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
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                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="cm" />
                <display value="centimeter" />
            </valueCoding>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="[in_i]" />
                <display value="inch" />
            </valueCoding>
        </extension>
        <linkId value="/363811000" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="363811000" />
            <display value="Head circumference measure" />
        </code>
        <prefix value="3" />
        <text value="Head circumference" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="centimeter" />
                <system value="http://unitsofmeasure.org" />
                <code value="cm" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="cm" />
                <display value="centimeter" />
            </valueCoding>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="[in_i]" />
                <display value="inch" />
            </valueCoding>
        </extension>
        <linkId value="/50373000" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="50373000" />
            <display value="Body height measure" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="8302-2" />
        </code>
        <prefix value="4" />
        <text value="Body height" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="centimeter" />
                <system value="http://unitsofmeasure.org" />
                <code value="cm" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="Cel" />
                <display value="degree Celsius" />
            </valueCoding>
        </extension>
        <linkId value="/276885007" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="276885007" />
            <display value="Core body temperature" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="Temperature (deg F) OR" />
        </code>
        <prefix value="5" />
        <text value="Body temperature" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="degree Celsius" />
                <system value="http://unitsofmeasure.org" />
                <code value="Cel" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="mm[Hg]" />
                <display value="millimeter of mercury" />
            </valueCoding>
        </extension>
        <linkId value="/72313002" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="72313002" />
            <display value="Systolic arterial pressure" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="8480-6" />
            <display value="Systolic Blood Pressure (mm/Hg)" />
        </code>
        <prefix value="6" />
        <text value="Systolic blood pressure" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="millimeter of mercury" />
                <system value="http://unitsofmeasure.org" />
                <code value="mm[Hg]" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="mm[Hg]" />
                <display value="millimeter of mercury" />
            </valueCoding>
        </extension>
        <linkId value="/1091811000000102" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="1091811000000102" />
            <display value="Diastolic arterial pressure" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="8462-4" />
            <display value="Diastolic Blood Pressure (mm/Hg)" />
        </code>
        <prefix value="7" />
        <text value="Diastolic blood pressure" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="millimeter of mercury" />
                <system value="http://unitsofmeasure.org" />
                <code value="mm[Hg]" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="{beats}/min" />
                <display value="heart beats per minute" />
            </valueCoding>
        </extension>
        <linkId value="/364075005" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="364075005" />
            <display value="Heart rate" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="8867-4" />
        </code>
        <prefix value="8" />
        <text value="Heart rate" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="heart beats per minute" />
                <system value="http://unitsofmeasure.org" />
                <code value="{beats}/min" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="{Breaths}/min" />
                <display value="Breaths / minute" />
            </valueCoding>
        </extension>
        <linkId value="/86290005" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="86290005" />
            <display value="Respiratory rate" />
        </code>
        <code>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="Respiratory Rate (breaths/min)" />
        </code>
        <prefix value="9" />
        <text value="Resp rate" />
        <type value="quantity" />
        <required value="false" />
        <initial>
            <valueQuantity>
                <unit value="Breaths / minute" />
                <system value="http://unitsofmeasure.org" />
                <code value="{Breaths}/min" />
            </valueQuantity>
        </initial>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="kg/m2" />
                <display value="kilogram per square meter" />
            </valueCoding>
        </extension>
        <linkId value="/60621009" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="60621009" />
            <display value="Body mass index" />
        </code>
        <prefix value="10" />
        <text value="BMI" />
        <type value="quantity" />
        <required value="false" />
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <linkId value="7858131839876" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="1104441000000107" />
            <display value="Alert Confusion Voice Pain Unresponsive scale score" />
        </code>
        <prefix value="11" />
        <text value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale" />
        <type value="choice" />
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="248234008" />
                <display value="Mentally alert" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="300202002" />
                <display value="Responds to voice" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="450847001" />
                <display value="Responds to pain" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="422768004" />
                <display value="Unresponsive" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="130987000" />
                <display value="Acute confusion" />
            </valueCoding>
        </answerOption>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="weeks" />
                <system value="http://unitsofmeasure.org" />
                <code value="wk" />
            </valueDuration>
        </extension>
        <linkId value="4461500479416" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="301282008" />
            <display value="Finding of respiration" />
        </code>
        <prefix value="12" />
        <text value="Inspired Oxygen" />
        <type value="choice" />
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="722742002" />
                <display value="Breathing room air" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="371825009" />
                <display value="Patient on oxygen" />
            </valueCoding>
        </answerOption>
    </item>
</Questionnaire>

Type 2 Diabetes Risk Score

This form defintion is based on Diabetes UK Risk Assessment

Questionnaire
{
    "resourceType": "Questionnaire",
    "id": "5cbc7189-8029-4322-b890-9e0c918af4a5",
