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{
  "resourceType": "Questionnaire",
  "id": "England-Questionnaire-QRISK3-Example",
  "url": "https://fhir.nhs.uk/Questionnaire/England-Questionnaire-QRISK3-Example",
  "version": "0.2.0-alpha",
  "name": "EnglandQuestionnaireQRISK3Example",
  "title": "QRISK3 (v2018.0) Questionnaire",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "date": "2026-08-11",
  "publisher": "NHS England",
  "contact": [
    {
      "name": "NHS England",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work",
          "rank": 1
        }
      ]
    }
  ],
  "description": "Data elements needed to calculate QRISK3 (version 2018.0).",
  "copyright": "Copyright © 2026+ NHS England Licensed under the Apache License, Version 2.0 (the \\\"License\\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\\"AS IS\\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
  "item": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueInteger": 25
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueInteger": 84
        }
      ],
      "linkId": "age",
      "text": "Age (25-84)",
      "type": "integer",
      "required": true
    },
    {
      "linkId": "sex",
      "text": "Birth Sex",
      "type": "choice",
      "required": true,
      "answerValueSet": "https://fhir.nhs.uk/England/ValueSet/England-QRISK3-BirthSex"
    },
    {
      "linkId": "postcode",
      "text": "UK postcode (used to derive Townsend deprivation score)",
      "type": "string",
      "required": true
    },
    {
      "linkId": "ethnicity",
      "text": "Ethnicity",
      "type": "choice",
      "required": true,
      "answerValueSet": "https://fhir.nhs.uk/England/ValueSet/England-QRISK3-Ethnicity-Condition"
    },
    {
      "linkId": "smokingStatus",
      "text": "Smoking status",
      "type": "choice",
      "required": true,
      "answerValueSet": "https://fhir.nhs.uk/England/ValueSet/England-QRISK3-SmokingStatus"
    },
    {
      "linkId": "diabetesStatus",
      "text": "Diabetes status",
      "type": "choice",
      "required": true,
      "answerValueSet": "https://fhir.nhs.uk/England/ValueSet/England-QRISK3-DiabetesStatus"
    },
    {
      "linkId": "familyHistoryCvd",
      "text": "Angina or heart attack in a 1st degree relative < 60?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "chronicKidneyDisease",
      "text": "Chronic kidney disease (stage 3, 4 or 5)?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "atrialFibrillation",
      "text": "Atrial fibrillation?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "onBloodPressureTreatment",
      "text": "On blood pressure treatment?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "migraine",
      "text": "Do you have migraines?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "rheumatoidArthritis",
      "text": "Rheumatoid arthritis?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "systemicLupusErythematosus",
      "text": "Systemic lupus erythematosus (SLE)?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "severeMentalIllness",
      "text": "Severe mental illness?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "atypicalAntipsychoticMedication",
      "text": "On atypical antipsychotic medication?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "regularCorticosteroidUse",
      "text": "Are you on regular steroid tablets?",
      "type": "boolean",
      "required": true
    },
    {
      "linkId": "erectileDysfunction",
      "text": "A diagnosis of or treatment for erectile dysfunction?",
      "type": "boolean",
      "enableWhen": [
        {
          "question": "sex",
          "operator": "=",
          "answerCoding": {
            "system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
            "code": "M",
            "display": "Male"
          }
        }
      ],
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "1",
            "display": "ratio"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 1
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 11
        }
      ],
      "linkId": "cholesterolHdlRatio",
      "text": "Cholesterol/HDL ratio:",
      "type": "decimal",
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 70
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 210
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]",
            "display": "mmHg"
          }
        }
      ],
      "linkId": "systolicBloodPressure",
      "text": "Systolic blood pressure (mmHg):",
      "type": "decimal",
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 0
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 40
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]",
            "display": "mmHg"
          }
        }
      ],
      "linkId": "systolicBloodPressureStdDev",
      "text": "Standard deviation of at least two most recent systolic blood pressure readings (mmHg)",
      "type": "decimal",
      "required": true
    },
    {
      "linkId": "bodyMeasurementMethod",
      "text": "How would you like to provide body measurements?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "valueCoding": {
            "code": "bmi",
            "display": "Provide BMI"
          },
          "initialSelected": true
        },
        {
          "valueCoding": {
            "code": "height-weight",
            "display": "Provide height and weight"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "kg/m2",
            "display": "kg/m²"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 15
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 47
        }
      ],
      "linkId": "bmi",
      "text": "BMI",
      "type": "decimal",
      "enableWhen": [
        {
          "question": "bodyMeasurementMethod",
          "operator": "=",
          "answerCoding": {
            "code": "bmi"
          }
        }
      ],
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "cm",
            "display": "cm"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 140
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 210
        }
      ],
      "linkId": "height",
      "text": "Height (cm)",
      "type": "decimal",
      "enableWhen": [
        {
          "question": "bodyMeasurementMethod",
          "operator": "=",
          "answerCoding": {
            "code": "height-weight"
          }
        }
      ],
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "kg",
            "display": "kg"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 40
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 180
        }
      ],
      "linkId": "weight",
      "text": "Weight (kg)",
      "type": "decimal",
      "enableWhen": [
        {
          "question": "bodyMeasurementMethod",
          "operator": "=",
          "answerCoding": {
            "code": "height-weight"
          }
        }
      ],
      "required": true
    }
  ]
}

name : EnglandQuestionnaireQRISK3Example

{

}