WARNING
This guidance is under active development by NHS England and content may be added or updated on a regular basis.Questionnaire
Vital Signs Findings
This is based on the US LOINC 74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel - HL7.CCDAr1.1, which has been converted to use UK SNOMED CT.
| Questionnaire |
| id : 0d9fccea-9c98-4e61-b3e0-bc9b3a9db675 |
| meta |
| versionId : 24 |
| lastUpdated : 2024-05-12T10:22:58.032+00:00 |
| 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 |
| value |
| 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 |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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) |
| code |
| system : http://loinc.org |
| code : 59408-5 |
| prefix : 1 |
| text : Baseline SpO2 (oxygen saturation at periphery) |
| type : quantity |
| required : False |
| initial |
| value |
| unit : percent |
| system : http://unitsofmeasure.org |
| code : % |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : kg |
| display : kilogram |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 29463-7 |
| prefix : 2 |
| text : Weight Measured |
| type : quantity |
| required : False |
| initial |
| value |
| unit : kilogram |
| system : http://unitsofmeasure.org |
| code : kg |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : cm |
| display : centimeter |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| value |
| unit : centimeter |
| system : http://unitsofmeasure.org |
| code : cm |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : cm |
| display : centimeter |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 8302-2 |
| prefix : 4 |
| text : Body height |
| type : quantity |
| required : False |
| initial |
| value |
| unit : centimeter |
| system : http://unitsofmeasure.org |
| code : cm |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 8310-5 |
| display : Temperature (deg F) OR |
| prefix : 5 |
| text : Body temperature |
| type : quantity |
| required : False |
| initial |
| value |
| unit : degree Celsius |
| system : http://unitsofmeasure.org |
| code : Cel |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 8480-6 |
| display : Systolic Blood Pressure (mm/Hg) |
| prefix : 6 |
| text : Systolic blood pressure |
| type : quantity |
| required : False |
| initial |
| value |
| unit : millimeter of mercury |
| system : http://unitsofmeasure.org |
| code : mm[Hg] |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 8462-4 |
| display : Diastolic Blood Pressure (mm/Hg) |
| prefix : 7 |
| text : Diastolic blood pressure |
| type : quantity |
| required : False |
| initial |
| value |
| unit : millimeter of mercury |
| system : http://unitsofmeasure.org |
| code : mm[Hg] |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| code |
| system : http://loinc.org |
| code : 8867-4 |
| prefix : 8 |
| text : Heart rate |
| type : quantity |
| required : False |
| initial |
| value |
| unit : heart beats per minute |
| system : http://unitsofmeasure.org |
| code : {beats}/min |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : {Breaths}/min |
| display : Breaths / minute |
| linkId : /86290005 |
| code |
| system : http://snomed.info/sct |
| code : 86290005 |
| display : Respiratory rate |
| code |
| system : http://loinc.org |
| code : 9279-1 |
| display : Respiratory Rate (breaths/min) |
| prefix : 9 |
| text : Resp rate |
| type : quantity |
| required : False |
| initial |
| value |
| unit : Breaths / minute |
| system : http://unitsofmeasure.org |
| code : {Breaths}/min |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| 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 |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| value : 2 |
| unit : weeks |
| system : http://unitsofmeasure.org |
| code : wk |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : 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 |
| value |
| system : http://snomed.info/sct |
| code : 248234008 |
| display : Mentally alert |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 300202002 |
| display : Responds to voice |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 450847001 |
| display : Responds to pain |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 422768004 |
| display : Unresponsive |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 130987000 |
| display : Acute confusion |
| item |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod |
| value |
| 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 |
| value |
| system : http://snomed.info/sct |
| code : 722742002 |
| display : Breathing room air |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 371825009 |
| display : Patient on oxygen |
{
},
"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/)",
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</meta>
<description value="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/)" />
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</Questionnaire>
Type 2 Diabetes Risk Score
This form defintion is based on Diabetes UK Risk Assessment
| Questionnaire |
| id : 5cbc7189-8029-4322-b890-9e0c918af4a5 |
| meta |
| versionId : 40 |
| lastUpdated : 2024-05-12T10:29:56.762+00:00 |
| url : https://example.fhir.nhs.uk/Questionnaire/T2DRiskForm |
| identifier |
| system : http://fhir.nhs.uk |
| value : T2DRiskForm |
| title : Diabetes UK - Type 2 Diabetes Risk Assessment |
| status : draft |
| description : Is based on the [Type 2 Diabetes Risk tool](https://riskscore.diabetes.org.uk/start) from Diabetes UK. For NHS England documentation around use of this tool see [NHS England Diabetes Preventation Programme](https://www.england.nhs.uk/diabetes/diabetes-prevention/) |
| useContext |
| code |
| system : http://terminology.hl7.org/CodeSystem/usage-context-type |
| code : focus |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 325931000000109 |
| display : Assessment |
| purpose : This is not official and is for demonstration purposes. Calculate a risk score for Type 2 Diabetes. |
| code |
| system : http://snomed.info/sct |
| code : 805421000000105 |
| display : Diabetes UK diabetes risk score |
| item |
| linkId : 9318275084197 |
| prefix : 1 |
| text : Are you male or female? |
| type : choice |
| required : True |
| answerOption |
| value |
| display : Male |
| answerOption |
| value |
| display : Female |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : help |
| display : Help-Button |
| text : Help-Button |
| linkId : 9318275084197_helpText |
| text : Men are at a slightly higher risk of developing type 2 diabetes. The results will not be accurate if you are pregnant and will underestimate your risk if you have a history of gestational diabetes. |
| type : display |
| item |
| linkId : 9039795480167 |
| prefix : 2 |
| text : How old are you? |
