WARNING
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from NHS England.
Register with a GP Surgery Questionnaire
Questionnaire definition for the Register with a GP Surgery form, documented on the NHS Digital service pages.
SNOMED CT concept annotation for questions and answers, as well as the the metadata model for questionse have yet to be formally reviewed. Particularly, the codes used for the Alcohol Consumption answer list provide 2 options for coding, i.e. categorization of type of alcohol consumer vs. alcohol consumption frequency. The final conding scheme used is pending terminology review.
The Questionnaire can be demoed on the IOPS FHIR Development and Testing Tool.
This is used to define the questions referred to in QuestionnaireResponse instances
Register with a GP Surgery Questionnaire
Use Case
Table View
| Questionnaire.id[0] | GPReg-Questionnaire-RegisterGPSurgery-Example |
| Questionnaire.meta[0].versionId[0] | 21 |
| Questionnaire.meta[0].lastUpdated[0] | 2024-05-02T11:35:50.946+00:00 |
| Questionnaire.url[0] | https://fhir.nhs.uk/England/StructureDefinition/England-Questionnaire-RegisterGPSurgeryv2 |
| Questionnaire.title[0] | Register with a GP Surgery v2 |
| Questionnaire.status[0] | draft |
| Questionnaire.description[0] | A FHIR Questionnaire created from GP Registration Programme - GP IT Deliverables |
| Questionnaire.purpose[0] | To standardise the questions asked when registering for a GP Surgery within England |
| Questionnaire.item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[0].linkId[0] | 5564099927552 |
| Questionnaire.item[0].text[0] | Who is registering with a GP? |
| Questionnaire.item[0].type[0] | choice |
| Questionnaire.item[0].required[0] | True |
| Questionnaire.item[0].repeats[0] | False |
| Questionnaire.item[0].answerOption[0].value[0].display[0] | Myself |
| Questionnaire.item[0].answerOption[1].value[0].display[0] | Someone else |
| Questionnaire.item[0].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[0].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[0].item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[0].item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[0].item[0].linkId[0] | 4757609108297 |
| Questionnaire.item[0].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[0].code[0].code[0] | 722011000000106 |
| Questionnaire.item[0].item[0].code[0].display[0] | Relationship (qualifier value) |
| Questionnaire.item[0].item[0].text[0] | What is your relationship to the person being registered? |
| Questionnaire.item[0].item[0].type[0] | choice |
| Questionnaire.item[0].item[0].enableWhen[0].question[0] | 5564099927552 |
| Questionnaire.item[0].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[0].item[0].enableWhen[0].answer[0].display[0] | Someone else |
| Questionnaire.item[0].item[0].enableBehavior[0] | all |
| Questionnaire.item[0].item[0].required[0] | True |
| Questionnaire.item[0].item[0].repeats[0] | False |
| Questionnaire.item[0].item[0].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| Questionnaire.item[0].item[0].answerOption[0].value[0].code[0] | PRN |
| Questionnaire.item[0].item[0].answerOption[0].value[0].display[0] | Parent |
| Questionnaire.item[0].item[0].answerOption[1].value[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| Questionnaire.item[0].item[0].answerOption[1].value[0].code[0] | Guardian |
| Questionnaire.item[0].item[0].answerOption[1].value[0].display[0] | Guardian |
| Questionnaire.item[0].item[0].answerOption[2].value[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| Questionnaire.item[0].item[0].answerOption[2].value[0].code[0] | Carer |
| Questionnaire.item[0].item[0].answerOption[2].value[0].display[0] | Carer |
| Questionnaire.item[0].item[0].answerOption[3].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0131 |
| Questionnaire.item[0].item[0].answerOption[3].value[0].code[0] | O |
| Questionnaire.item[0].item[0].answerOption[3].value[0].display[0] | Other |
| Questionnaire.item[0].item[1].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[0].item[1].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[0].item[1].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[0].item[1].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[0].item[1].linkId[0] | 1296573860711 |
| Questionnaire.item[0].item[1].text[0] | What type of carer are you? |
| Questionnaire.item[0].item[1].type[0] | choice |
| Questionnaire.item[0].item[1].enableWhen[0].question[0] | 5564099927552 |
| Questionnaire.item[0].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[0].item[1].enableWhen[0].answer[0].display[0] | Someone else |
| Questionnaire.item[0].item[1].enableWhen[1].question[0] | 4757609108297 |
| Questionnaire.item[0].item[1].enableWhen[1].operator[0] | = |
| Questionnaire.item[0].item[1].enableWhen[1].answer[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| Questionnaire.item[0].item[1].enableWhen[1].answer[0].code[0] | Carer |
| Questionnaire.item[0].item[1].enableWhen[1].answer[0].display[0] | Carer |
| Questionnaire.item[0].item[1].enableBehavior[0] | all |
| Questionnaire.item[0].item[1].required[0] | True |
| Questionnaire.item[0].item[1].repeats[0] | False |
| Questionnaire.item[0].item[1].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[1].answerOption[0].value[0].code[0] | 1597921000000107 |
| Questionnaire.item[0].item[1].answerOption[0].value[0].display[0] | Has young carer |
| Questionnaire.item[0].item[1].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[1].answerOption[1].value[0].code[0] | 818091000000106 |
| Questionnaire.item[0].item[1].answerOption[1].value[0].display[0] | Has a paid carer |
| Questionnaire.item[0].item[1].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[1].answerOption[2].value[0].code[0] | 823411000000109 |
| Questionnaire.item[0].item[1].answerOption[2].value[0].display[0] | Has voluntary carer |
| Questionnaire.item[0].item[1].answerOption[3].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[1].answerOption[3].value[0].code[0] | 361571000000107 |
| Questionnaire.item[0].item[1].answerOption[3].value[0].display[0] | Fostering |
| Questionnaire.item[0].item[1].answerOption[4].value[0].display[0] | None of the above |
| Questionnaire.item[0].item[2].linkId[0] | 3745453882893 |
| Questionnaire.item[0].item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[2].code[0].code[0] | 184140000 |
| Questionnaire.item[0].item[2].code[0].display[0] | Caregiver details (observable entity) |
| Questionnaire.item[0].item[2].text[0] | What are your details? |
| Questionnaire.item[0].item[2].type[0] | group |
| Questionnaire.item[0].item[2].enableWhen[0].question[0] | 5564099927552 |
| Questionnaire.item[0].item[2].enableWhen[0].operator[0] | = |
| Questionnaire.item[0].item[2].enableWhen[0].answer[0].display[0] | Someone else |
| Questionnaire.item[0].item[2].enableWhen[1].question[0] | 4757609108297 |
| Questionnaire.item[0].item[2].enableWhen[1].operator[0] | = |
| Questionnaire.item[0].item[2].enableWhen[1].answer[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| Questionnaire.item[0].item[2].enableWhen[1].answer[0].code[0] | Carer |
| Questionnaire.item[0].item[2].enableWhen[1].answer[0].display[0] | Carer |
| Questionnaire.item[0].item[2].enableBehavior[0] | all |
| Questionnaire.item[0].item[2].repeats[0] | False |
| Questionnaire.item[0].item[2].item[0].linkId[0] | 4823446188940 |
| Questionnaire.item[0].item[2].item[0].text[0] | First name |
| Questionnaire.item[0].item[2].item[0].type[0] | string |
| Questionnaire.item[0].item[2].item[0].required[0] | True |
| Questionnaire.item[0].item[2].item[1].linkId[0] | 3525030744831 |
| Questionnaire.item[0].item[2].item[1].text[0] | Last name |
| Questionnaire.item[0].item[2].item[1].type[0] | string |
| Questionnaire.item[0].item[2].item[1].required[0] | True |
| Questionnaire.item[0].item[2].item[2].linkId[0] | 9015495695743 |
| Questionnaire.item[0].item[2].item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[2].item[2].code[0].code[0] | 405170004 |
| Questionnaire.item[0].item[2].item[2].code[0].display[0] | Caregiver patient relationship (observable entity) |
| Questionnaire.item[0].item[2].item[2].text[0] | Relationship to person being registered |
| Questionnaire.item[0].item[2].item[2].type[0] | string |
| Questionnaire.item[0].item[2].item[2].required[0] | True |
| Questionnaire.item[0].item[2].item[2].repeats[0] | False |
| Questionnaire.item[0].item[2].item[3].linkId[0] | 2337627900699 |
| Questionnaire.item[0].item[2].item[3].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[0].item[2].item[3].code[0].code[0] | 408400006 |
| Questionnaire.item[0].item[2].item[3].code[0].display[0] | Caregiver home telephone number (observable entity) |
| Questionnaire.item[0].item[2].item[3].text[0] | Contact telephone number |
| Questionnaire.item[0].item[2].item[3].type[0] | string |
| Questionnaire.item[0].item[2].item[3].required[0] | True |
| Questionnaire.item[0].item[2].item[3].repeats[0] | False |
| Questionnaire.item[1].linkId[0] | 3099707112786 |
| Questionnaire.item[1].text[0] | Matching patient to their record |
| Questionnaire.item[1].type[0] | group |
| Questionnaire.item[1].item[0].linkId[0] | 2673545464189 |
| Questionnaire.item[1].item[0].prefix[0] | 1 |
| Questionnaire.item[1].item[0].text[0] | What is the name of the person being registered? |
| Questionnaire.item[1].item[0].type[0] | group |
| Questionnaire.item[1].item[0].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[1].item[0].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[1].item[0].item[0].extension[0].value[0].coding[0].code[0] | drop-down |
| Questionnaire.item[1].item[0].item[0].extension[0].value[0].coding[0].display[0] | Drop down |
| Questionnaire.item[1].item[0].item[0].linkId[0] | 2526886552536 |
| Questionnaire.item[1].item[0].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[0].item[0].code[0].code[0] | 184098006 |
| Questionnaire.item[1].item[0].item[0].code[0].display[0] | Patient title (observable entity) |
| Questionnaire.item[1].item[0].item[0].text[0] | Title |
| Questionnaire.item[1].item[0].item[0].type[0] | open-choice |
| Questionnaire.item[1].item[0].item[0].required[0] | True |
| Questionnaire.item[1].item[0].item[0].repeats[0] | False |
| Questionnaire.item[1].item[0].item[0].answerOption[0].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[0].value[0].code[0] | 315890000 |
| Questionnaire.item[1].item[0].item[0].answerOption[0].value[0].display[0] | Mr |
| Questionnaire.item[1].item[0].item[0].answerOption[1].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[1].value[0].code[0] | 315890001 |
| Questionnaire.item[1].item[0].item[0].answerOption[1].value[0].display[0] | Mrs |
| Questionnaire.item[1].item[0].item[0].answerOption[2].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[2].value[0].code[0] | 315890003 |
| Questionnaire.item[1].item[0].item[0].answerOption[2].value[0].display[0] | Miss |
| Questionnaire.item[1].item[0].item[0].answerOption[3].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[3].value[0].code[0] | 315890002 |
| Questionnaire.item[1].item[0].item[0].answerOption[3].value[0].display[0] | Ms |
| Questionnaire.item[1].item[0].item[0].answerOption[4].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[4].value[0].code[0] | 315890004 |
| Questionnaire.item[1].item[0].item[0].answerOption[4].value[0].display[0] | Dr |
| Questionnaire.item[1].item[0].item[0].answerOption[5].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[5].value[0].code[0] | 315890012 |
| Questionnaire.item[1].item[0].item[0].answerOption[5].value[0].display[0] | Mx |
| Questionnaire.item[1].item[0].item[0].answerOption[6].value[0].system[0] | https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| Questionnaire.item[1].item[0].item[0].answerOption[6].value[0].code[0] | 315890011 |
| Questionnaire.item[1].item[0].item[0].answerOption[6].value[0].display[0] | Master |
| Questionnaire.item[1].item[0].item[0].answerOption[7].value[0].display[0] | Other |
| Questionnaire.item[1].item[0].item[1].linkId[0] | 8025625545792 |
| Questionnaire.item[1].item[0].item[1].definition[0] | http://hl7.org/fhir/StructureDefinition/Patient#name.given |
| Questionnaire.item[1].item[0].item[1].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[0].item[1].code[0].code[0] | 184095009 |
| Questionnaire.item[1].item[0].item[1].code[0].display[0] | Patient forename (observable entity) |
| Questionnaire.item[1].item[0].item[1].text[0] | First name |
| Questionnaire.item[1].item[0].item[1].type[0] | string |
| Questionnaire.item[1].item[0].item[1].required[0] | True |
| Questionnaire.item[1].item[0].item[1].repeats[0] | False |
| Questionnaire.item[1].item[0].item[2].linkId[0] | 9205794395420 |
| Questionnaire.item[1].item[0].item[2].definition[0] | http://hl7.org/fhir/StructureDefinition/Patient#name.family |
| Questionnaire.item[1].item[0].item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[0].item[2].code[0].code[0] | 405622006 |
| Questionnaire.item[1].item[0].item[2].code[0].display[0] | Patient middle name (observable entity) |
| Questionnaire.item[1].item[0].item[2].text[0] | Middle name(s) |
