://loinc.org",
|
|
1364
|
+
"code": "LA10585-0",
|
|
1365
|
+
"display": "-- Social Phobia"
|
|
1366
|
+
}
|
|
1367
|
+
}, {
|
|
1368
|
+
"valueCoding": {
|
|
1369
|
+
"system": "http://loinc.org",
|
|
1370
|
+
"code": "LA10586-8",
|
|
1371
|
+
"display": "-- Dementia"
|
|
1372
|
+
}
|
|
1373
|
+
}, {
|
|
1374
|
+
"valueCoding": {
|
|
1375
|
+
"system": "http://loinc.org",
|
|
1376
|
+
"code": "LA10591-8",
|
|
1377
|
+
"display": "Septicemia"
|
|
1378
|
+
}
|
|
1379
|
+
}, {
|
|
1380
|
+
"valueCoding": {
|
|
1381
|
+
"system": "http://loinc.org",
|
|
1382
|
+
"code": "LA10522-3",
|
|
1383
|
+
"display": "Stroke/Brain Attack"
|
|
1384
|
+
}
|
|
1385
|
+
}, {
|
|
1386
|
+
"valueCoding": {
|
|
1387
|
+
"system": "http://loinc.org",
|
|
1388
|
+
"code": "LA10530-6",
|
|
1389
|
+
"display": "Sudden Infant Death Syndrome"
|
|
1390
|
+
}
|
|
1391
|
+
}, {
|
|
1392
|
+
"valueCoding": {
|
|
1393
|
+
"system": "http://loinc.org",
|
|
1394
|
+
"code": "LA10595-9",
|
|
1395
|
+
"display": "Cause of Death"
|
|
1396
|
+
}
|
|
1397
|
+
}, {
|
|
1398
|
+
"valueCoding": {
|
|
1399
|
+
"system": "http://loinc.org",
|
|
1400
|
+
"code": "LA10587-6",
|
|
1401
|
+
"display": "-- Suicide"
|
|
1402
|
+
}
|
|
1403
|
+
}, {
|
|
1404
|
+
"valueCoding": {
|
|
1405
|
+
"system": "http://loinc.org",
|
|
1406
|
+
"code": "LA10588-4",
|
|
1407
|
+
"display": "-- Accidental Death"
|
|
1408
|
+
}
|
|
1409
|
+
}, {
|
|
1410
|
+
"valueCoding": {
|
|
1411
|
+
"system": "http://loinc.org",
|
|
1412
|
+
"code": "LA10589-2",
|
|
1413
|
+
"display": "-- Other/Unexpected"
|
|
1414
|
+
}
|
|
1415
|
+
} ]
|
|
1416
|
+
}, {
|
|
1417
|
+
"extension": [ {
|
|
1418
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1419
|
+
"valueCodeableConcept": {
|
|
1420
|
+
"coding": [ {
|
|
1421
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1422
|
+
"code": "drop-down",
|
|
1423
|
+
"display": "Drop down"
|
|
1424
|
+
} ],
|
|
1425
|
+
"text": "Drop down"
|
|
1426
|
+
}
|
|
1427
|
+
} ],
|
|
1428
|
+
"linkId": "/54114-4/54139-1/54113-6",
|
|
1429
|
+
"code": [ {
|
|
1430
|
+
"system": "http://loinc.org",
|
|
1431
|
+
"code": "54113-6",
|
|
1432
|
+
"display": "Age at Death"
|
|
1433
|
+
} ],
|
|
1434
|
+
"text": "Age at Death",
|
|
1435
|
+
"type": "choice",
|
|
1436
|
+
"enableWhen": [ {
|
|
1437
|
+
"question": "/54114-4/54139-1",
|
|
1438
|
+
"operator": "=",
|
|
1439
|
+
"answerCoding": {
|
|
1440
|
+
"system": "http://loinc.org",
|
|
1441
|
+
"code": "LA32-8"
|
|
1442
|
+
}
|
|
1443
|
+
} ],
|
|
1444
|
+
"required": false,
|
|
1445
|
+
"answerOption": [ {
|
|
1446
|
+
"valueCoding": {
|
|
1447
|
+
"system": "http://loinc.org",
|
|
1448
|
+
"code": "LA10402-8",
|
|
1449
|
+
"display": "Pre-Birth"