| type : string |
| required : True |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : help |
| display : Help-Button |
| text : Help-Button |
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| text : The older you are, the higher your risk for type 2 diabetes. |
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| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
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| value : 3 |
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| system : http://snomed.info/sct |
| code : 398089004 |
| display : Ethnic background |
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| text : What is your ethnic background |
| type : choice |
| required : True |
| answerValueSet : https://fhir.hl7.org.uk/ValueSet/UKCore-EthnicCategory |
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| code : help |
| display : Help-Button |
| text : Help-Button |
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| text : Some ethnic groups are more likely to develop type 2 diabetes than others. |
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| value : 2 |
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| system : http://snomed.info/sct |
| code : 160303001 |
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| text : Do you have a parent, brother, sister and/or own child with diabetes |
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| code : 430678008 |
| display : Family history of diabetes mellitus type 1 |
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| code : help |
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| text : Having a close relative with diabetes increases your risk of developing type 2 diabetes. |
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| code : cm |
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| system : http://snomed.info/sct |
| code : 276361009 |
| display : Waist circumference |
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| text : What is your waist measurement? |
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| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
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| code : help |
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| text : Carrying excess body fat around your middle increases your risk of type 2 diabetes. |
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| linkId : 271823025272_helpText |
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| text : What is your Body Mass Index (BMI)? |
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| code : help |
| display : Help-Button |
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| display : centimeter |
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| value : 12 |
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| code : 50373000 |
| display : Body height measure |
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| text : How tall are you? |
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| system : http://unitsofmeasure.org |
| code : kg |
| display : kilogram |
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| system : http://unitsofmeasure.org |
| code : [stone_av] |
| display : stone - British |
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| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
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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 |
| linkId : 4505953325122 |
| definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity |
| code |
| system : http://snomed.info/sct |
| code : 27113001 |
| display : Body weight |
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| text : How much do you weigh? |
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| value : True |
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| value : 4 |
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| code : kg/m2 |
| display : kilogram per square meter |
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| code |
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| code : 60621009 |
| display : Body mass index |
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| text : Your BMI is: |
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| system : http://hl7.org/fhir/questionnaire-item-control |
| code : help |
| display : Help-Button |
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| text : BMI is weight in kilograms divided by height in meters squared. If height has been measured in centimeters |
| type : display |
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| linkId : 273836567301 |
| prefix : 7 |
| text : Has a doctor ever told you that you have high blood pressure, or given you medication for it? |
| type : choice |
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| display : Yes |
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| code : help |
| display : Help-Button |
| text : Help-Button |
| linkId : 273836567301_helpText |
| text : If you have been treated for high blood pressure, it will contribute to your overall risk. |
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| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : {ScoreOf} |
| display : ScoreOf |
| linkId : 1901457249403 |
| definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity |
| code |
| system : http://snomed.info/sct |
| code : 1084661000000103 |
| display : Diabetes UK Diabetes Risk Score |
| prefix : 8 |
| text : Your risk score is: |
| type : quantity |
| required : True |
{
},
],
"description": "Is based on the [Type 2 Diabetes Risk tool](https://riskscore.diabetes.org.uk/start) from Diabetes UK. \n\nFor NHS England documentation around use of this tool see [NHS England Diabetes Preventation Programme](https://www.england.nhs.uk/diabetes/diabetes-prevention/)",
{
},
]
}
}
],
"purpose": "This is not official and is for demonstration purposes. \n\nCalculate a risk score for Type 2 Diabetes.",
{
}
],
{
],
{
{
{
}
],
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],
"text": "Men are at a slightly higher risk of developing type 2 diabetes. The results will not be accurate if you are pregnant and will underestimate your risk if you have a history of gestational diabetes.",
}
]
},
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{
{
{
}
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</meta>
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<description value="Is based on the [Type 2 Diabetes Risk tool](https://riskscore.diabetes.org.uk/start) from Diabetes UK. \n\nFor NHS England documentation around use of this tool see [NHS England Diabetes Preventation Programme](https://www.england.nhs.uk/diabetes/diabetes-prevention/)" />
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