| Questionnaire.item[1].item[0].item[2].type[0] | string |
| Questionnaire.item[1].item[0].item[2].required[0] | False |
| Questionnaire.item[1].item[0].item[2].repeats[0] | False |
| Questionnaire.item[1].item[0].item[3].linkId[0] | 2444645364061 |
| Questionnaire.item[1].item[0].item[3].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[0].item[3].code[0].code[0] | 184096005 |
| Questionnaire.item[1].item[0].item[3].code[0].display[0] | Patient surname (observable entity) |
| Questionnaire.item[1].item[0].item[3].text[0] | Last Name |
| Questionnaire.item[1].item[0].item[3].type[0] | string |
| Questionnaire.item[1].item[0].item[3].required[0] | True |
| Questionnaire.item[1].item[0].item[3].repeats[0] | False |
| Questionnaire.item[1].item[0].item[4].linkId[0] | 5369283890405 |
| Questionnaire.item[1].item[0].item[4].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[0].item[4].code[0].code[0] | 247841000000109 |
| Questionnaire.item[1].item[0].item[4].code[0].display[0] | Patient previous surname (observable entity) |
| Questionnaire.item[1].item[0].item[4].text[0] | Previous last name |
| Questionnaire.item[1].item[0].item[4].type[0] | string |
| Questionnaire.item[1].item[0].item[4].required[0] | False |
| Questionnaire.item[1].item[0].item[4].repeats[0] | False |
| Questionnaire.item[1].item[1].linkId[0] | 5721234742686 |
| Questionnaire.item[1].item[1].definition[0] | http://hl7.org/fhir/StructureDefinition/Patient#birthDate |
| Questionnaire.item[1].item[1].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[1].code[0].code[0] | 184099003 |
| Questionnaire.item[1].item[1].code[0].display[0] | Date of birth (observable entity) |
| Questionnaire.item[1].item[1].text[0] | What is the your date of birth |
| Questionnaire.item[1].item[1].type[0] | date |
| Questionnaire.item[1].item[1].required[0] | True |
| Questionnaire.item[1].item[1].repeats[0] | False |
| Questionnaire.item[1].item[2].linkId[0] | 2535971200955 |
| Questionnaire.item[1].item[2].text[0] | Do you know your NHS Number? |
| Questionnaire.item[1].item[2].type[0] | boolean |
| Questionnaire.item[1].item[2].required[0] | True |
| Questionnaire.item[1].item[2].repeats[0] | False |
| Questionnaire.item[1].item[2].item[0].linkId[0] | 7450549676323 |
| Questionnaire.item[1].item[2].item[0].definition[0] | http://hl7.org/fhir/StructureDefinition/RelatedPerson#identifier |
| Questionnaire.item[1].item[2].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[2].item[0].code[0].code[0] | 395451000000101 |
| Questionnaire.item[1].item[2].item[0].code[0].display[0] | Patient National Health Service number (observable entity) |
| Questionnaire.item[1].item[2].item[0].text[0] | What is your NHS number |
| Questionnaire.item[1].item[2].item[0].type[0] | integer |
| Questionnaire.item[1].item[2].item[0].enableWhen[0].question[0] | 2535971200955 |
| Questionnaire.item[1].item[2].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[1].item[2].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[1].item[2].item[0].enableBehavior[0] | any |
| Questionnaire.item[1].item[2].item[0].required[0] | True |
| Questionnaire.item[1].item[2].item[0].repeats[0] | False |
| Questionnaire.item[1].item[2].item[1].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[1].item[2].item[1].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[1].item[2].item[1].extension[0].value[0].coding[0].code[0] | help |
| Questionnaire.item[1].item[2].item[1].extension[0].value[0].coding[0].display[0] | Help-Button |
| Questionnaire.item[1].item[2].item[1].extension[0].value[0].text[0] | Help-Button |
| Questionnaire.item[1].item[2].item[1].linkId[0] | 2535971200955_helpText |
| Questionnaire.item[1].item[2].item[1].text[0] | You do not need to know their NHS number to continue. If you do not know it, you can tell us their full name instead. |
| Questionnaire.item[1].item[2].item[1].type[0] | display |
| Questionnaire.item[1].item[3].linkId[0] | 6043124139100 |
| Questionnaire.item[1].item[3].text[0] | Are you registering with a UK GP for the first time |
| Questionnaire.item[1].item[3].type[0] | boolean |
| Questionnaire.item[1].item[3].required[0] | True |
| Questionnaire.item[1].item[3].repeats[0] | False |
| Questionnaire.item[1].item[3].item[0].linkId[0] | 9441224899731 |
| Questionnaire.item[1].item[3].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[1].item[3].item[0].code[0].code[0] | 711481000000108 |
| Questionnaire.item[1].item[3].item[0].code[0].display[0] | Patient registered general practitioner (observable entity) |
| Questionnaire.item[1].item[3].item[0].text[0] | What is the name of the GP surgery you want to leave? |
| Questionnaire.item[1].item[3].item[0].type[0] | group |
| Questionnaire.item[1].item[3].item[0].enableWhen[0].question[0] | 6043124139100 |
| Questionnaire.item[1].item[3].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[1].item[3].item[0].enableWhen[0].answer[0] | False |
| Questionnaire.item[1].item[3].item[0].item[0].linkId[0] | 5352371648554 |
| Questionnaire.item[1].item[3].item[0].item[0].text[0] | Current Surgery name |
| Questionnaire.item[1].item[3].item[0].item[0].type[0] | string |
| Questionnaire.item[1].item[3].item[0].item[1].linkId[0] | 6622306991068 |
| Questionnaire.item[1].item[3].item[0].item[1].text[0] | Current Surgery postcode |
| Questionnaire.item[1].item[3].item[0].item[1].type[0] | string |
| Questionnaire.item[1].item[3].item[0].item[2].linkId[0] | 2066131115145 |
| Questionnaire.item[1].item[3].item[0].item[2].text[0] | Select your current GP surgery |
| Questionnaire.item[1].item[3].item[0].item[2].type[0] | group |
| Questionnaire.item[1].item[3].item[0].item[2].item[0].linkId[0] | 7885193861634 |
| Questionnaire.item[1].item[3].item[0].item[2].item[0].text[0] | Current Surgery street |
| Questionnaire.item[1].item[3].item[0].item[2].item[0].type[0] | string |
| Questionnaire.item[1].item[3].item[0].item[2].item[1].linkId[0] | 7211883460061 |
| Questionnaire.item[1].item[3].item[0].item[2].item[1].text[0] | Current Surgery town |
| Questionnaire.item[1].item[3].item[0].item[2].item[1].type[0] | string |
| Questionnaire.item[1].item[3].item[1].linkId[0] | 8087948177397 |
| Questionnaire.item[1].item[3].item[1].text[0] | Do you know the postcode used when you last registered with a UK GP? |
| Questionnaire.item[1].item[3].item[1].type[0] | boolean |
| Questionnaire.item[1].item[3].item[1].enableWhen[0].question[0] | 6043124139100 |
| Questionnaire.item[1].item[3].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[1].item[3].item[1].enableWhen[0].answer[0] | False |
| Questionnaire.item[1].item[3].item[1].required[0] | True |
| Questionnaire.item[1].item[3].item[1].repeats[0] | False |
| Questionnaire.item[1].item[3].item[1].item[0].linkId[0] | 7359582925710 |
| Questionnaire.item[1].item[3].item[1].item[0].text[0] | What postcode did you use when you last registered with a UK GP? |
| Questionnaire.item[1].item[3].item[1].item[0].type[0] | string |
| Questionnaire.item[1].item[3].item[1].item[0].enableWhen[0].question[0] | 8087948177397 |
| Questionnaire.item[1].item[3].item[1].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[1].item[3].item[1].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[1].item[3].item[1].item[0].required[0] | True |
| Questionnaire.item[1].item[3].item[1].item[0].repeats[0] | False |
| Questionnaire.item[2].linkId[0] | 3189857950482 |
| Questionnaire.item[2].text[0] | Personal Details |
| Questionnaire.item[2].type[0] | group |
| Questionnaire.item[2].item[0].linkId[0] | 7570130246483 |
| Questionnaire.item[2].item[0].text[0] | Do you have a current UK address |
| Questionnaire.item[2].item[0].type[0] | boolean |
| Questionnaire.item[2].item[0].required[0] | True |
| Questionnaire.item[2].item[0].repeats[0] | False |
| Questionnaire.item[2].item[0].item[0].linkId[0] | 3834031732678 |
| Questionnaire.item[2].item[0].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[0].item[0].code[0].code[0] | 184097001 |
| Questionnaire.item[2].item[0].item[0].code[0].display[0] | Patient address (observable entity) |
| Questionnaire.item[2].item[0].item[0].text[0] | What is your current UK address? |
| Questionnaire.item[2].item[0].item[0].type[0] | group |
| Questionnaire.item[2].item[0].item[0].enableWhen[0].question[0] | 7570130246483 |
| Questionnaire.item[2].item[0].item[0].enableWhen[0].operator[0] | = |
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| Questionnaire.item[2].item[0].item[0].item[0].linkId[0] | 7091443873030 |
| Questionnaire.item[2].item[0].item[0].item[0].text[0] | House number or name (optional) |
| Questionnaire.item[2].item[0].item[0].item[0].type[0] | string |
| Questionnaire.item[2].item[0].item[0].item[0].required[0] | False |
| Questionnaire.item[2].item[0].item[0].item[1].linkId[0] | 5086068712017 |
| Questionnaire.item[2].item[0].item[0].item[1].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[0].item[0].item[1].code[0].code[0] | 184102003 |
| Questionnaire.item[2].item[0].item[0].item[1].code[0].display[0] | Patient postal code (observable entity) |
| Questionnaire.item[2].item[0].item[0].item[1].text[0] | Postcode |
| Questionnaire.item[2].item[0].item[0].item[1].type[0] | string |
| Questionnaire.item[2].item[0].item[0].item[2].linkId[0] | 1187115804415 |
| Questionnaire.item[2].item[0].item[0].item[2].text[0] | Select an address |
| Questionnaire.item[2].item[0].item[0].item[2].type[0] | group |
| Questionnaire.item[2].item[0].item[0].item[2].item[0].linkId[0] | 8052908008533 |
| Questionnaire.item[2].item[0].item[0].item[2].item[0].text[0] | Street |
| Questionnaire.item[2].item[0].item[0].item[2].item[0].type[0] | string |
| Questionnaire.item[2].item[0].item[0].item[2].item[1].linkId[0] | 9119357682451 |
| Questionnaire.item[2].item[0].item[0].item[2].item[1].text[0] | Town |
| Questionnaire.item[2].item[0].item[0].item[2].item[1].type[0] | string |
| Questionnaire.item[2].item[1].linkId[0] | 8454185457892 |
| Questionnaire.item[2].item[1].text[0] | What are your Contact Details |
| Questionnaire.item[2].item[1].type[0] | group |
| Questionnaire.item[2].item[1].item[0].linkId[0] | 5425785344304 |
| Questionnaire.item[2].item[1].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[1].item[0].code[0].code[0] | 429697006 |
| Questionnaire.item[2].item[1].item[0].code[0].display[0] | Patient home telephone number (observable entity) |
| Questionnaire.item[2].item[1].item[0].text[0] | Home telephone number |
| Questionnaire.item[2].item[1].item[0].type[0] | string |
| Questionnaire.item[2].item[1].item[1].linkId[0] | 8530163235785 |
| Questionnaire.item[2].item[1].item[1].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[1].item[1].code[0].code[0] | 428481002 |
| Questionnaire.item[2].item[1].item[1].code[0].display[0] | Patient mobile telephone number (observable entity) |
| Questionnaire.item[2].item[1].item[1].text[0] | Mobile telephone number |
| Questionnaire.item[2].item[1].item[1].type[0] | string |
| Questionnaire.item[2].item[1].item[2].linkId[0] | 7870443952741 |
| Questionnaire.item[2].item[1].item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[1].item[2].code[0].code[0] | 424966008 |
| Questionnaire.item[2].item[1].item[2].code[0].display[0] | Patient email address (observable entity) |
| Questionnaire.item[2].item[1].item[2].text[0] | |
| Questionnaire.item[2].item[1].item[2].type[0] | string |
| Questionnaire.item[2].item[2].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[2].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[2].extension[0].value[0].coding[0].code[0] | check-box |
| Questionnaire.item[2].item[2].extension[0].value[0].coding[0].display[0] | Check-box |
| Questionnaire.item[2].item[2].linkId[0] | 5729238155283 |
| Questionnaire.item[2].item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[2].code[0].code[0] | 276031006 |
| Questionnaire.item[2].item[2].code[0].display[0] | Details of education (observable entity) |
| Questionnaire.item[2].item[2].text[0] | Do you go to any of the following for your education? |
| Questionnaire.item[2].item[2].type[0] | open-choice |
| Questionnaire.item[2].item[2].required[0] | True |
| Questionnaire.item[2].item[2].repeats[0] | True |
| Questionnaire.item[2].item[2].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[2].answerOption[0].value[0].code[0] | 342271000000107 |
| Questionnaire.item[2].item[2].answerOption[0].value[0].display[0] | Educated to primary school level |
| Questionnaire.item[2].item[2].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[2].answerOption[1].value[0].code[0] | 161117005 |
| Questionnaire.item[2].item[2].answerOption[1].value[0].display[0] | Nursery |
| Questionnaire.item[2].item[2].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[2].answerOption[2].value[0].code[0] | 302139001 |
| Questionnaire.item[2].item[2].answerOption[2].value[0].display[0] | Home-schooled |
| Questionnaire.item[2].item[2].answerOption[3].value[0].display[0] | None of the above |
| Questionnaire.item[2].item[2].item[0].linkId[0] | 394020974422 |
| Questionnaire.item[2].item[2].item[0].text[0] | Enter details of where you go for your education - School |
| Questionnaire.item[2].item[2].item[0].type[0] | group |