    "meta": {
        "versionId": "40",
        "lastUpdated": "05/12/2024 10:29:56"
    },
    "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. \n\nFor 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"
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "system": "http://snomed.info/sct",
                        "code": "325931000000109",
                        "display": "Assessment"
                    }
                ]
            }
        }
    ],
    "purpose": "This is not official and is for demonstration purposes. \n\nCalculate 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":  [
                {
                    "valueCoding": {
                        "display": "Male"
                    }
                },
                {
                    "valueCoding": {
                        "display": "Female"
                    }
                }
            ],
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "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"
                }
            ]
        },
        {
            "linkId": "9039795480167",
            "prefix": "2",
            "text": "How old are you?",
            "type": "string",
            "required": true,
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "code": "help",
                                        "display": "Help-Button"
                                    }
                                ],
                                "text": "Help-Button"
                            }
                        }
                    ],
                    "linkId": "9039795480167_helpText",
                    "text": "The older you are, the higher your risk for type 2 diabetes.",
                    "type": "display"
                }
            ]
        },
        {
            "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": 3,
                        "unit": "years",
                        "system": "http://unitsofmeasure.org",
                        "code": "a"
                    }
                }
            ],
            "linkId": "6009173247336",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "398089004",
                    "display": "Ethnic background"
                }
            ],
            "prefix": "3",
            "text": "What is your ethnic background",
            "type": "choice",
            "required": true,
            "answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-EthnicCategory",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "code": "help",
                                        "display": "Help-Button"
                                    }
                                ],
                                "text": "Help-Button"
                            }
                        }
                    ],
                    "linkId": "6009173247336_helpText",
                    "text": "Some ethnic groups are more likely to develop type 2 diabetes than others.",
                    "type": "display"
                }
            ]
        },
        {
            "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": "years",
                        "system": "http://unitsofmeasure.org",
                        "code": "a"
                    }
                }
            ],
            "linkId": "398054642271",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "160303001",
                    "display": "Family history of diabetes mellitus"
                }
            ],
            "prefix": "4",
            "text": "Do you have a parent, brother,  sister and/or own child with diabetes",
            "type": "choice",
            "required": false,
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "430679000",
                        "display": "Family history of diabetes mellitus type 2"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "430678008",
                        "display": "Family history of diabetes mellitus type 1"
                    }
                }
            ],
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "code": "help",
                                        "display": "Help-Button"
                                    }
                                ],
                                "text": "Help-Button"
                            }
                        }
                    ],
                    "linkId": "398054642271_helpText",
                    "text": "Having a close relative with diabetes increases your risk of developing type 2 diabetes.",
                    "type": "display"
                }
            ]
        },
        {
            "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": "cm",
                        "display": "centimeter"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "[in_i]",
                        "display": "inch"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 1,
                        "unit": "years",
                        "system": "http://unitsofmeasure.org",
                        "code": "a"
                    }
                }
            ],
            "linkId": "6497181065895",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "276361009",
                    "display": "Waist circumference"
                }
            ],
            "prefix": "5",
            "text": "What is your waist measurement?",
            "type": "quantity",
            "required": true,
            "readOnly": false,
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "code": "help",
                                        "display": "Help-Button"
                                    }
                                ],
                                "text": "Help-Button"
                            }
                        }
                    ],
                    "linkId": "6497181065895_helpText",
                    "text": "Carrying excess body fat around your middle increases your risk of type 2 diabetes.",
                    "type": "display"
                }
            ]
        },
        {
            "linkId": "271823025272",
            "prefix": "6",
            "text": "What is your Body Mass Index (BMI)?",
            "type": "group",
            "required": true,
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "code": "help",
                                        "display": "Help-Button"
                                    }
                                ],
                                "text": "Help-Button"
                            }
                        },
                        {
                            "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"
                            }
                        },
                        {
                            "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": 12,
                                "unit": "months",
                                "system": "http://unitsofmeasure.org",
                                "code": "mo"
                            }
                        }
                    ],
                    "linkId": "271823025272_helpText",
                    "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
                    "code":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "50373000",
                            "display": "Body height measure"
                        }
                    ],
                    "prefix": "6.1",
                    "text": "How tall are you?",
                    "type": "quantity",
                    "required": true
                },
                {