|
|
1450
|
+
}
|
|
1451
|
+
}, {
|
|
1452
|
+
"valueCoding": {
|
|
1453
|
+
"system": "http://loinc.org",
|
|
1454
|
+
"code": "LA10403-6",
|
|
1455
|
+
"display": "Newborn"
|
|
1456
|
+
}
|
|
1457
|
+
}, {
|
|
1458
|
+
"valueCoding": {
|
|
1459
|
+
"system": "http://loinc.org",
|
|
1460
|
+
"code": "LA10394-7",
|
|
1461
|
+
"display": "Infancy"
|
|
1462
|
+
}
|
|
1463
|
+
}, {
|
|
1464
|
+
"valueCoding": {
|
|
1465
|
+
"system": "http://loinc.org",
|
|
1466
|
+
"code": "LA10395-4",
|
|
1467
|
+
"display": "Childhood"
|
|
1468
|
+
}
|
|
1469
|
+
}, {
|
|
1470
|
+
"valueCoding": {
|
|
1471
|
+
"system": "http://loinc.org",
|
|
1472
|
+
"code": "LA10404-4",
|
|
1473
|
+
"display": "Adolescence"
|
|
1474
|
+
}
|
|
1475
|
+
}, {
|
|
1476
|
+
"valueCoding": {
|
|
1477
|
+
"system": "http://loinc.org",
|
|
1478
|
+
"code": "LA10396-2",
|
|
1479
|
+
"display": "20-29"
|
|
1480
|
+
}
|
|
1481
|
+
}, {
|
|
1482
|
+
"valueCoding": {
|
|
1483
|
+
"system": "http://loinc.org",
|
|
1484
|
+
"code": "LA10397-0",
|
|
1485
|
+
"display": "30-39"
|
|
1486
|
+
}
|
|
1487
|
+
}, {
|
|
1488
|
+
"valueCoding": {
|
|
1489
|
+
"system": "http://loinc.org",
|
|
1490
|
+
"code": "LA10398-8",
|
|
1491
|
+
"display": "40-49"
|
|
1492
|
+
}
|
|
1493
|
+
}, {
|
|
1494
|
+
"valueCoding": {
|
|
1495
|
+
"system": "http://loinc.org",
|
|
1496
|
+
"code": "LA10399-6",
|
|
1497
|
+
"display": "50-59"
|
|
1498
|
+
}
|
|
1499
|
+
}, {
|
|
1500
|
+
"valueCoding": {
|
|
1501
|
+
"system": "http://loinc.org",
|
|
1502
|
+
"code": "LA10400-2",
|
|
1503
|
+
"display": "OVER 60"
|
|
1504
|
+
}
|
|
1505
|
+
}, {
|
|
1506
|
+
"valueCoding": {
|
|
1507
|
+
"system": "http://loinc.org",
|
|
1508
|
+
"code": "LA4489-6",
|
|
1509
|
+
"display": "Unknown"
|
|
1510
|
+
}
|
|
1511
|
+
} ]
|
|
1512
|
+
} ]
|
|
1513
|
+
}, {
|
|
1514
|
+
"extension": [ {
|
|
1515
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1516
|
+
"valueCodeableConcept": {
|
|
1517
|
+
"coding": [ {
|
|
1518
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1519
|
+
"code": "drop-down",
|
|
1520
|
+
"display": "Drop down"
|
|
1521
|
+
} ],
|
|
1522
|
+
"text": "Drop down"
|
|
1523
|
+
}
|
|
1524
|
+
} ],
|
|
1525
|
+
"linkId": "/54114-4/54121-9",
|
|
1526
|
+
"code": [ {
|
|
1527
|
+
"system": "http://loinc.org",
|
|
1528
|
+
"code": "54121-9",
|
|
1529
|
+
"display": "Twin"
|
|
1530
|
+
} ],
|
|
1531
|
+
"text": "Twin",
|
|
1532
|
+
"type": "choice",
|
|
1533
|
+
"required": false,
|
|
1534
|
+
"answerOption": [ {
|
|
1535
|
+
"valueCoding": {
|
|
1536
|
+
"system": "http://loinc.org",
|
|
1537
|
+
"code": "LA10427-5",
|
|
1538
|
+
"display": "Yes - Identical (Same)"
|
|
1539
|
+
}
|
|
1540
|
+
}, {
|
|
1541
|
+