| Questionnaire.item[2].item[2].item[0].enableWhen[0].question[0] | 5729238155283 |
| Questionnaire.item[2].item[2].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[2].item[0].enableWhen[0].answer[0].display[0] | Educated to primary school level |
| Questionnaire.item[2].item[2].item[0].repeats[0] | False |
| Questionnaire.item[2].item[2].item[0].item[0].linkId[0] | 3906837152832 |
| Questionnaire.item[2].item[2].item[0].item[0].text[0] | Name of school |
| Questionnaire.item[2].item[2].item[0].item[0].type[0] | string |
| Questionnaire.item[2].item[2].item[0].item[0].required[0] | True |
| Questionnaire.item[2].item[2].item[0].item[0].repeats[0] | False |
| Questionnaire.item[2].item[2].item[0].item[1].linkId[0] | 6688482508092 |
| Questionnaire.item[2].item[2].item[0].item[1].text[0] | Postcode |
| Questionnaire.item[2].item[2].item[0].item[1].type[0] | string |
| Questionnaire.item[2].item[2].item[0].item[1].required[0] | True |
| Questionnaire.item[2].item[2].item[0].item[1].repeats[0] | False |
| Questionnaire.item[2].item[2].item[0].item[2].linkId[0] | 8439668864839 |
| Questionnaire.item[2].item[2].item[0].item[2].text[0] | Telephone number |
| Questionnaire.item[2].item[2].item[0].item[2].type[0] | string |
| Questionnaire.item[2].item[2].item[0].item[2].required[0] | True |
| Questionnaire.item[2].item[2].item[0].item[2].repeats[0] | False |
| Questionnaire.item[2].item[2].item[1].linkId[0] | 7429200519586 |
| Questionnaire.item[2].item[2].item[1].text[0] | Enter details of where you go for your education - Nursery |
| Questionnaire.item[2].item[2].item[1].type[0] | group |
| Questionnaire.item[2].item[2].item[1].enableWhen[0].question[0] | 5729238155283 |
| Questionnaire.item[2].item[2].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[2].item[1].enableWhen[0].answer[0].display[0] | Nursery |
| Questionnaire.item[2].item[2].item[1].repeats[0] | False |
| Questionnaire.item[2].item[2].item[1].item[0].linkId[0] | 4527715209757 |
| Questionnaire.item[2].item[2].item[1].item[0].text[0] | Name of nursery |
| Questionnaire.item[2].item[2].item[1].item[0].type[0] | string |
| Questionnaire.item[2].item[2].item[1].item[0].required[0] | True |
| Questionnaire.item[2].item[2].item[1].item[0].repeats[0] | False |
| Questionnaire.item[2].item[2].item[1].item[1].linkId[0] | 9264432080912 |
| Questionnaire.item[2].item[2].item[1].item[1].text[0] | Postcode |
| Questionnaire.item[2].item[2].item[1].item[1].type[0] | string |
| Questionnaire.item[2].item[2].item[1].item[1].required[0] | True |
| Questionnaire.item[2].item[2].item[1].item[1].repeats[0] | False |
| Questionnaire.item[2].item[2].item[1].item[2].linkId[0] | 9604650637827 |
| Questionnaire.item[2].item[2].item[1].item[2].text[0] | Telephone number |
| Questionnaire.item[2].item[2].item[1].item[2].type[0] | string |
| Questionnaire.item[2].item[2].item[1].item[2].required[0] | True |
| Questionnaire.item[2].item[2].item[1].item[2].repeats[0] | False |
| Questionnaire.item[2].item[2].item[2].linkId[0] | 8242011050226 |
| Questionnaire.item[2].item[2].item[2].text[0] | Enter details of where you go for your education - Home School |
| Questionnaire.item[2].item[2].item[2].type[0] | group |
| Questionnaire.item[2].item[2].item[2].enableWhen[0].question[0] | 5729238155283 |
| Questionnaire.item[2].item[2].item[2].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[2].item[2].enableWhen[0].answer[0].display[0] | Home schooled |
| Questionnaire.item[2].item[2].item[2].item[0].linkId[0] | 9503918040039 |
| Questionnaire.item[2].item[2].item[2].item[0].text[0] | Postcode |
| Questionnaire.item[2].item[2].item[2].item[0].type[0] | string |
| Questionnaire.item[2].item[2].item[2].item[0].required[0] | True |
| Questionnaire.item[2].item[2].item[2].item[0].repeats[0] | False |
| Questionnaire.item[2].item[2].item[2].item[1].linkId[0] | 5244682504330 |
| Questionnaire.item[2].item[2].item[2].item[1].text[0] | Telephone number |
| Questionnaire.item[2].item[2].item[2].item[1].type[0] | string |
| Questionnaire.item[2].item[2].item[2].item[1].required[0] | True |
| Questionnaire.item[2].item[2].item[2].item[1].repeats[0] | False |
| Questionnaire.item[2].item[3].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[3].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[3].extension[0].value[0].coding[0].code[0] | check-box |
| Questionnaire.item[2].item[3].extension[0].value[0].coding[0].display[0] | Check-box |
| Questionnaire.item[2].item[3].linkId[0] | 2352413897998 |
| Questionnaire.item[2].item[3].text[0] | Is anyone else involved in your care? |
| Questionnaire.item[2].item[3].type[0] | open-choice |
| Questionnaire.item[2].item[3].required[0] | True |
| Questionnaire.item[2].item[3].repeats[0] | True |
| Questionnaire.item[2].item[3].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[3].answerOption[0].value[0].code[0] | 309390008 |
| Questionnaire.item[2].item[3].answerOption[0].value[0].display[0] | Hospital consultant |
| Questionnaire.item[2].item[3].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[3].answerOption[1].value[0].code[0] | 1052581000000109 |
| Questionnaire.item[2].item[3].answerOption[1].value[0].display[0] | Health visitor |
| Questionnaire.item[2].item[3].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[3].answerOption[2].value[0].code[0] | 106328005 |
| Questionnaire.item[2].item[3].answerOption[2].value[0].display[0] | Social worker |
| Questionnaire.item[2].item[3].answerOption[3].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[3].answerOption[3].value[0].code[0] | 223366009 |
| Questionnaire.item[2].item[3].answerOption[3].value[0].display[0] | Healthcare professional |
| Questionnaire.item[2].item[3].answerOption[4].value[0].display[0] | None of the above |
| Questionnaire.item[2].item[4].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[4].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[4].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[2].item[4].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[2].item[4].linkId[0] | 3509733064094 |
| Questionnaire.item[2].item[4].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[4].code[0].code[0] | 184100006 |
| Questionnaire.item[2].item[4].code[0].display[0] | Patient sex (observable entity) |
| Questionnaire.item[2].item[4].text[0] | What is your sex as recorded on your NHS record? |
| Questionnaire.item[2].item[4].type[0] | choice |
| Questionnaire.item[2].item[4].required[0] | True |
| Questionnaire.item[2].item[4].repeats[0] | False |
| Questionnaire.item[2].item[4].answerOption[0].value[0].system[0] | http://hl7.org/fhir/administrative-gender |
| Questionnaire.item[2].item[4].answerOption[0].value[0].code[0] | male |
| Questionnaire.item[2].item[4].answerOption[0].value[0].display[0] | Male |
| Questionnaire.item[2].item[4].answerOption[1].value[0].system[0] | http://hl7.org/fhir/administrative-gender |
| Questionnaire.item[2].item[4].answerOption[1].value[0].code[0] | female |
| Questionnaire.item[2].item[4].answerOption[1].value[0].display[0] | Female |
| Questionnaire.item[2].item[4].answerOption[2].value[0].system[0] | http://hl7.org/fhir/administrative-gender |
| Questionnaire.item[2].item[4].answerOption[2].value[0].code[0] | other |
| Questionnaire.item[2].item[4].answerOption[2].value[0].display[0] | Other |
| Questionnaire.item[2].item[4].answerOption[3].value[0].system[0] | http://hl7.org/fhir/administrative-gender |
| Questionnaire.item[2].item[4].answerOption[3].value[0].code[0] | unknown |
| Questionnaire.item[2].item[4].answerOption[3].value[0].display[0] | Unknown |
| Questionnaire.item[2].item[5].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[5].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[5].extension[0].value[0].coding[0].code[0] | drop-down |
| Questionnaire.item[2].item[5].extension[0].value[0].coding[0].display[0] | Drop down |
| Questionnaire.item[2].item[5].linkId[0] | 4800938448822 |
| Questionnaire.item[2].item[5].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[5].code[0].code[0] | 398089004 |
| Questionnaire.item[2].item[5].code[0].display[0] | Ethnic background |
| Questionnaire.item[2].item[5].text[0] | What is your ethnic group? |
| Questionnaire.item[2].item[5].type[0] | choice |
| Questionnaire.item[2].item[5].required[0] | True |
| Questionnaire.item[2].item[5].repeats[0] | False |
| Questionnaire.item[2].item[5].answerOption[0].value[0].display[0] | Asian or Asian British |
| Questionnaire.item[2].item[5].answerOption[1].value[0].display[0] | Black African, Black British or Caribbean |
| Questionnaire.item[2].item[5].answerOption[2].value[0].display[0] | Mixed or multiple ethnic groups |
| Questionnaire.item[2].item[5].answerOption[3].value[0].display[0] | White |
| Questionnaire.item[2].item[5].answerOption[4].value[0].display[0] | Another ethnic group |
| Questionnaire.item[2].item[5].answerOption[5].value[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| Questionnaire.item[2].item[5].answerOption[5].value[0].code[0] | Z |
| Questionnaire.item[2].item[5].answerOption[5].value[0].display[0] | Not stated |
| Questionnaire.item[2].item[5].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[5].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[5].item[0].extension[0].value[0].coding[0].code[0] | drop-down |
| Questionnaire.item[2].item[5].item[0].extension[0].value[0].coding[0].display[0] | Drop down |
| Questionnaire.item[2].item[5].item[0].linkId[0] | 3434094779174 |
| Questionnaire.item[2].item[5].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[5].item[0].code[0].code[0] | 398089004 |
| Questionnaire.item[2].item[5].item[0].code[0].display[0] | Ethnic background |
| Questionnaire.item[2].item[5].item[0].text[0] | Which of the following best describes your [Ethnic group] background? |
| Questionnaire.item[2].item[5].item[0].type[0] | choice |
| Questionnaire.item[2].item[5].item[0].enableWhen[0].question[0] | 4800938448822 |
| Questionnaire.item[2].item[5].item[0].enableWhen[0].operator[0] | != |
| Questionnaire.item[2].item[5].item[0].enableWhen[0].answer[0].system[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| Questionnaire.item[2].item[5].item[0].enableWhen[0].answer[0].code[0] | Z |
| Questionnaire.item[2].item[5].item[0].enableWhen[0].answer[0].display[0] | Not stated |
| Questionnaire.item[2].item[5].item[0].answerValueSet[0] | https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| Questionnaire.item[2].item[6].linkId[0] | 9558300594974 |
| Questionnaire.item[2].item[6].text[0] | Do you need a language interpreter for your GP appointments? |
| Questionnaire.item[2].item[6].type[0] | boolean |
| Questionnaire.item[2].item[6].required[0] | True |
| Questionnaire.item[2].item[6].repeats[0] | False |
| Questionnaire.item[2].item[6].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[6].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[6].item[0].extension[0].value[0].coding[0].code[0] | drop-down |
| Questionnaire.item[2].item[6].item[0].extension[0].value[0].coding[0].display[0] | Drop down |
| Questionnaire.item[2].item[6].item[0].linkId[0] | 1841983710357 |
| Questionnaire.item[2].item[6].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[6].item[0].code[0].code[0] | 439736001 |
| Questionnaire.item[2].item[6].item[0].code[0].display[0] | Language for which interpreter is needed (observable entity) |
| Questionnaire.item[2].item[6].item[0].text[0] | Which language do you need an interpreter for? |
| Questionnaire.item[2].item[6].item[0].type[0] | open-choice |
| Questionnaire.item[2].item[6].item[0].enableWhen[0].question[0] | 9558300594974 |
| Questionnaire.item[2].item[6].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[6].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[6].item[0].required[0] | True |
| Questionnaire.item[2].item[6].item[0].repeats[0] | False |
| Questionnaire.item[2].item[6].item[0].answerOption[0].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[0].value[0].code[0] | bfi |
| Questionnaire.item[2].item[6].item[0].answerOption[0].value[0].display[0] | British Sign Language |
| Questionnaire.item[2].item[6].item[0].answerOption[1].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[1].value[0].code[0] | ar |
| Questionnaire.item[2].item[6].item[0].answerOption[1].value[0].display[0] | Arabic |
| Questionnaire.item[2].item[6].item[0].answerOption[2].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[2].value[0].code[0] | cit |
| Questionnaire.item[2].item[6].item[0].answerOption[2].value[0].display[0] | Bengali - Chatgaya |
| Questionnaire.item[2].item[6].item[0].answerOption[3].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[3].value[0].code[0] | syl |
| Questionnaire.item[2].item[6].item[0].answerOption[3].value[0].display[0] | Bengali - Sylheti |
| Questionnaire.item[2].item[6].item[0].answerOption[4].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[4].value[0].code[0] | cmn |
| Questionnaire.item[2].item[6].item[0].answerOption[4].value[0].display[0] | Chinese - Mandarin |
| Questionnaire.item[2].item[6].item[0].answerOption[5].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[5].value[0].code[0] | zhh |
