{
  "resourceType": "Questionnaire",
  "id": "0d9fccea-9c98-4e61-b3e0-bc9b3a9db675",
  "meta": {
    "versionId": "24",
    "lastUpdated": "2024-05-12T10:22:58.032Z"
  },
  "url": "https://example.fhir.nhs.uk/Questionnaire/VitalSignsFinding",
  "title": "Vital signs finding",
  "status": "draft",
  "description": "Based on [LONIC Vital Signs](https://loinc.org/67795-5) converted to SNOMED CT with the addition of level of `consciousness or new confusion` from [Royal College of Physicians NEWS2](https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/)",
  "useContext": [
    {
      "code": {
        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code": "focus"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "163121000000106",
            "display": "Findings"
          }
        ]
      }
    }
  ],
  "code": [
    {
      "system": "http://snomed.info/sct",
      "code": "118227000",
      "display": "Vital signs finding"
    }
  ],
  "item": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "%",
            "display": "percent"
          }
        }
      ],
      "linkId": "/927981000000106",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "927981000000106",
          "display": "Baseline SpO2 (oxygen saturation at periphery)"
        },
        {
          "system": "http://loinc.org",
          "code": "59408-5"
        }
      ],
      "prefix": "1",
      "text": "Baseline SpO2 (oxygen saturation at periphery)",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "percent",
            "system": "http://unitsofmeasure.org",
            "code": "%"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "kg",
            "display": "kilogram"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "[lb_av]",
            "display": "pound"
          }
        }
      ],
      "linkId": "/27113001",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "27113001",
          "display": "Body weight"
        },
        {
          "system": "http://loinc.org",
          "code": "29463-7"
        }
      ],
      "prefix": "2",
      "text": "Weight Measured",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "kilogram",
            "system": "http://unitsofmeasure.org",
            "code": "kg"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "cm",
            "display": "centimeter"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "[in_i]",
            "display": "inch"
          }
        }
      ],
      "linkId": "/363811000",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "363811000",
          "display": "Head circumference measure"
        }
      ],
      "prefix": "3",
      "text": "Head circumference",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "centimeter",
            "system": "http://unitsofmeasure.org",
            "code": "cm"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "cm",
            "display": "centimeter"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "[in_i]",
            "display": "inch"
          }
        }
      ],
      "linkId": "/50373000",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "50373000",
          "display": "Body height measure"
        },
        {
          "system": "http://loinc.org",
          "code": "8302-2"
        }
      ],
      "prefix": "4",
      "text": "Body height",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "centimeter",
            "system": "http://unitsofmeasure.org",
            "code": "cm"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "Cel",
            "display": "degree Celsius"
          }
        }
      ],
      "linkId": "/276885007",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "276885007",
          "display": "Core body temperature"
        },
        {
          "system": "http://loinc.org",
          "code": "8310-5",
          "display": "Temperature (deg F) OR"
        }
      ],
      "prefix": "5",
      "text": "Body temperature",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "degree Celsius",
            "system": "http://unitsofmeasure.org",
            "code": "Cel"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]",
            "display": "millimeter of mercury"
          }
        }
      ],
      "linkId": "/72313002",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "72313002",
          "display": "Systolic arterial pressure"
        },
        {
          "system": "http://loinc.org",
          "code": "8480-6",
          "display": "Systolic Blood Pressure (mm/Hg)"
        }
      ],
      "prefix": "6",
      "text": "Systolic blood pressure",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "millimeter of mercury",
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]",
            "display": "millimeter of mercury"
          }
        }
      ],
      "linkId": "/1091811000000102",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "1091811000000102",
          "display": "Diastolic arterial pressure"
        },
        {
          "system": "http://loinc.org",
          "code": "8462-4",
          "display": "Diastolic Blood Pressure (mm/Hg)"
        }
      ],
      "prefix": "7",
      "text": "Diastolic blood pressure",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "millimeter of mercury",
            "system": "http://unitsofmeasure.org",
            "code": "mm[Hg]"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "{beats}/min",
            "display": "heart beats per minute"
          }
        }
      ],
      "linkId": "/364075005",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "364075005",
          "display": "Heart rate"
        },
        {
          "system": "http://loinc.org",
          "code": "8867-4"
        }
      ],
      "prefix": "8",
      "text": "Heart rate",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "heart beats per minute",
            "system": "http://unitsofmeasure.org",
            "code": "{beats}/min"
          }
        }
      ]
    },
    {
      "extension": [
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          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
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            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "{Breaths}/min",
            "display": "Breaths / minute"
          }
        }
      ],
      "linkId": "/86290005",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "86290005",
          "display": "Respiratory rate"
        },
        {
          "system": "http://loinc.org",
          "code": "9279-1",
          "display": "Respiratory Rate (breaths/min)"
        }
      ],
      "prefix": "9",
      "text": "Resp rate",
      "type": "quantity",
      "required": false,
      "initial": [
        {
          "valueQuantity": {
            "unit": "Breaths / minute",
            "system": "http://unitsofmeasure.org",
            "code": "{Breaths}/min"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
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            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "kg/m2",
            "display": "kilogram per square meter"
          }
        }
      ],
      "linkId": "/60621009",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "60621009",
          "display": "Body mass index"
        }
      ],
      "prefix": "10",
      "text": "BMI",
      "type": "quantity",
      "required": false
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        }
      ],
      "linkId": "7858131839876",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "1104441000000107",
          "display": "Alert Confusion Voice Pain Unresponsive scale score"
        }
      ],
      "prefix": "11",
      "text": "ACVPU (Alert Confusion Voice Pain Unresponsive) scale",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "248234008",
            "display": "Mentally alert"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "300202002",
            "display": "Responds to voice"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "450847001",
            "display": "Responds to pain"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "422768004",
            "display": "Unresponsive"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "130987000",
            "display": "Acute confusion"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean": true
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
          "valueDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        }
      ],
      "linkId": "4461500479416",
      "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "301282008",
          "display": "Finding of respiration"
        }
      ],
      "prefix": "12",
      "text": "Inspired Oxygen",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "722742002",
            "display": "Breathing room air"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "371825009",
            "display": "Patient on oxygen"
          }
        }
      ]
    }
  ]
}