"valueCoding": {
|
|
1542
|
+
"system": "http://loinc.org",
|
|
1543
|
+
"code": "LA10428-3",
|
|
1544
|
+
"display": "Yes - Fraternal (Different)"
|
|
1545
|
+
}
|
|
1546
|
+
}, {
|
|
1547
|
+
"valueCoding": {
|
|
1548
|
+
"system": "http://loinc.org",
|
|
1549
|
+
"code": "LA32-8",
|
|
1550
|
+
"display": "No"
|
|
1551
|
+
}
|
|
1552
|
+
} ]
|
|
1553
|
+
}, {
|
|
1554
|
+
"extension": [ {
|
|
1555
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1556
|
+
"valueCodeableConcept": {
|
|
1557
|
+
"coding": [ {
|
|
1558
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1559
|
+
"code": "drop-down",
|
|
1560
|
+
"display": "Drop down"
|
|
1561
|
+
} ],
|
|
1562
|
+
"text": "Drop down"
|
|
1563
|
+
}
|
|
1564
|
+
} ],
|
|
1565
|
+
"linkId": "/54114-4/54122-7",
|
|
1566
|
+
"code": [ {
|
|
1567
|
+
"system": "http://loinc.org",
|
|
1568
|
+
"code": "54122-7",
|
|
1569
|
+
"display": "Adopted"
|
|
1570
|
+
} ],
|
|
1571
|
+
"text": "Adopted",
|
|
1572
|
+
"type": "choice",
|
|
1573
|
+
"required": false,
|
|
1574
|
+
"answerOption": [ {
|
|
1575
|
+
"valueCoding": {
|
|
1576
|
+
"system": "http://loinc.org",
|
|
1577
|
+
"code": "LA33-6",
|
|
1578
|
+
"display": "Yes"
|
|
1579
|
+
}
|
|
1580
|
+
}, {
|
|
1581
|
+
"valueCoding": {
|
|
1582
|
+
"system": "http://loinc.org",
|
|
1583
|
+
"code": "LA32-8",
|
|
1584
|
+
"display": "No"
|
|
1585
|
+
}
|
|
1586
|
+
} ]
|
|
1587
|
+
}, {
|
|
1588
|
+
"extension": [ {
|
|
1589
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1590
|
+
"valueCodeableConcept": {
|
|
1591
|
+
"coding": [ {
|
|
1592
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1593
|
+
"code": "drop-down",
|
|
1594
|
+
"display": "Drop down"
|
|
1595
|
+
} ],
|
|
1596
|
+
"text": "Drop down"
|
|
1597
|
+
}
|
|
1598
|
+
} ],
|
|
1599
|
+
"linkId": "/54114-4/54119-3",
|
|
1600
|
+
"code": [ {
|
|
1601
|
+
"system": "http://loinc.org",
|
|
1602
|
+
"code": "54119-3",
|
|
1603
|
+
"display": "Race"
|
|
1604
|
+
} ],
|
|
1605
|
+
"text": "Race",
|
|
1606
|
+
"type": "choice",
|
|
1607
|
+
"required": false,
|
|
1608
|
+
"repeats": true,
|
|
1609
|
+
"answerOption": [ {
|
|
1610
|
+
"valueCoding": {
|
|
1611
|
+
"system": "http://loinc.org",
|
|
1612
|
+
"code": "LA10608-0",
|
|
1613
|
+
"display": "American Indian or Alaska Native"
|
|
1614
|
+
}
|
|
1615
|
+
}, {
|
|
1616
|
+
"valueCoding": {
|
|
1617
|
+
"system": "http://loinc.org",
|
|
1618
|
+
"code": "LA6156-9",
|
|
1619
|
+
"display": "Asian"
|
|
1620
|
+
}
|
|
1621
|
+
}, {
|
|
1622
|
+
"valueCoding": {
|
|
1623
|
+
"system": "http://loinc.org",
|
|
1624
|
+
"code": "LA10614-8",
|
|
1625
|
+
"display": "-- Asian Indian"
|
|
1626
|
+
}
|
|
1627
|
+
}, {
|
|
1628
|
+
"valueCoding": {