| Questionnaire.item[2].item[6].item[0].answerOption[5].value[0].display[0] | Chinese - Cantonese |
| Questionnaire.item[2].item[6].item[0].answerOption[6].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[6].value[0].code[0] | fa |
| Questionnaire.item[2].item[6].item[0].answerOption[6].value[0].display[0] | Farsi |
| Questionnaire.item[2].item[6].item[0].answerOption[7].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[7].value[0].code[0] | fr |
| Questionnaire.item[2].item[6].item[0].answerOption[7].value[0].display[0] | French |
| Questionnaire.item[2].item[6].item[0].answerOption[8].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[8].value[0].code[0] | ghc |
| Questionnaire.item[2].item[6].item[0].answerOption[8].value[0].display[0] | Gaelic |
| Questionnaire.item[2].item[6].item[0].answerOption[9].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[9].value[0].code[0] | de |
| Questionnaire.item[2].item[6].item[0].answerOption[9].value[0].display[0] | German |
| Questionnaire.item[2].item[6].item[0].answerOption[10].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[10].value[0].code[0] | gu |
| Questionnaire.item[2].item[6].item[0].answerOption[10].value[0].display[0] | Gujarati |
| Questionnaire.item[2].item[6].item[0].answerOption[11].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[11].value[0].code[0] | it |
| Questionnaire.item[2].item[6].item[0].answerOption[11].value[0].display[0] | Italian |
| Questionnaire.item[2].item[6].item[0].answerOption[12].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[12].value[0].code[0] | lt |
| Questionnaire.item[2].item[6].item[0].answerOption[12].value[0].display[0] | Lithuanian |
| Questionnaire.item[2].item[6].item[0].answerOption[13].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[13].value[0].code[0] | pl |
| Questionnaire.item[2].item[6].item[0].answerOption[13].value[0].display[0] | Polish |
| Questionnaire.item[2].item[6].item[0].answerOption[14].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[14].value[0].code[0] | pt |
| Questionnaire.item[2].item[6].item[0].answerOption[14].value[0].display[0] | Portuguese |
| Questionnaire.item[2].item[6].item[0].answerOption[15].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[15].value[0].code[0] | pa |
| Questionnaire.item[2].item[6].item[0].answerOption[15].value[0].display[0] | Punjabi |
| Questionnaire.item[2].item[6].item[0].answerOption[16].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[16].value[0].code[0] | so |
| Questionnaire.item[2].item[6].item[0].answerOption[16].value[0].display[0] | Somali |
| Questionnaire.item[2].item[6].item[0].answerOption[17].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[17].value[0].code[0] | es |
| Questionnaire.item[2].item[6].item[0].answerOption[17].value[0].display[0] | Spanish |
| Questionnaire.item[2].item[6].item[0].answerOption[18].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[18].value[0].code[0] | ta |
| Questionnaire.item[2].item[6].item[0].answerOption[18].value[0].display[0] | Tamil |
| Questionnaire.item[2].item[6].item[0].answerOption[19].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[19].value[0].code[0] | tr |
| Questionnaire.item[2].item[6].item[0].answerOption[19].value[0].display[0] | Turkish |
| Questionnaire.item[2].item[6].item[0].answerOption[20].value[0].system[0] | http://tools.ietf.org/html/bcp47 |
| Questionnaire.item[2].item[6].item[0].answerOption[20].value[0].code[0] | ur |
| Questionnaire.item[2].item[6].item[0].answerOption[20].value[0].display[0] | Urdu |
| Questionnaire.item[2].item[6].item[0].answerOption[21].value[0].display[0] | Other |
| Questionnaire.item[2].item[7].linkId[0] | 5319955577563 |
| Questionnaire.item[2].item[7].text[0] | Would you like to choose or change a pharmacy for your prescriptions? |
| Questionnaire.item[2].item[7].type[0] | boolean |
| Questionnaire.item[2].item[7].required[0] | True |
| Questionnaire.item[2].item[7].repeats[0] | False |
| Questionnaire.item[2].item[7].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[7].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[7].item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[2].item[7].item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[2].item[7].item[0].linkId[0] | 2713146262242 |
| Questionnaire.item[2].item[7].item[0].text[0] | Choose type of pharmacy |
| Questionnaire.item[2].item[7].item[0].type[0] | choice |
| Questionnaire.item[2].item[7].item[0].enableWhen[0].question[0] | 5319955577563 |
| Questionnaire.item[2].item[7].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[7].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[7].item[0].required[0] | True |
| Questionnaire.item[2].item[7].item[0].repeats[0] | False |
| Questionnaire.item[2].item[7].item[0].answerOption[0].value[0].display[0] | High Street Pharmacy |
| Questionnaire.item[2].item[7].item[0].answerOption[1].value[0].display[0] | Online-only Pharmacy |
| Questionnaire.item[2].item[7].item[1].linkId[0] | 7665401650008 |
| Questionnaire.item[2].item[7].item[1].text[0] | Choose a pharmacy |
| Questionnaire.item[2].item[7].item[1].type[0] | group |
| Questionnaire.item[2].item[7].item[1].enableWhen[0].question[0] | 5319955577563 |
| Questionnaire.item[2].item[7].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[7].item[1].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[7].item[1].item[0].linkId[0] | 7587493504635 |
| Questionnaire.item[2].item[7].item[1].item[0].text[0] | Pharmacy Name |
| Questionnaire.item[2].item[7].item[1].item[0].type[0] | string |
| Questionnaire.item[2].item[7].item[1].item[0].required[0] | True |
| Questionnaire.item[2].item[7].item[1].item[0].repeats[0] | False |
| Questionnaire.item[2].item[7].item[1].item[1].linkId[0] | 8516440797888 |
| Questionnaire.item[2].item[7].item[1].item[1].text[0] | Pharmacy House Number |
| Questionnaire.item[2].item[7].item[1].item[1].type[0] | integer |
| Questionnaire.item[2].item[7].item[1].item[1].required[0] | True |
| Questionnaire.item[2].item[7].item[1].item[1].repeats[0] | False |
| Questionnaire.item[2].item[7].item[1].item[2].linkId[0] | 7342162179490 |
| Questionnaire.item[2].item[7].item[1].item[2].text[0] | Pharmacy Street |
| Questionnaire.item[2].item[7].item[1].item[2].type[0] | string |
| Questionnaire.item[2].item[7].item[1].item[3].linkId[0] | 5149630375907 |
| Questionnaire.item[2].item[7].item[1].item[3].text[0] | Pharmacy Town |
| Questionnaire.item[2].item[7].item[1].item[3].type[0] | string |
| Questionnaire.item[2].item[7].item[2].linkId[0] | 3216525415675 |
| Questionnaire.item[2].item[7].item[2].text[0] | Do you want to get your prescription items direct from {NAME OF SURGERY}? |
| Questionnaire.item[2].item[7].item[2].type[0] | boolean |
| Questionnaire.item[2].item[7].item[2].item[0].linkId[0] | 4107477375862 |
| Questionnaire.item[2].item[7].item[2].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[7].item[2].item[0].code[0].code[0] | 300611005 |
| Questionnaire.item[2].item[7].item[2].item[0].code[0].display[0] | Difficulty performing traveling activities (finding) |
| Questionnaire.item[2].item[7].item[2].item[0].text[0] | Would you have serious difficulty travelling to your nearest pharmacy to get medicines or medical appliances? |
| Questionnaire.item[2].item[7].item[2].item[0].type[0] | boolean |
| Questionnaire.item[2].item[7].item[2].item[0].enableWhen[0].question[0] | 3216525415675 |
| Questionnaire.item[2].item[7].item[2].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[7].item[2].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[7].item[2].item[1].linkId[0] | 1224857833601 |
| Questionnaire.item[2].item[7].item[2].item[1].text[0] | Do you live more than 1 mile from your nearest pharmacy? |
| Questionnaire.item[2].item[7].item[2].item[1].type[0] | boolean |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[0].question[0] | 3216525415675 |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[1].question[0] | 4107477375862 |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[1].operator[0] | = |
| Questionnaire.item[2].item[7].item[2].item[1].enableWhen[1].answer[0] | False |
| Questionnaire.item[2].item[7].item[2].item[1].enableBehavior[0] | all |
| Questionnaire.item[2].item[8].linkId[0] | 3094394035878 |
| Questionnaire.item[2].item[8].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[8].code[0].code[0] | 753651000000107 |
| Questionnaire.item[2].item[8].code[0].display[0] | Military veteran (finding) |
| Questionnaire.item[2].item[8].text[0] | Have you ever been a member of the UK Armed Forces or are a family member registered with the Defence Medical Services? |
| Questionnaire.item[2].item[8].type[0] | boolean |
| Questionnaire.item[2].item[8].required[0] | True |
| Questionnaire.item[2].item[8].repeats[0] | False |
| Questionnaire.item[2].item[9].linkId[0] | 9420407152267 |
| Questionnaire.item[2].item[9].text[0] | Do you have an emergency contact? |
| Questionnaire.item[2].item[9].type[0] | boolean |
| Questionnaire.item[2].item[9].required[0] | True |
| Questionnaire.item[2].item[9].repeats[0] | False |
| Questionnaire.item[2].item[9].item[0].linkId[0] | 2504251541565 |
| Questionnaire.item[2].item[9].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[9].item[0].code[0].code[0] | 406548001 |
| Questionnaire.item[2].item[9].item[0].code[0].display[0] | Emergency contact details (observable entity) |
| Questionnaire.item[2].item[9].item[0].text[0] | What are the details of your emergency contact? |
| Questionnaire.item[2].item[9].item[0].type[0] | group |
| Questionnaire.item[2].item[9].item[0].enableWhen[0].question[0] | 9420407152267 |
| Questionnaire.item[2].item[9].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[9].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[9].item[0].item[0].linkId[0] | 4531185058436 |
| Questionnaire.item[2].item[9].item[0].item[0].text[0] | EC Full Name |
| Questionnaire.item[2].item[9].item[0].item[0].type[0] | string |
| Questionnaire.item[2].item[9].item[0].item[1].linkId[0] | 8633300116223 |
| Questionnaire.item[2].item[9].item[0].item[1].text[0] | EC Relationship to user |
| Questionnaire.item[2].item[9].item[0].item[1].type[0] | string |
| Questionnaire.item[2].item[9].item[0].item[2].linkId[0] | 6157634467632 |
| Questionnaire.item[2].item[9].item[0].item[2].text[0] | Next of Kin |
| Questionnaire.item[2].item[9].item[0].item[2].type[0] | boolean |
| Questionnaire.item[2].item[9].item[0].item[3].linkId[0] | 682000761752 |
| Questionnaire.item[2].item[9].item[0].item[3].text[0] | Contact telephone number |
| Questionnaire.item[2].item[9].item[0].item[3].type[0] | string |
| Questionnaire.item[2].item[10].linkId[0] | 7951535385611 |
| Questionnaire.item[2].item[10].text[0] | Are you returning from overseas? |
| Questionnaire.item[2].item[10].type[0] | boolean |
| Questionnaire.item[2].item[10].required[0] | True |
| Questionnaire.item[2].item[10].repeats[0] | False |
| Questionnaire.item[2].item[10].item[0].linkId[0] | 132357985294 |
| Questionnaire.item[2].item[10].item[0].text[0] | What was the date you left the UK? |
| Questionnaire.item[2].item[10].item[0].type[0] | date |
| Questionnaire.item[2].item[10].item[0].enableWhen[0].question[0] | 7951535385611 |
| Questionnaire.item[2].item[10].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[10].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[10].item[1].linkId[0] | 2420834071501 |
| Questionnaire.item[2].item[10].item[1].text[0] | What was the date you returned to the UK? |
| Questionnaire.item[2].item[10].item[1].type[0] | date |
| Questionnaire.item[2].item[10].item[1].enableWhen[0].question[0] | 7951535385611 |
| Questionnaire.item[2].item[10].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[10].item[1].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[11].linkId[0] | 630742013280 |
| Questionnaire.item[2].item[11].text[0] | Have you recently moved to the UK from abroad? |
| Questionnaire.item[2].item[11].type[0] | boolean |
| Questionnaire.item[2].item[11].required[0] | True |
| Questionnaire.item[2].item[11].repeats[0] | False |
| Questionnaire.item[2].item[11].item[0].extension[0].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[2].item[11].item[0].extension[0].value[0] | True |
| Questionnaire.item[2].item[11].item[0].linkId[0] | 5249967964026 |
| Questionnaire.item[2].item[11].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[11].item[0].code[0].code[0] | 860021000000109 |
| Questionnaire.item[2].item[11].item[0].code[0].display[0] | Date of entry to United Kingdom (observable entity) |
| Questionnaire.item[2].item[11].item[0].text[0] | When did you enter the UK? |
| Questionnaire.item[2].item[11].item[0].type[0] | date |
| Questionnaire.item[2].item[11].item[0].enableWhen[0].question[0] | 630742013280 |
| Questionnaire.item[2].item[11].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[11].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[11].item[1].linkId[0] | 291105241223 |
| Questionnaire.item[2].item[11].item[1].text[0] | Have you moved to the UK from EU, EEA or Switzerland? |
| Questionnaire.item[2].item[11].item[1].type[0] | boolean |
| Questionnaire.item[2].item[11].item[1].enableWhen[0].question[0] | 630742013280 |
