# entry[].resource.text.div
            1.Comorbidity?
              1.1 Cardial Comorbidity
                1.1.1 Angina?
                1.1.2 MI?
              1.2 Vascular Comorbidity?
              ...
            Histopathology
              Abdominal
                pT category?
              ...

# entry[].resource.text.div
Generated Narrative with Details

id: 54127-6

meta:

contained: ,

url: http://hl7.org/fhir/us/sdc/Questionnaire/54127-6

identifier: 54127-6

title: US Surgeon General - Family Health Portrait

status: active

experimental: true

subjectType: Patient

date: 01/01/2015

publisher: Regenstrief Institute, Inc and the LOINC Committee

contact:

description: This represents an implementation of the "US Surgeon General family health portrait" form found at https://lforms-demo.nlm.nih.gov

useContext:

jurisdiction: United States of America (Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America)

purpose: Captures basic family history information

copyright: (c) 2015 Regenstrief Institute

approvalDate: 31/10/2015

lastReviewDate: 15/03/2017

code: US Surgeon General family health portrait [USSG-FHT] (Details: LOINC code 54127-6 = 'US Surgeon General family health portrait [USSG-FHT]', stated as 'US Surgeon General family health portrait [USSG-FHT]')

item

linkId: 0

type: group

Items

-
*
*
*
*

item

linkId: 1

definition: http://loinc.org/rdf#54126-8

text: Your health information

type: group

required: true

Items

-
*
*

item

linkId: 2

definition: http://loinc.org/rdf#54114-4

text: Family member health information

type: group

repeats: true

Items

-
*

# entry[].resource.title
US Surgeon General - Family Health Portrait

# entry[].resource.publisher
Regenstrief Institute, Inc and the LOINC Committee

# entry[].resource.description
This represents an implementation of the "US Surgeon General family health portrait" form found at https://lforms-demo.nlm.nih.gov

# entry[].resource.purpose
Captures basic family history information

# entry[].resource.code[].display
US Surgeon General family health portrait [USSG-FHT]

# entry[].resource.item[].item[].item[].text
Are your parents related to each other in any way other than marriage?

# entry[].resource.text.div
    Birth details - To be completed by health professional
  Name of child: ____________________________________
            Sex: __

  Neonatal Information
    Birth Weight (kg): ___________
    Birth Length (cm): ___________
    Vitamin K given  : __
             1st dose: ___________
             2nd dose: ___________
    Hep B given      : __
      Date given     : ___________
    Abnormalities noted at birth:
      _______________________________________________

# entry[].resource.title
NSW Government My Personal Health Record

# entry[].resource.item[].text
Birth details - To be completed by health professional

# entry[].resource.text.div
Lifelines Questionnaire 1 part 1
  1. Do you have allergies?
  2. General Questions:
    2.a) What is your gender?
    2.b) What is your date of birth?
    2.c) What is your country of birth?
    2.d) What is your marital status?
    3. Intoxications:
      3.a) Do you smoke?
      3.b) Do you drink alcohol?

# entry[].resource.text.div
Generated Narrative with Details

id: gcs

contained: , ,

url: http://hl7.org/fhir/Questionnaire/gcs

title: Glasgow Coma Score

status: draft

subjectType: Patient

date: 03/08/2015

publisher: FHIR Project team

code: Glasgow coma score total (Details: LOINC code 9269-2 = 'Glasgow coma score total', stated as 'null')

item

linkId: 1.1

code: Glasgow coma score verbal (Details: LOINC code 9270-0 = 'Glasgow coma score verbal', stated as 'null')

type: choice

answerValueSet: #verbal

item

linkId: 1.2

code: Glasgow coma score motor (Details: LOINC code 9268-4 = 'Glasgow coma score motor', stated as 'null')

type: choice

answerValueSet: #motor

item

linkId: 1.3

code: Glasgow coma score eye opening (Details: LOINC code 9267-6 = 'Glasgow coma score eye opening', stated as 'null')

type: choice

answerValueSet: #eye

# entry[].resource.contained[].compose.include[].concept[].display
No verbal response (>2yrs); no vocal response (<=2yrs)

# entry[].resource.text.div
PHQ-9 Questionnaire with dynamic logic

# entry[].resource.item[].text
Little interest or pleasure in doing things

# entry[].resource.item[].text
Feeling bad about yourself - or that you are a failure or have let yourself or your family down

# entry[].resource.item[].text
Trouble concentrating on things, such as reading the newspaper or watching television

# entry[].resource.item[].text
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual

# entry[].resource.item[].text
If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people

# entry[].resource.description
Example questionnaire to assess Zika virus exposure potential.

# entry[].resource.item[].extension[].valueAttachment.title
Areas with active Zika virus transmission/exposure risk

# entry[].resource.item[].code[].code
CDE: Resident of or Frequent Traveler to Zika Area

# entry[].resource.item[].text
Are you a resident of, or do you travel frequently to, an area with active Zika transmission?

# entry[].resource.item[].extension[].valueAttachment.title
Areas with active Zika virus transmission/exposure risk

# entry[].resource.item[].text
Have you recently traveled to an area with active Zika transmission?

# entry[].resource.item[].text
How long has it been since you returned?

# entry[].resource.item[].extension[].valueAttachment.title
Areas with active Zika virus transmission/exposure risk

# entry[].resource.item[].code[].code
CDE: Recent Sexual Encounter with Traveler to Zika Area

# entry[].resource.item[].text
Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?

# entry[].resource.item[].text
How long has it been since your last condomless sexual encounter?

# entry[].resource.item[].extension[].valueAttachment.title
Areas with active Zika virus transmission/exposure risk

# entry[].resource.item[].text
Do you plan to travel to an area with active Zika transmission?