|
|
1629
|
+
"system": "http://loinc.org",
|
|
1630
|
+
"code": "LA10615-5",
|
|
1631
|
+
"display": "-- Chinese"
|
|
1632
|
+
}
|
|
1633
|
+
}, {
|
|
1634
|
+
"valueCoding": {
|
|
1635
|
+
"system": "http://loinc.org",
|
|
1636
|
+
"code": "LA10616-3",
|
|
1637
|
+
"display": "-- Filipino"
|
|
1638
|
+
}
|
|
1639
|
+
}, {
|
|
1640
|
+
"valueCoding": {
|
|
1641
|
+
"system": "http://loinc.org",
|
|
1642
|
+
"code": "LA10617-1",
|
|
1643
|
+
"display": "-- Japanese"
|
|
1644
|
+
}
|
|
1645
|
+
}, {
|
|
1646
|
+
"valueCoding": {
|
|
1647
|
+
"system": "http://loinc.org",
|
|
1648
|
+
"code": "LA10618-9",
|
|
1649
|
+
"display": "-- Korean"
|
|
1650
|
+
}
|
|
1651
|
+
}, {
|
|
1652
|
+
"valueCoding": {
|
|
1653
|
+
"system": "http://loinc.org",
|
|
1654
|
+
"code": "LA10620-5",
|
|
1655
|
+
"display": "-- Vietnamese"
|
|
1656
|
+
}
|
|
1657
|
+
}, {
|
|
1658
|
+
"valueCoding": {
|
|
1659
|
+
"system": "http://loinc.org",
|
|
1660
|
+
"code": "LA10619-7",
|
|
1661
|
+
"display": "-- Other Asian"
|
|
1662
|
+
}
|
|
1663
|
+
}, {
|
|
1664
|
+
"valueCoding": {
|
|
1665
|
+
"system": "http://loinc.org",
|
|
1666
|
+
"code": "LA10610-6",
|
|
1667
|
+
"display": "Black or African American"
|
|
1668
|
+
}
|
|
1669
|
+
}, {
|
|
1670
|
+
"valueCoding": {
|
|
1671
|
+
"system": "http://loinc.org",
|
|
1672
|
+
"code": "LA10611-4",
|
|
1673
|
+
"display": "Native Hawaiian or Other Pacific Islander"
|
|
1674
|
+
}
|
|
1675
|
+
}, {
|
|
1676
|
+
"valueCoding": {
|
|
1677
|
+
"system": "http://loinc.org",
|
|
1678
|
+
"code": "LA10623-9",
|
|
1679
|
+
"display": "-- Native Hawaiian"
|
|
1680
|
+
}
|
|
1681
|
+
}, {
|
|
1682
|
+
"valueCoding": {
|
|
1683
|
+
"system": "http://loinc.org",
|
|
1684
|
+
"code": "LA10622-1",
|
|
1685
|
+
"display": "-- Guamanian"
|
|
1686
|
+
}
|
|
1687
|
+
}, {
|
|
1688
|
+
"valueCoding": {
|
|
1689
|
+
"system": "http://loinc.org",
|
|
1690
|
+
"code": "LA10621-3",
|
|
1691
|
+
"display": "-- Chamorro"
|
|
1692
|
+
}
|
|
1693
|
+
}, {
|
|
1694
|
+
"valueCoding": {
|
|
1695
|
+
"system": "http://loinc.org",
|
|
1696
|
+
"code": "LA10625-4",
|
|
1697
|
+
"display": "-- Samoan"
|
|
1698
|
+
}
|
|
1699
|
+
}, {
|
|
1700
|
+
"valueCoding": {
|
|
1701
|
+
"system": "http://loinc.org",
|
|
1702
|
+
"code": "LA10624-7",
|
|
1703
|
+
"display": "-- Other Pacific Islander"
|
|
1704
|
+
}
|
|
1705
|
+
}, {
|
|
1706
|
+
"valueCoding": {
|
|
1707
|
+
"system": "http://loinc.org",
|
|
1708
|
+
"code": "LA4457-3",
|
|
1709
|
+
"display": "White"
|
|
1710
|
+
}
|
|
1711
|
+
}, {
|
|
1712
|
+
"valueCoding": {
|
|
1713
|
+
"system": "http://loinc.org",
|
|
1714
|
+
"code": "LA10613-0",
|
|
1715
|
+
"display": "Other/Unknown/Refuse To Answer"
|
|