| Questionnaire.item[2].item[11].item[1].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[11].item[1].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[11].item[1].required[0] | True |
| Questionnaire.item[2].item[11].item[1].repeats[0] | False |
| Questionnaire.item[2].item[11].item[1].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[2].item[11].item[1].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[2].item[11].item[1].item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[2].item[11].item[1].item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[2].item[11].item[1].item[0].linkId[0] | 4739595792362 |
| Questionnaire.item[2].item[11].item[1].item[0].text[0] | Do you have any of these documents? |
| Questionnaire.item[2].item[11].item[1].item[0].type[0] | choice |
| Questionnaire.item[2].item[11].item[1].item[0].enableWhen[0].question[0] | 291105241223 |
| Questionnaire.item[2].item[11].item[1].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[2].item[11].item[1].item[0].enableWhen[0].answer[0] | True |
| Questionnaire.item[2].item[11].item[1].item[0].required[0] | True |
| Questionnaire.item[2].item[11].item[1].item[0].repeats[0] | False |
| Questionnaire.item[2].item[11].item[1].item[0].answerOption[0].value[0].display[0] | EHIC |
| Questionnaire.item[2].item[11].item[1].item[0].answerOption[1].value[0].display[0] | S1 form |
| Questionnaire.item[2].item[11].item[1].item[0].answerOption[2].value[0].display[0] | I don't have any of these documents |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].linkId[0] | 2698577897288 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].code[0].code[0] | 896271000000104 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].code[0].display[0] | Holds European Health Insurance Card (finding) |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].text[0] | European health insurance card details |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].type[0] | group |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[0].linkId[0] | 6238901005493 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[0].text[0] | Full name |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[0].type[0] | string |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[1].linkId[0] | 1144398862518 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[1].text[0] | DOB |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[1].type[0] | date |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[2].linkId[0] | 1592250707448 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[2].text[0] | Country code |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[2].type[0] | string |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[3].linkId[0] | 1483483401688 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[3].text[0] | Personal ID number |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[3].type[0] | string |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[4].linkId[0] | 3420817550247 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[4].text[0] | Identification number of the card |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[4].type[0] | string |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[5].linkId[0] | 4321618408088 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[5].text[0] | Identification number of the institution |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[5].type[0] | string |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[6].linkId[0] | 7423112602149 |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[6].text[0] | Expiry date |
| Questionnaire.item[2].item[11].item[1].item[0].item[0].item[6].type[0] | date |
| Questionnaire.item[2].item[11].item[2].linkId[0] | 9940642971679 |
| Questionnaire.item[2].item[11].item[2].text[0] | Do you know your chargeable status? |
| Questionnaire.item[2].item[11].item[2].type[0] | boolean |
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| Questionnaire.item[3].item[3].code[0].code[0] | 74732009 |
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| Questionnaire.item[3].item[4].linkId[0] | 4702985370646 |
| Questionnaire.item[3].item[4].text[0] | Do you have any disabilities? |
| Questionnaire.item[3].item[4].type[0] | choice |
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| Questionnaire.item[3].item[4].repeats[0] | False |
| Questionnaire.item[3].item[4].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[4].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[4].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[4].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[4].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[4].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[4].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[4].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[4].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[4].item[0].linkId[0] | 4752327272612 |
| Questionnaire.item[3].item[4].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[4].item[0].code[0].code[0] | 844381000000107 |
| Questionnaire.item[3].item[4].item[0].code[0].display[0] | Patient reported disability (finding) |
| Questionnaire.item[3].item[4].item[0].text[0] | About your disabilities |
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| Questionnaire.item[3].item[5].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
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| Questionnaire.item[3].item[5].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[5].linkId[0] | 8295392298267 |
| Questionnaire.item[3].item[5].text[0] | Do you have a carer? |
| Questionnaire.item[3].item[5].type[0] | choice |
| Questionnaire.item[3].item[5].required[0] | True |
| Questionnaire.item[3].item[5].repeats[0] | False |
| Questionnaire.item[3].item[5].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[5].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[5].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[5].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[5].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[5].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[5].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[5].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[5].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[5].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[5].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[5].item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[5].item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[5].item[0].linkId[0] | 1372541526845 |
| Questionnaire.item[3].item[5].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[0].code[0].code[0] | 224494008 |
| Questionnaire.item[3].item[5].item[0].code[0].display[0] | Availability of informal caregiver (observable entity) |
| Questionnaire.item[3].item[5].item[0].text[0] | What type of carer do you have? |
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| Questionnaire.item[3].item[5].item[0].enableWhen[0].question[0] | 8295392298267 |
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| Questionnaire.item[3].item[5].item[0].enableWhen[0].answer[0].code[0] | Y |
| Questionnaire.item[3].item[5].item[0].enableWhen[0].answer[0].display[0] | Yes |
| Questionnaire.item[3].item[5].item[0].required[0] | True |
| Questionnaire.item[3].item[5].item[0].repeats[0] | False |
| Questionnaire.item[3].item[5].item[0].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[0].answerOption[0].value[0].code[0] | 1597921000000107 |
| Questionnaire.item[3].item[5].item[0].answerOption[0].value[0].display[0] | Has young carer |
| Questionnaire.item[3].item[5].item[0].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[0].answerOption[1].value[0].code[0] | 818091000000106 |
| Questionnaire.item[3].item[5].item[0].answerOption[1].value[0].display[0] | Has a paid carer |
| Questionnaire.item[3].item[5].item[0].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[0].answerOption[2].value[0].code[0] | 823411000000109 |
| Questionnaire.item[3].item[5].item[0].answerOption[2].value[0].display[0] | Has voluntary carer |
| Questionnaire.item[3].item[5].item[0].answerOption[3].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[0].answerOption[3].value[0].code[0] | 361571000000107 |
| Questionnaire.item[3].item[5].item[0].answerOption[3].value[0].display[0] | Fostering |
| Questionnaire.item[3].item[5].item[0].answerOption[4].value[0].display[0] | None of the above |
| Questionnaire.item[3].item[5].item[1].linkId[0] | 8891823001896 |
| Questionnaire.item[3].item[5].item[1].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[1].code[0].code[0] | 184140000 |
| Questionnaire.item[3].item[5].item[1].code[0].display[0] | Caregiver details (observable entity) |
| Questionnaire.item[3].item[5].item[1].text[0] | What are your carer's details? |
| Questionnaire.item[3].item[5].item[1].type[0] | group |
| Questionnaire.item[3].item[5].item[1].repeats[0] | True |
| Questionnaire.item[3].item[5].item[1].item[0].linkId[0] | 115569511639 |
| Questionnaire.item[3].item[5].item[1].item[0].text[0] | Carer first name |
| Questionnaire.item[3].item[5].item[1].item[0].type[0] | string |
| Questionnaire.item[3].item[5].item[1].item[1].linkId[0] | 4318712543543 |
| Questionnaire.item[3].item[5].item[1].item[1].text[0] | Carer last name |
| Questionnaire.item[3].item[5].item[1].item[1].type[0] | string |
| Questionnaire.item[3].item[5].item[1].item[2].linkId[0] | 6999434181446 |
| Questionnaire.item[3].item[5].item[1].item[2].text[0] | Carer relationship to user |
| Questionnaire.item[3].item[5].item[1].item[2].type[0] | string |
| Questionnaire.item[3].item[5].item[1].item[3].linkId[0] | 2127351109118 |
| Questionnaire.item[3].item[5].item[1].item[3].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[5].item[1].item[3].code[0].code[0] | 408400006 |
| Questionnaire.item[3].item[5].item[1].item[3].code[0].display[0] | Caregiver home telephone number (observable entity) |
| Questionnaire.item[3].item[5].item[1].item[3].text[0] | Carer contact telephone number |
| Questionnaire.item[3].item[5].item[1].item[3].type[0] | string |
| Questionnaire.item[3].item[6].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
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| Questionnaire.item[3].item[6].linkId[0] | 2716331756046 |
| Questionnaire.item[3].item[6].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[6].code[0].code[0] | 224484003 |
| Questionnaire.item[3].item[6].code[0].display[0] | Patient themselves providing care (finding) |
| Questionnaire.item[3].item[6].text[0] | Are you a carer? |
| Questionnaire.item[3].item[6].type[0] | choice |
| Questionnaire.item[3].item[6].required[0] | True |
| Questionnaire.item[3].item[6].repeats[0] | False |
| Questionnaire.item[3].item[6].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[6].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[6].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[6].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[6].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[6].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[6].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[6].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[6].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[6].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[6].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
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| Questionnaire.item[3].item[6].item[0].text[0] | What type of carer are you? |
| Questionnaire.item[3].item[6].item[0].type[0] | choice |
| Questionnaire.item[3].item[6].item[0].answerOption[0].value[0].display[0] | Young carer under 18 |
| Questionnaire.item[3].item[6].item[0].answerOption[1].value[0].display[0] | Paid as a job |
| Questionnaire.item[3].item[6].item[0].answerOption[2].value[0].display[0] | Unpaid but may get benefits |
| Questionnaire.item[3].item[6].item[0].answerOption[3].value[0].display[0] | Foster carer |
| Questionnaire.item[3].item[6].item[0].answerOption[4].value[0].display[0] | None of the above |
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| Questionnaire.item[3].item[7].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
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| Questionnaire.item[3].item[7].linkId[0] | 9937009784866 |
| Questionnaire.item[3].item[7].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[7].code[0].code[0] | 1082691000000101 |
| Questionnaire.item[3].item[7].code[0].display[0] | Requires support for expressive communication needs (finding) |
| Questionnaire.item[3].item[7].text[0] | Do you or your carer need to be communicated with in an accessible form? |
| Questionnaire.item[3].item[7].type[0] | choice |
| Questionnaire.item[3].item[7].required[0] | True |
| Questionnaire.item[3].item[7].repeats[0] | False |