                    "extension":  [
                        {
                            "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": "[stone_av]",
                                "display": "stone - British"
                            }
                        },
                        {
                            "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": "4505953325122",
                    "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
                    "code":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "27113001",
                            "display": "Body weight"
                        }
                    ],
                    "prefix": "6.2",
                    "text": "How much do you weigh?",
                    "type": "quantity",
                    "required": true,
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "kg"
                            }
                        }
                    ]
                },
                {
                    "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": 4,
                                "unit": "weeks",
                                "system": "http://unitsofmeasure.org",
                                "code": "wk"
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                            "valueCoding": {
                                "system": "http://unitsofmeasure.org",
                                "code": "kg/m2",
                                "display": "kilogram per square meter"
                            }
                        }
                    ],
                    "linkId": "9175505021448",
                    "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
                    "code":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "60621009",
                            "display": "Body mass index"
                        }
                    ],
                    "prefix": "6.3",
                    "text": "Your BMI is:",
                    "type": "quantity",
                    "item":  [
                        {
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "system": "http://hl7.org/fhir/questionnaire-item-control",
                                                "code": "help",
                                                "display": "Help-Button"
                                            }
                                        ],
                                        "text": "Help-Button"
                                    }
                                }
                            ],
                            "linkId": "9175505021448_helpText",
                            "text": "BMI is weight in kilograms divided by height in meters squared. If height has been measured in centimeters",
                            "type": "display"
                        }
                    ]
                }
            ]
        },
        {
            "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",
            "required": true,
            "answerOption":  [
                {
                    "valueCoding": {
                        "display": "Yes"
                    }
                },
                {
                    "valueCoding": {
                        "display": "No"
                    }
                }
            ],
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                                        "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.",
                    "type": "display"
                }
            ]
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "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
        }
    ]
}
<Questionnaire xmlns="http://hl7.org/fhir">
    <id value="5cbc7189-8029-4322-b890-9e0c918af4a5" />
    <meta>
        <versionId value="40" />
        <lastUpdated value="2024-05-12T10:29:56.762Z" />
    </meta>
    <url value="https://example.fhir.nhs.uk/Questionnaire/T2DRiskForm" />
    <identifier>
        <system value="http://fhir.nhs.uk" />
        <value value="T2DRiskForm" />
    </identifier>
    <title value="Diabetes UK - Type 2 Diabetes Risk Assessment" />
    <status value="draft" />
    <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/)" />
    <useContext>
        <code>
            <system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
            <code value="focus" />
        </code>
        <valueCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="325931000000109" />
                <display value="Assessment" />
            </coding>
        </valueCodeableConcept>
    </useContext>
    <purpose value="This is not official and is for demonstration purposes. \n\nCalculate a risk score for Type 2 Diabetes." />
    <code>
        <system value="http://snomed.info/sct" />
        <code value="805421000000105" />
        <display value="Diabetes UK diabetes risk score" />
    </code>
    <item>
        <linkId value="9318275084197" />
        <prefix value="1" />
        <text value="Are you male or female?" />
        <type value="choice" />
        <required value="true" />
        <answerOption>
            <valueCoding>
                <display value="Male" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <display value="Female" />
            </valueCoding>
        </answerOption>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="9318275084197_helpText" />
            <text value="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 value="display" />
        </item>
    </item>
    <item>
        <linkId value="9039795480167" />
        <prefix value="2" />
        <text value="How old are you?" />
        <type value="string" />
        <required value="true" />
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="9039795480167_helpText" />
            <text value="The older you are, the higher your risk for type 2 diabetes." />
            <type value="display" />
        </item>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="3" />
                <unit value="years" />
                <system value="http://unitsofmeasure.org" />
                <code value="a" />
            </valueDuration>
        </extension>
        <linkId value="6009173247336" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="398089004" />
            <display value="Ethnic background" />
        </code>
        <prefix value="3" />
        <text value="What is your ethnic background" />
        <type value="choice" />
        <required value="true" />
        <answerValueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-EthnicCategory" />
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="6009173247336_helpText" />
            <text value="Some ethnic groups are more likely to develop type 2 diabetes than others." />
            <type value="display" />
        </item>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="2" />
                <unit value="years" />
                <system value="http://unitsofmeasure.org" />
                <code value="a" />
            </valueDuration>
        </extension>
        <linkId value="398054642271" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="160303001" />
            <display value="Family history of diabetes mellitus" />
        </code>
        <prefix value="4" />
        <text value="Do you have a parent, brother,  sister and/or own child with diabetes" />
        <type value="choice" />
        <required value="false" />
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="430679000" />