1716
|
+
}
|
|
1717
|
+
} ]
|
|
1718
|
+
}, {
|
|
1719
|
+
"extension": [ {
|
|
1720
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1721
|
+
"valueCodeableConcept": {
|
|
1722
|
+
"coding": [ {
|
|
1723
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1724
|
+
"code": "drop-down",
|
|
1725
|
+
"display": "Drop down"
|
|
1726
|
+
} ],
|
|
1727
|
+
"text": "Drop down"
|
|
1728
|
+
}
|
|
1729
|
+
} ],
|
|
1730
|
+
"linkId": "/54114-4/54120-1",
|
|
1731
|
+
"code": [ {
|
|
1732
|
+
"system": "http://loinc.org",
|
|
1733
|
+
"code": "54120-1",
|
|
1734
|
+
"display": "Ethnicity"
|
|
1735
|
+
} ],
|
|
1736
|
+
"text": "Ethnicity",
|
|
1737
|
+
"type": "choice",
|
|
1738
|
+
"required": false,
|
|
1739
|
+
"repeats": true,
|
|
1740
|
+
"answerOption": [ {
|
|
1741
|
+
"valueCoding": {
|
|
1742
|
+
"system": "http://loinc.org",
|
|
1743
|
+
"code": "LA6214-6",
|
|
1744
|
+
"display": "Hispanic or Latino"
|
|
1745
|
+
}
|
|
1746
|
+
}, {
|
|
1747
|
+
"valueCoding": {
|
|
1748
|
+
"system": "http://loinc.org",
|
|
1749
|
+
"code": "LA10599-1",
|
|
1750
|
+
"display": "-- Central American"
|
|
1751
|
+
}
|
|
1752
|
+
}, {
|
|
1753
|
+
"valueCoding": {
|
|
1754
|
+
"system": "http://loinc.org",
|
|
1755
|
+
"code": "LA10600-7",
|
|
1756
|
+
"display": "-- Cuban"
|
|
1757
|
+
}
|
|
1758
|
+
}, {
|
|
1759
|
+
"valueCoding": {
|
|
1760
|
+
"system": "http://loinc.org",
|
|
1761
|
+
"code": "LA10601-5",
|
|
1762
|
+
"display": "-- Dominican(Republic)"
|
|
1763
|
+
}
|
|
1764
|
+
}, {
|
|
1765
|
+
"valueCoding": {
|
|
1766
|
+
"system": "http://loinc.org",
|
|
1767
|
+
"code": "LA10602-3",
|
|
1768
|
+
"display": "-- Mexican"
|
|
1769
|
+
}
|
|
1770
|
+
}, {
|
|
1771
|
+
"valueCoding": {
|
|
1772
|
+
"system": "http://loinc.org",
|
|
1773
|
+
"code": "LA10605-6",
|
|
1774
|
+
"display": "-- Puerto Rican"
|
|
1775
|
+
}
|
|
1776
|
+
}, {
|
|
1777
|
+
"valueCoding": {
|
|
1778
|
+
"system": "http://loinc.org",
|
|
1779
|
+
"code": "LA10606-4",
|
|
1780
|
+
"display": "-- South American"
|
|
1781
|
+
}
|
|
1782
|
+
}, {
|
|
1783
|
+
"valueCoding": {
|
|
1784
|
+
"system": "http://loinc.org",
|
|
1785
|
+
"code": "LA10604-9",
|
|
1786
|
+
"display": "-- Other Latin American"
|
|
1787
|
+
}
|
|
1788
|
+
}, {
|
|
1789
|
+
"valueCoding": {
|
|
1790
|
+
"system": "http://loinc.org",
|
|
1791
|
+
"code": "LA10603-1",
|
|
1792
|
+
"display": "-- Other Hispanic/Latino/Spanish"
|
|
1793
|
+
}
|
|
1794
|
+
}, {
|
|
1795
|
+
"valueCoding": {
|
|
1796
|
+
"system": "http://loinc.org",
|
|
1797
|
+
"code": "LA10597-5",
|
|
1798
|
+
"display": "Non-Hispanic or Latino"
|
|
1799
|
+
}
|
|
1800
|
+
}, {
|
|
1801
|
+
"valueCoding": {
|
|
1802
|
+
"system": "http://loinc.org",