| Questionnaire.item[3].item[7].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[7].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[7].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[7].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[7].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[7].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[7].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[7].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[7].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[7].item[0].linkId[0] | 8606446749622 |
| Questionnaire.item[3].item[7].item[0].text[0] | About you or your carer's communication needs |
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| Questionnaire.item[3].item[7].item[0].enableWhen[0].answer[0].code[0] | Y |
| Questionnaire.item[3].item[7].item[0].enableWhen[0].answer[0].display[0] | Yes |
| Questionnaire.item[3].item[8].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[8].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
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| Questionnaire.item[3].item[8].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[8].linkId[0] | 8641971664330 |
| Questionnaire.item[3].item[8].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[8].code[0].code[0] | 1108111000000107 |
| Questionnaire.item[3].item[8].code[0].display[0] | Requires reasonable adjustment for health and care access (Equality Act 2010) (finding) |
| Questionnaire.item[3].item[8].text[0] | Do you or your carer need any reasonable adjustments to make your visit to the GP surgery accessible? |
| Questionnaire.item[3].item[8].type[0] | choice |
| Questionnaire.item[3].item[8].required[0] | True |
| Questionnaire.item[3].item[8].repeats[0] | False |
| Questionnaire.item[3].item[8].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[8].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[8].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[8].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[8].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[8].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[8].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[8].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[8].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[8].item[0].linkId[0] | 1496011034043 |
| Questionnaire.item[3].item[8].item[0].text[0] | About you or your carer's access needs |
| Questionnaire.item[3].item[8].item[0].type[0] | string |
| Questionnaire.item[3].item[8].item[0].enableWhen[0].question[0] | 8641971664330 |
| Questionnaire.item[3].item[8].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[3].item[8].item[0].enableWhen[0].answer[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[8].item[0].enableWhen[0].answer[0].code[0] | Y |
| Questionnaire.item[3].item[8].item[0].enableWhen[0].answer[0].display[0] | Yes |
| Questionnaire.item[3].item[9].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[9].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
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| Questionnaire.item[3].item[9].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[9].linkId[0] | 3663339285400 |
| Questionnaire.item[3].item[9].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[9].code[0].code[0] | 788167006 |
| Questionnaire.item[3].item[9].code[0].display[0] | Patient treated with medication (finding) |
| Questionnaire.item[3].item[9].text[0] | Do you currently take any prescription medication? |
| Questionnaire.item[3].item[9].type[0] | choice |
| Questionnaire.item[3].item[9].required[0] | True |
| Questionnaire.item[3].item[9].repeats[0] | False |
| Questionnaire.item[3].item[9].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[9].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[9].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[9].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[9].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[9].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[9].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[9].answerOption[2].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[9].answerOption[2].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[9].item[0].linkId[0] | 3351293631367 |
| Questionnaire.item[3].item[9].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[9].item[0].code[0].code[0] | 513881000000106 |
| Questionnaire.item[3].item[9].item[0].code[0].display[0] | Current medication as reported by patient (observable entity) |
| Questionnaire.item[3].item[9].item[0].text[0] | Can you provide more details about your prescription medication? |
| Questionnaire.item[3].item[9].item[0].type[0] | string |
| Questionnaire.item[3].item[9].item[0].enableWhen[0].question[0] | 3663339285400 |
| Questionnaire.item[3].item[9].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[3].item[9].item[0].enableWhen[0].answer[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[9].item[0].enableWhen[0].answer[0].code[0] | Y |
| Questionnaire.item[3].item[9].item[0].enableWhen[0].answer[0].display[0] | Yes |
| Questionnaire.item[3].item[9].item[0].item[0].linkId[0] | 3720686293660 |
| Questionnaire.item[3].item[9].item[0].item[0].text[0] | Are any of these repeat prescriptions? |
| Questionnaire.item[3].item[9].item[0].item[0].type[0] | boolean |
| Questionnaire.item[3].item[9].item[0].item[0].required[0] | True |
| Questionnaire.item[3].item[9].item[0].item[0].repeats[0] | False |
| Questionnaire.item[3].item[10].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[10].extension[0].value[0].display[0] | centimeters |
| Questionnaire.item[3].item[10].extension[1].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[10].extension[1].value[0].display[0] | meters |
| Questionnaire.item[3].item[10].extension[2].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[10].extension[2].value[0] | True |
| Questionnaire.item[3].item[10].extension[3].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[10].extension[3].value[0].system[0] | http://unitsofmeasure.org |
| Questionnaire.item[3].item[10].extension[3].value[0].code[0] | [in_i] |
| Questionnaire.item[3].item[10].extension[3].value[0].display[0] | inch |
| Questionnaire.item[3].item[10].linkId[0] | 6402543436632 |
| Questionnaire.item[3].item[10].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[10].code[0].code[0] | 1162419008 |
| Questionnaire.item[3].item[10].code[0].display[0] | Self reported body height (observable entity) |
| Questionnaire.item[3].item[10].text[0] | What is your height? |
| Questionnaire.item[3].item[10].type[0] | quantity |
| Questionnaire.item[3].item[10].repeats[0] | False |
| Questionnaire.item[3].item[11].extension[0].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
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| Questionnaire.item[3].item[11].extension[1].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[11].extension[1].value[0].system[0] | http://unitsofmeasure.org |
| Questionnaire.item[3].item[11].extension[1].value[0].code[0] | [stone_av] |
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| Questionnaire.item[3].item[11].extension[2].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[11].extension[2].value[0].system[0] | http://unitsofmeasure.org |
| Questionnaire.item[3].item[11].extension[2].value[0].code[0] | [lb_av] |
| Questionnaire.item[3].item[11].extension[2].value[0].display[0] | pound |
| Questionnaire.item[3].item[11].extension[3].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| Questionnaire.item[3].item[11].extension[3].value[0].system[0] | http://unitsofmeasure.org |
| Questionnaire.item[3].item[11].extension[3].value[0].code[0] | kg |
| Questionnaire.item[3].item[11].extension[3].value[0].display[0] | kilogram |
| Questionnaire.item[3].item[11].linkId[0] | 3301301896866 |
| Questionnaire.item[3].item[11].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[11].code[0].code[0] | 784399000 |
| Questionnaire.item[3].item[11].code[0].display[0] | Self reported body weight (observable entity) |
| Questionnaire.item[3].item[11].text[0] | What is your weight? |
| Questionnaire.item[3].item[11].type[0] | quantity |
| Questionnaire.item[3].item[11].required[0] | False |
| Questionnaire.item[3].item[11].repeats[0] | False |
| Questionnaire.item[3].item[11].initial[0].value[0].unit[0] | kilogram |
| Questionnaire.item[3].item[11].initial[0].value[0].system[0] | http://unitsofmeasure.org |
| Questionnaire.item[3].item[11].initial[0].value[0].code[0] | kg |
| Questionnaire.item[3].item[12].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[12].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[12].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[12].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[12].extension[1].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[12].extension[1].value[0] | True |
| Questionnaire.item[3].item[12].linkId[0] | 2141293065983 |
| Questionnaire.item[3].item[12].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].code[0].code[0] | 289152009 |
| Questionnaire.item[3].item[12].code[0].display[0] | Finding of frequency of drinking (finding) |
| Questionnaire.item[3].item[12].text[0] | How often do you drink alcohol or have a drink containing alcohol? |
| Questionnaire.item[3].item[12].type[0] | choice |
| Questionnaire.item[3].item[12].required[0] | True |
| Questionnaire.item[3].item[12].repeats[0] | False |
| Questionnaire.item[3].item[12].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[0].value[0].code[0] | 105542008 |
| Questionnaire.item[3].item[12].answerOption[0].value[0].display[0] | Non - drinker |
| Questionnaire.item[3].item[12].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[1].value[0].code[0] | 266917007 |
| Questionnaire.item[3].item[12].answerOption[1].value[0].display[0] | Trivial drinker - <1u/day |
| Questionnaire.item[3].item[12].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[2].value[0].code[0] | 160575005 |
| Questionnaire.item[3].item[12].answerOption[2].value[0].display[0] | Light drinker - 1-2u/day |
| Questionnaire.item[3].item[12].answerOption[3].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[3].value[0].code[0] | 160576006 |
| Questionnaire.item[3].item[12].answerOption[3].value[0].display[0] | Moderate drinker - 3-6u/day |
| Questionnaire.item[3].item[12].answerOption[4].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[4].value[0].code[0] | 160577002 |
| Questionnaire.item[3].item[12].answerOption[4].value[0].display[0] | Heavy drinker - 7-9u/day |
| Questionnaire.item[3].item[12].answerOption[5].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[5].value[0].code[0] | 160578007 |
| Questionnaire.item[3].item[12].answerOption[5].value[0].display[0] | Very heavy drinker - >9u/day |
| Questionnaire.item[3].item[12].answerOption[6].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[12].answerOption[6].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[12].answerOption[6].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[12].answerOption[7].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[7].value[0].code[0] | 105542008 |
| Questionnaire.item[3].item[12].answerOption[7].value[0].display[0] | Non - drinker alcohol |
| Questionnaire.item[3].item[12].answerOption[8].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[8].value[0].code[0] | 307450003 |
| Questionnaire.item[3].item[12].answerOption[8].value[0].display[0] | Once monthly |
| Questionnaire.item[3].item[12].answerOption[9].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[9].value[0].code[0] | 307451004 |
| Questionnaire.item[3].item[12].answerOption[9].value[0].display[0] | Twice monthly |
| Questionnaire.item[3].item[12].answerOption[10].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[10].value[0].code[0] | 229800002 |
| Questionnaire.item[3].item[12].answerOption[10].value[0].display[0] | Twice a week |
| Questionnaire.item[3].item[12].answerOption[11].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].answerOption[11].value[0].code[0] | 307445009 |
| Questionnaire.item[3].item[12].answerOption[11].value[0].display[0] | Four times weekly |
| Questionnaire.item[3].item[12].item[0].extension[0].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[12].item[0].extension[0].value[0] | True |
| Questionnaire.item[3].item[12].item[0].linkId[0] | 9335384644242 |
| Questionnaire.item[3].item[12].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].item[0].code[0].code[0] | 443315005 |
| Questionnaire.item[3].item[12].item[0].code[0].display[0] | Number of alcohol units consumed on typical drinking day |
| Questionnaire.item[3].item[12].item[0].text[0] | How many units of alcohol do you drink on a typical day when you are drinking? |
| Questionnaire.item[3].item[12].item[0].type[0] | integer |
| Questionnaire.item[3].item[12].item[0].enableWhen[0].question[0] | 2141293065983 |
| Questionnaire.item[3].item[12].item[0].enableWhen[0].operator[0] | != |
| Questionnaire.item[3].item[12].item[0].enableWhen[0].answer[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[12].item[0].enableWhen[0].answer[0].code[0] | 105542008 |
| Questionnaire.item[3].item[12].item[0].enableWhen[0].answer[0].display[0] | Non - drinker |
| Questionnaire.item[3].item[12].item[0].enableWhen[1].question[0] | 2141293065983 |
| Questionnaire.item[3].item[12].item[0].enableWhen[1].operator[0] | != |