                <display value="Family history of diabetes mellitus type 2" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="430678008" />
                <display value="Family history of diabetes mellitus type 1" />
            </valueCoding>
        </answerOption>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="398054642271_helpText" />
            <text value="Having a close relative with diabetes increases your risk of developing type 2 diabetes." />
            <type value="display" />
        </item>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="cm" />
                <display value="centimeter" />
            </valueCoding>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="[in_i]" />
                <display value="inch" />
            </valueCoding>
        </extension>
        <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
            <valueDuration>
                <value value="1" />
                <unit value="years" />
                <system value="http://unitsofmeasure.org" />
                <code value="a" />
            </valueDuration>
        </extension>
        <linkId value="6497181065895" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="276361009" />
            <display value="Waist circumference" />
        </code>
        <prefix value="5" />
        <text value="What is your waist measurement?" />
        <type value="quantity" />
        <required value="true" />
        <readOnly value="false" />
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="6497181065895_helpText" />
            <text value="Carrying excess body fat around your middle increases your risk of type 2 diabetes." />
            <type value="display" />
        </item>
    </item>
    <item>
        <linkId value="271823025272" />
        <prefix value="6" />
        <text value="What is your Body Mass Index (BMI)?" />
        <type value="group" />
        <required value="true" />
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="cm" />
                    <display value="centimeter" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="[in_i]" />
                    <display value="inch" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
                <valueBoolean value="true" />
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
                <valueDuration>
                    <value value="12" />
                    <unit value="months" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mo" />
                </valueDuration>
            </extension>
            <linkId value="271823025272_helpText" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
            <code>
                <system value="http://snomed.info/sct" />
                <code value="50373000" />
                <display value="Body height measure" />
            </code>
            <prefix value="6.1" />
            <text value="How tall are you?" />
            <type value="quantity" />
            <required value="true" />
        </item>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="kg" />
                    <display value="kilogram" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="[stone_av]" />
                    <display value="stone - British" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
                <valueBoolean value="true" />
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
                <valueDuration>
                    <value value="2" />
                    <unit value="weeks" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="wk" />
                </valueDuration>
            </extension>
            <linkId value="4505953325122" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
            <code>
                <system value="http://snomed.info/sct" />
                <code value="27113001" />
                <display value="Body weight" />
            </code>
            <prefix value="6.2" />
            <text value="How much do you weigh?" />
            <type value="quantity" />
            <required value="true" />
            <initial>
                <valueQuantity>
                    <unit value="kg" />
                </valueQuantity>
            </initial>
        </item>
        <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
                <valueBoolean value="true" />
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod">
                <valueDuration>
                    <value value="4" />
                    <unit value="weeks" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="wk" />
                </valueDuration>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="kg/m2" />
                    <display value="kilogram per square meter" />
                </valueCoding>
            </extension>
            <linkId value="9175505021448" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
            <code>
                <system value="http://snomed.info/sct" />
                <code value="60621009" />
                <display value="Body mass index" />
            </code>
            <prefix value="6.3" />
            <text value="Your BMI is:" />
            <type value="quantity" />
            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                    <valueCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/questionnaire-item-control" />
                            <code value="help" />
                            <display value="Help-Button" />
                        </coding>
                        <text value="Help-Button" />
                    </valueCodeableConcept>
                </extension>
                <linkId value="9175505021448_helpText" />
                <text value="BMI is weight in kilograms divided by height in meters squared. If height has been measured in centimeters" />
                <type value="display" />
            </item>
        </item>
    </item>
    <item>
        <linkId value="273836567301" />
        <prefix value="7" />
        <text value="Has a doctor ever told you that you have high blood pressure, or given you medication for it?" />
        <type value="choice" />
        <required value="true" />
        <answerOption>
            <valueCoding>
                <display value="Yes" />
            </valueCoding>
        </answerOption>
        <answerOption>
            <valueCoding>
                <display value="No" />
            </valueCoding>
        </answerOption>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="help" />
                        <display value="Help-Button" />
                    </coding>
                    <text value="Help-Button" />
                </valueCodeableConcept>
            </extension>
            <linkId value="273836567301_helpText" />
            <text value="If you have been treated for high blood pressure, it will contribute to your overall risk." />
            <type value="display" />
        </item>
    </item>
    <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption">
            <valueCoding>
                <system value="http://unitsofmeasure.org" />
                <code value="{ScoreOf}" />
                <display value="ScoreOf" />
            </valueCoding>
        </extension>
        <linkId value="1901457249403" />
        <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" />
        <code>
            <system value="http://snomed.info/sct" />
            <code value="1084661000000103" />
            <display value="Diabetes UK Diabetes Risk Score" />
        </code>
        <prefix value="8" />
        <text value="Your risk score is:" />
        <type value="quantity" />
        <required value="true" />
    </item>
</Questionnaire>