|
|
1803
|
+
"code": "LA10598-3",
|
|
1804
|
+
"display": "Ashkenazi Jewish"
|
|
1805
|
+
}
|
|
1806
|
+
}, {
|
|
1807
|
+
"valueCoding": {
|
|
1808
|
+
"system": "http://loinc.org",
|
|
1809
|
+
"code": "LA10607-2",
|
|
1810
|
+
"display": "Unknown/No answer"
|
|
1811
|
+
}
|
|
1812
|
+
} ]
|
|
1813
|
+
}, {
|
|
1814
|
+
"extension": [ {
|
|
1815
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1816
|
+
"valueCodeableConcept": {
|
|
1817
|
+
"coding": [ {
|
|
1818
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1819
|
+
"code": "drop-down",
|
|
1820
|
+
"display": "Drop down"
|
|
1821
|
+
} ],
|
|
1822
|
+
"text": "Drop down"
|
|
1823
|
+
}
|
|
1824
|
+
} ],
|
|
1825
|
+
"linkId": "/54114-4/54118-5",
|
|
1826
|
+
"code": [ {
|
|
1827
|
+
"system": "http://loinc.org",
|
|
1828
|
+
"code": "54118-5",
|
|
1829
|
+
"display": "Parents related"
|
|
1830
|
+
} ],
|
|
1831
|
+
"text": "Parents related",
|
|
1832
|
+
"type": "choice",
|
|
1833
|
+
"required": false,
|
|
1834
|
+
"answerOption": [ {
|
|
1835
|
+
"valueCoding": {
|
|
1836
|
+
"system": "http://loinc.org",
|
|
1837
|
+
"code": "LA33-6",
|
|
1838
|
+
"display": "Yes"
|
|
1839
|
+
}
|
|
1840
|
+
}, {
|
|
1841
|
+
"valueCoding": {
|
|
1842
|
+
"system": "http://loinc.org",
|
|
1843
|
+
"code": "LA32-8",
|
|
1844
|
+
"display": "No"
|
|
1845
|
+
}
|
|
1846
|
+
} ]
|
|
1847
|
+
}, {
|
|
1848
|
+
"linkId": "/54114-4/54117-7",
|
|
1849
|
+
"code": [ {
|
|
1850
|
+
"system": "http://loinc.org",
|
|
1851
|
+
"code": "54117-7",
|
|
1852
|
+
"display": "Diseases history panel"
|
|
1853
|
+
} ],
|
|
1854
|
+
"text": "Diseases history panel",
|
|
1855
|
+
"type": "group",
|
|
1856
|
+
"required": false,
|
|
1857
|
+
"repeats": true,
|
|
1858
|
+
"item": [ {
|
|
1859
|
+
"extension": [ {
|
|
1860
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1861
|
+
"valueCodeableConcept": {
|
|
1862
|
+
"coding": [ {
|
|
1863
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1864
|
+
"code": "autocomplete",
|
|
1865
|
+
"display": "Auto-complete"
|
|
1866
|
+
} ],
|
|
1867
|
+
"text": "Auto-complete"
|
|
1868
|
+
}
|
|
1869
|
+
}, {
|
|
1870
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-externallydefined",
|
|
1871
|
+
"valueUri": "https://clinicaltables.nlm.nih.gov/api/conditions/v3/search"
|
|
1872
|
+
} ],
|
|
1873
|
+
"linkId": "/54114-4/54117-7/54116-9",
|
|
1874
|
+
"code": [ {
|
|
1875
|
+
"system": "http://loinc.org",
|
|
1876
|
+
"code": "54116-9",
|
|
1877
|
+
"display": "History of diseases"
|
|
1878
|
+
} ],
|
|
1879
|
+
"text": "History of diseases",
|
|
1880
|
+
"type": "choice",
|
|
1881
|
+
"required": false
|
|
1882
|
+
}, {
|
|
1883
|
+
"extension": [ {
|
|
1884
|
+