| Questionnaire.item[3].item[12].item[0].enableWhen[1].answer[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[12].item[0].enableWhen[1].answer[0].code[0] | asked-declined |
| Questionnaire.item[3].item[12].item[0].enableWhen[1].answer[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[12].item[0].enableBehavior[0] | any |
| Questionnaire.item[3].item[12].item[0].required[0] | True |
| Questionnaire.item[3].item[12].item[0].repeats[0] | False |
| Questionnaire.item[3].item[12].item[1].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[12].item[1].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[12].item[1].extension[0].value[0].coding[0].code[0] | drop-down |
| Questionnaire.item[3].item[12].item[1].extension[0].value[0].coding[0].display[0] | Drop down |
| Questionnaire.item[3].item[12].item[1].linkId[0] | 31954461608 |
| Questionnaire.item[3].item[12].item[1].text[0] | How often have you had six or more units of alcohol on a single occasion in the last year? |
| Questionnaire.item[3].item[12].item[1].type[0] | choice |
| Questionnaire.item[3].item[12].item[1].required[0] | True |
| Questionnaire.item[3].item[12].item[1].repeats[0] | False |
| Questionnaire.item[3].item[12].item[1].answerOption[0].value[0].display[0] | Never |
| Questionnaire.item[3].item[12].item[1].answerOption[1].value[0].display[0] | Less than monthly |
| Questionnaire.item[3].item[12].item[1].answerOption[2].value[0].display[0] | Monthly |
| Questionnaire.item[3].item[12].item[1].answerOption[3].value[0].display[0] | Weekly |
| Questionnaire.item[3].item[12].item[1].answerOption[4].value[0].display[0] | Daily or almost daily |
| Questionnaire.item[3].item[12].item[1].answerOption[5].value[0].system[0] | http://terminology.hl7.org/CodeSystem/data-absent-reason |
| Questionnaire.item[3].item[12].item[1].answerOption[5].value[0].code[0] | asked-declined |
| Questionnaire.item[3].item[12].item[1].answerOption[5].value[0].display[0] | Asked But Declined |
| Questionnaire.item[3].item[13].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[13].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[13].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[13].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[13].extension[1].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[13].extension[1].value[0] | True |
| Questionnaire.item[3].item[13].linkId[0] | 2254100394705 |
| Questionnaire.item[3].item[13].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].code[0].code[0] | 229819007 |
| Questionnaire.item[3].item[13].code[0].display[0] | Tobacco use and exposure (observable entity) |
| Questionnaire.item[3].item[13].text[0] | Have you ever smoked? |
| Questionnaire.item[3].item[13].type[0] | choice |
| Questionnaire.item[3].item[13].required[0] | True |
| Questionnaire.item[3].item[13].repeats[0] | False |
| Questionnaire.item[3].item[13].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[13].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[13].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[13].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].answerOption[1].value[0].code[0] | 8392000 |
| Questionnaire.item[3].item[13].answerOption[1].value[0].display[0] | Non-smoker |
| Questionnaire.item[3].item[13].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].answerOption[2].value[0].code[0] | 1098881000000103 |
| Questionnaire.item[3].item[13].answerOption[2].value[0].display[0] | Declined to give smoking status |
| Questionnaire.item[3].item[13].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[13].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[13].item[0].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[13].item[0].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[13].item[0].extension[1].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[13].item[0].extension[1].value[0] | True |
| Questionnaire.item[3].item[13].item[0].linkId[0] | 8799894644724 |
| Questionnaire.item[3].item[13].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].code[0].code[0] | 229819007 |
| Questionnaire.item[3].item[13].item[0].code[0].display[0] | Tobacco use and exposure (observable entity) |
| Questionnaire.item[3].item[13].item[0].text[0] | What best describes you? |
| Questionnaire.item[3].item[13].item[0].type[0] | choice |
| Questionnaire.item[3].item[13].item[0].enableWhen[0].question[0] | 2254100394705 |
| Questionnaire.item[3].item[13].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[3].item[13].item[0].enableWhen[0].answer[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[13].item[0].enableWhen[0].answer[0].code[0] | Y |
| Questionnaire.item[3].item[13].item[0].enableWhen[0].answer[0].display[0] | Yes |
| Questionnaire.item[3].item[13].item[0].required[0] | True |
| Questionnaire.item[3].item[13].item[0].repeats[0] | False |
| Questionnaire.item[3].item[13].item[0].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].answerOption[0].value[0].code[0] | 77176002 |
| Questionnaire.item[3].item[13].item[0].answerOption[0].value[0].display[0] | Current smoker |
| Questionnaire.item[3].item[13].item[0].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].answerOption[1].value[0].code[0] | 8517006 |
| Questionnaire.item[3].item[13].item[0].answerOption[1].value[0].display[0] | Former smoker |
| Questionnaire.item[3].item[13].item[0].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].answerOption[2].value[0].code[0] | 1098881000000103 |
| Questionnaire.item[3].item[13].item[0].answerOption[2].value[0].display[0] | Declined to give smoking status |
| Questionnaire.item[3].item[13].item[0].item[0].extension[0].url[0] | http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| Questionnaire.item[3].item[13].item[0].item[0].extension[0].value[0] | True |
| Questionnaire.item[3].item[13].item[0].item[0].linkId[0] | 2343533367553 |
| Questionnaire.item[3].item[13].item[0].item[0].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].item[0].code[0].code[0] | 160625004 |
| Questionnaire.item[3].item[13].item[0].item[0].code[0].display[0] | Date ceased smoking (observable entity) |
| Questionnaire.item[3].item[13].item[0].item[0].text[0] | When did you stop smoking? |
| Questionnaire.item[3].item[13].item[0].item[0].type[0] | date |
| Questionnaire.item[3].item[13].item[0].item[0].enableWhen[0].question[0] | 8799894644724 |
| Questionnaire.item[3].item[13].item[0].item[0].enableWhen[0].operator[0] | = |
| Questionnaire.item[3].item[13].item[0].item[0].enableWhen[0].answer[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[13].item[0].item[0].enableWhen[0].answer[0].code[0] | 8517006 |
| Questionnaire.item[3].item[13].item[0].item[0].enableWhen[0].answer[0].display[0] | Former smoker |
| Questionnaire.item[3].item[14].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[14].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[14].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[14].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[14].linkId[0] | 4270314232487 |
| Questionnaire.item[3].item[14].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[14].code[0].code[0] | 413909005 |
| Questionnaire.item[3].item[14].code[0].display[0] | Consent status for record sharing (finding) |
| Questionnaire.item[3].item[14].text[0] | Do you want important information from your GP record to be available to other health and care professionals? |
| Questionnaire.item[3].item[14].type[0] | choice |
| Questionnaire.item[3].item[14].required[0] | True |
| Questionnaire.item[3].item[14].repeats[0] | False |
| Questionnaire.item[3].item[14].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[14].answerOption[0].value[0].code[0] | 773051000000102 |
| Questionnaire.item[3].item[14].answerOption[0].value[0].display[0] | Express consent for core and additional Summary Care Record dataset upload |
| Questionnaire.item[3].item[14].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[14].answerOption[1].value[0].code[0] | 773031000000109 |
| Questionnaire.item[3].item[14].answerOption[1].value[0].display[0] | Express consent for core Summary Care Record dataset upload |
| Questionnaire.item[3].item[14].answerOption[2].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[14].answerOption[2].value[0].code[0] | 889091000000102 |
| Questionnaire.item[3].item[14].answerOption[2].value[0].display[0] | Dissent to share Summary Care Record |
| Questionnaire.item[3].item[15].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[3].item[15].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[3].item[15].extension[0].value[0].coding[0].code[0] | radio-button |
| Questionnaire.item[3].item[15].extension[0].value[0].coding[0].display[0] | Radio Button |
| Questionnaire.item[3].item[15].linkId[0] | 52633200885 |
| Questionnaire.item[3].item[15].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[3].item[15].code[0].code[0] | 1237025001 |
| Questionnaire.item[3].item[15].code[0].display[0] | At increased risk of exposure to Mycobacterium tuberculosis complex (finding) |
| Questionnaire.item[3].item[15].text[0] | Have you ever spent more that 6 months in a country where there was an increased risk of catching tuberculosis (TB)? |
| Questionnaire.item[3].item[15].type[0] | choice |
| Questionnaire.item[3].item[15].repeats[0] | False |
| Questionnaire.item[3].item[15].answerOption[0].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[15].answerOption[0].value[0].code[0] | Y |
| Questionnaire.item[3].item[15].answerOption[0].value[0].display[0] | Yes |
| Questionnaire.item[3].item[15].answerOption[1].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[15].answerOption[1].value[0].code[0] | N |
| Questionnaire.item[3].item[15].answerOption[1].value[0].display[0] | No |
| Questionnaire.item[3].item[15].answerOption[2].value[0].system[0] | http://terminology.hl7.org/CodeSystem/v2-0532 |
| Questionnaire.item[3].item[15].answerOption[2].value[0].code[0] | ASKU |
| Questionnaire.item[3].item[15].answerOption[2].value[0].display[0] | Unknown |
Tree View
| Questionnaire |
| id : GPReg-Questionnaire-RegisterGPSurgery-Example |
| meta |
| versionId : 21 |
| lastUpdated : 2024-05-02T11:35:50.946Z |
| url : https://fhir.nhs.uk/England/StructureDefinition/England-Questionnaire-RegisterGPSurgeryv2 |
| title : Register with a GP Surgery v2 |
| status : draft |
| description : A FHIR Questionnaire created from GP Registration Programme - GP IT Deliverables |
| purpose : To standardise the questions asked when registering for a GP Surgery within England |
| item |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 4757609108297 |
| code |
| system : http://snomed.info/sct |
| code : 722011000000106 |
| display : Relationship (qualifier value) |
| text : What is your relationship to the person being registered? |
| type : choice |
| enableWhen |
| question : 5564099927552 |
| operator : = |
| answer |
| display : Someone else |
| enableBehavior : all |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v3-RoleCode |
| code : PRN |
| display : Parent |
| answerOption |
| value |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| code : Guardian |
| display : Guardian |
| answerOption |
| value |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| code : Carer |
| display : Carer |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v2-0131 |
| code : O |
| display : Other |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 1296573860711 |
| text : What type of carer are you? |
| type : choice |
| enableWhen |
| question : 5564099927552 |
| operator : = |
| answer |
| display : Someone else |
| enableWhen |
| question : 4757609108297 |
| operator : = |
| answer |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| code : Carer |
| display : Carer |
| enableBehavior : all |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 1597921000000107 |
| display : Has young carer |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 818091000000106 |
| display : Has a paid carer |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 823411000000109 |
| display : Has voluntary carer |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 361571000000107 |
| display : Fostering |
| answerOption |
| value |
| display : None of the above |
| item |
| linkId : 3745453882893 |
| code |
| system : http://snomed.info/sct |
| code : 184140000 |
| display : Caregiver details (observable entity) |
| text : What are your details? |
| type : group |
| enableWhen |
| question : 5564099927552 |
| operator : = |
| answer |
| display : Someone else |
| enableWhen |
| question : 4757609108297 |
| operator : = |
| answer |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole |
| code : Carer |
| display : Carer |
| enableBehavior : all |
| repeats : False |
| item |
| linkId : 4823446188940 |
| text : First name |
| type : string |
| required : True |
| item |
| linkId : 3525030744831 |
| text : Last name |
| type : string |
| required : True |
| item |
| linkId : 9015495695743 |
| code |
| system : http://snomed.info/sct |
| code : 405170004 |
| display : Caregiver patient relationship (observable entity) |
| text : Relationship to person being registered |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 2337627900699 |