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
|
|
1885
|
+
"valueCodeableConcept": {
|
|
1886
|
+
"coding": [ {
|
|
1887
|
+
"system": "http://hl7.org/fhir/questionnaire-item-control",
|
|
1888
|
+
"code": "drop-down",
|
|
1889
|
+
"display": "Drop down"
|
|
1890
|
+
} ],
|
|
1891
|
+
"text": "Drop down"
|
|
1892
|
+
}
|
|
1893
|
+
} ],
|
|
1894
|
+
"linkId": "/54114-4/54117-7/54115-1",
|
|
1895
|
+
"code": [ {
|
|
1896
|
+
"system": "http://loinc.org",
|
|
1897
|
+
"code": "54115-1",
|
|
1898
|
+
"display": "Age range at onset of disease"
|
|
1899
|
+
} ],
|
|
1900
|
+
"text": "Age range at onset of disease",
|
|
1901
|
+
"type": "choice",
|
|
1902
|
+
"required": false,
|
|
1903
|
+
"answerOption": [ {
|
|
1904
|
+
"valueCoding": {
|
|
1905
|
+
"system": "http://loinc.org",
|
|
1906
|
+
"code": "LA10402-8",
|
|
1907
|
+
"display": "Pre-Birth"
|
|
1908
|
+
}
|
|
1909
|
+
}, {
|
|
1910
|
+
"valueCoding": {
|
|
1911
|
+
"system": "http://loinc.org",
|
|
1912
|
+
"code": "LA10403-6",
|
|
1913
|
+
"display": "Newborn"
|
|
1914
|
+
}
|
|
1915
|
+
}, {
|
|
1916
|
+
"valueCoding": {
|
|
1917
|
+
"system": "http://loinc.org",
|
|
1918
|
+
"code": "LA10394-7",
|
|
1919
|
+
"display": "Infancy"
|
|
1920
|
+
}
|
|
1921
|
+
}, {
|
|
1922
|
+
"valueCoding": {
|
|
1923
|
+
"system": "http://loinc.org",
|
|
1924
|
+
"code": "LA10395-4",
|
|
1925
|
+
"display": "Childhood"
|
|
1926
|
+
}
|
|
1927
|
+
}, {
|
|
1928
|
+
"valueCoding": {
|
|
1929
|
+
"system": "http://loinc.org",
|
|
1930
|
+
"code": "LA10404-4",
|
|
1931
|
+
"display": "Adolescence"
|
|
1932
|
+
}
|
|
1933
|
+
}, {
|
|
1934
|
+
"valueCoding": {
|
|
1935
|
+
"system": "http://loinc.org",
|
|
1936
|
+
"code": "LA10396-2",
|
|
1937
|
+
"display": "20-29"
|
|
1938
|
+
}
|
|
1939
|
+
}, {
|
|
1940
|
+
"valueCoding": {
|
|
1941
|
+
"system": "http://loinc.org",
|
|
1942
|
+
"code": "LA10397-0",
|
|
1943
|
+
"display": "30-39"
|
|
1944
|
+
}
|
|
1945
|
+
}, {
|
|
1946
|
+
"valueCoding": {
|
|
1947
|
+
"system": "http://loinc.org",
|
|
1948
|
+
"code": "LA10398-8",
|
|
1949
|
+
"display": "40-49"
|
|
1950
|
+
}
|
|
1951
|
+
}, {
|
|
1952
|
+
"valueCoding": {
|
|
1953
|
+
"system": "http://loinc.org",
|
|
1954
|
+
"code": "LA10399-6",
|
|
1955
|
+
"display": "50-59"
|
|
1956
|
+
}
|
|
1957
|
+
}, {
|
|
1958
|
+
"valueCoding": {
|
|
1959
|
+
"system": "http://loinc.org",
|
|
1960
|
+
"code": "LA10400-2",
|
|
1961
|
+
"display": "OVER 60"
|
|
1962
|
+
}
|
|
1963
|
+
}, {
|
|
1964
|
+
"valueCoding": {
|
|
1965
|
+
"system": "http://loinc.org",
|
|
1966
|
+
"code": "LA4489-6",
|
|
1967
|
+
"display": "Unknown"
|
|
1968
|
+
}
|
|
1969
|
+
} ]
|
|
1970
|
+
} ]
|
|
1971
|
+
} ]
|
|
1972
|
+
} ]
|
|
1973
|
+
}
|