| code |
| system : http://snomed.info/sct |
| code : 408400006 |
| display : Caregiver home telephone number (observable entity) |
| text : Contact telephone number |
| type : string |
| required : True |
| repeats : False |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 5564099927552 |
| text : Who is registering with a GP? |
| required : True |
| repeats : False |
| answerOption |
| value |
| display : Myself |
| answerOption |
| value |
| display : Someone else |
| item |
| linkId : 3099707112786 |
| text : Matching patient to their record |
| type : group |
| item |
| linkId : 2673545464189 |
| prefix : 1 |
| text : What is the name of the person being registered? |
| type : group |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : drop-down |
| display : Drop down |
| linkId : 2526886552536 |
| code |
| system : http://snomed.info/sct |
| code : 184098006 |
| display : Patient title (observable entity) |
| text : Title |
| type : open-choice |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890000 |
| display : Mr |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890001 |
| display : Mrs |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890003 |
| display : Miss |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890002 |
| display : Ms |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890004 |
| display : Dr |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890012 |
| display : Mx |
| answerOption |
| value |
| system : https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code |
| code : 315890011 |
| display : Master |
| answerOption |
| value |
| display : Other |
| item |
| linkId : 8025625545792 |
| definition : http://hl7.org/fhir/StructureDefinition/Patient#name.given |
| code |
| system : http://snomed.info/sct |
| code : 184095009 |
| display : Patient forename (observable entity) |
| text : First name |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 9205794395420 |
| definition : http://hl7.org/fhir/StructureDefinition/Patient#name.family |
| code |
| system : http://snomed.info/sct |
| code : 405622006 |
| display : Patient middle name (observable entity) |
| text : Middle name(s) |
| type : string |
| required : False |
| repeats : False |
| item |
| linkId : 2444645364061 |
| code |
| system : http://snomed.info/sct |
| code : 184096005 |
| display : Patient surname (observable entity) |
| text : Last Name |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 5369283890405 |
| code |
| system : http://snomed.info/sct |
| code : 247841000000109 |
| display : Patient previous surname (observable entity) |
| text : Previous last name |
| type : string |
| required : False |
| repeats : False |
| item |
| linkId : 5721234742686 |
| definition : http://hl7.org/fhir/StructureDefinition/Patient#birthDate |
| code |
| system : http://snomed.info/sct |
| code : 184099003 |
| display : Date of birth (observable entity) |
| text : What is the your date of birth |
| type : date |
| required : True |
| repeats : False |
| item |
| linkId : 2535971200955 |
| text : Do you know your NHS Number? |
| type : boolean |
| required : True |
| repeats : False |
| item |
| linkId : 7450549676323 |
| definition : http://hl7.org/fhir/StructureDefinition/RelatedPerson#identifier |
| code |
| system : http://snomed.info/sct |
| code : 395451000000101 |
| display : Patient National Health Service number (observable entity) |
| text : What is your NHS number |
| type : integer |
| enableWhen |
| question : 2535971200955 |
| operator : = |
| answer : True |
| enableBehavior : any |
| required : True |
| repeats : False |
| item |
| text : You do not need to know their NHS number to continue. If you do not know it, you can tell us their full name instead. |
| type : display |
| linkId : 2535971200955_helpText |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| text : Help-Button |
| coding |
| code : help |
| display : Help-Button |
| system : http://hl7.org/fhir/questionnaire-item-control |
| item |
| linkId : 6043124139100 |
| text : Are you registering with a UK GP for the first time |
| type : boolean |
| required : True |
| repeats : False |
| item |
| linkId : 9441224899731 |
| code |
| system : http://snomed.info/sct |
| code : 711481000000108 |
| display : Patient registered general practitioner (observable entity) |
| text : What is the name of the GP surgery you want to leave? |
| type : group |
| enableWhen |
| question : 6043124139100 |
| operator : = |
| answer : False |
| item |
| linkId : 5352371648554 |
| text : Current Surgery name |
| type : string |
| item |
| linkId : 6622306991068 |
| text : Current Surgery postcode |
| type : string |
| item |
| linkId : 2066131115145 |
| text : Select your current GP surgery |
| type : group |
| item |
| linkId : 7885193861634 |
| text : Current Surgery street |
| type : string |
| item |
| linkId : 7211883460061 |
| text : Current Surgery town |
| type : string |
| item |
| linkId : 8087948177397 |
| text : Do you know the postcode used when you last registered with a UK GP? |
| type : boolean |
| enableWhen |
| question : 6043124139100 |
| operator : = |
| answer : False |
| required : True |
| repeats : False |
| item |
| linkId : 7359582925710 |
| text : What postcode did you use when you last registered with a UK GP? |
| type : string |
| enableWhen |
| question : 8087948177397 |
| operator : = |
| answer : True |
| required : True |
| repeats : False |
| item |
| linkId : 3189857950482 |
| text : Personal Details |
| type : group |
| item |
| linkId : 7570130246483 |
| text : Do you have a current UK address |
| type : boolean |
| required : True |
| repeats : False |
| item |
| linkId : 3834031732678 |
| code |
| system : http://snomed.info/sct |
| code : 184097001 |
| display : Patient address (observable entity) |
| text : What is your current UK address? |
| type : group |
| enableWhen |
| question : 7570130246483 |
| operator : = |
| answer : True |
| item |
| linkId : 7091443873030 |
| text : House number or name (optional) |
| type : string |
| required : False |
| item |
| linkId : 5086068712017 |
| code |
| system : http://snomed.info/sct |
| code : 184102003 |
| display : Patient postal code (observable entity) |
| text : Postcode |
| type : string |
| item |
| linkId : 1187115804415 |
| text : Select an address |
| type : group |
| item |
| linkId : 8052908008533 |
| text : Street |
| type : string |
| item |
| linkId : 9119357682451 |
| text : Town |
| type : string |
| item |
| linkId : 8454185457892 |
| text : What are your Contact Details |
| type : group |
| item |
| linkId : 5425785344304 |
| code |
| system : http://snomed.info/sct |
| code : 429697006 |
| display : Patient home telephone number (observable entity) |
| text : Home telephone number |
| type : string |
| item |
| linkId : 8530163235785 |
| code |
| system : http://snomed.info/sct |
| code : 428481002 |
| display : Patient mobile telephone number (observable entity) |
| text : Mobile telephone number |
| type : string |
| item |
| linkId : 7870443952741 |
| code |
| system : http://snomed.info/sct |
| code : 424966008 |
| display : Patient email address (observable entity) |
| text : Email |
| type : string |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : check-box |
| display : Check-box |
| linkId : 5729238155283 |
| code |
| system : http://snomed.info/sct |
| code : 276031006 |
| display : Details of education (observable entity) |
| text : Do you go to any of the following for your education? |
| type : open-choice |
| required : True |
| repeats : True |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 342271000000107 |
| display : Educated to primary school level |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 161117005 |
| display : Nursery |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 302139001 |
| display : Home-schooled |
| answerOption |
| value |
| display : None of the above |
| item |
| linkId : 394020974422 |
| text : Enter details of where you go for your education - School |
| type : group |
| enableWhen |
| question : 5729238155283 |
| operator : = |
| answer |
| display : Educated to primary school level |
| repeats : False |
| item |
| linkId : 3906837152832 |
| text : Name of school |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 6688482508092 |
| text : Postcode |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 8439668864839 |
| text : Telephone number |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 7429200519586 |
| text : Enter details of where you go for your education - Nursery |
| type : group |
| enableWhen |
| question : 5729238155283 |
| operator : = |
| answer |
| display : Nursery |
| repeats : False |
| item |
| linkId : 4527715209757 |
| text : Name of nursery |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 9264432080912 |
| text : Postcode |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 9604650637827 |
| text : Telephone number |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 8242011050226 |
| text : Enter details of where you go for your education - Home School |
| type : group |
| enableWhen |
| question : 5729238155283 |
| operator : = |
| answer |
| display : Home schooled |
| item |
| linkId : 9503918040039 |
| text : Postcode |
| type : string |
| required : True |
| repeats : False |
| item |
| linkId : 5244682504330 |
| text : Telephone number |
| type : string |
| required : True |
| repeats : False |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : check-box |
| display : Check-box |
| linkId : 2352413897998 |
| text : Is anyone else involved in your care? |
| type : open-choice |
| required : True |
| repeats : True |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 309390008 |
| display : Hospital consultant |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 1052581000000109 |
| display : Health visitor |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 106328005 |
| display : Social worker |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 223366009 |
| display : Healthcare professional |
| answerOption |
| value |
| display : None of the above |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 3509733064094 |
| code |
| system : http://snomed.info/sct |
| code : 184100006 |
| display : Patient sex (observable entity) |
| text : What is your sex as recorded on your NHS record? |
| type : choice |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://hl7.org/fhir/administrative-gender |
| code : male |
| display : Male |
| answerOption |
| value |
| system : http://hl7.org/fhir/administrative-gender |
| code : female |
| display : Female |
| answerOption |
| value |
| system : http://hl7.org/fhir/administrative-gender |
| code : other |
| display : Other |
| answerOption |
| value |
| system : http://hl7.org/fhir/administrative-gender |
| code : unknown |
| display : Unknown |
| item |
| item |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : drop-down |
| display : Drop down |
| linkId : 3434094779174 |
| code |
| system : http://snomed.info/sct |
| code : 398089004 |
| display : Ethnic background |
| text : Which of the following best describes your [Ethnic group] background? |
| enableWhen |
| question : 4800938448822 |
| operator : != |
| answer |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| code : Z |
| display : Not stated |
| answerValueSet : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : drop-down |
| display : Drop down |
| linkId : 4800938448822 |
| code |
| system : http://snomed.info/sct |
| code : 398089004 |
| display : Ethnic background |
| text : What is your ethnic group? |
| required : True |
| repeats : False |
| answerOption |
| value |
| display : Asian or Asian British |
| answerOption |
| value |
| display : Black African, Black British or Caribbean |
| answerOption |
| value |
| display : Mixed or multiple ethnic groups |
| answerOption |
| value |
| display : White |
| answerOption |
| value |
| display : Another ethnic group |
| answerOption |
| value |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland |
| code : Z |
| display : Not stated |
| item |
| item |
| type : open-choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : drop-down |
| display : Drop down |
| linkId : 1841983710357 |
| code |
| system : http://snomed.info/sct |
| code : 439736001 |
| display : Language for which interpreter is needed (observable entity) |
| text : Which language do you need an interpreter for? |
| enableWhen |
| question : 9558300594974 |
| operator : = |
| answer : True |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : bfi |
| display : British Sign Language |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : ar |
| display : Arabic |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : cit |
| display : Bengali - Chatgaya |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : syl |
| display : Bengali - Sylheti |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : cmn |
| display : Chinese - Mandarin |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : zhh |
| display : Chinese - Cantonese |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : fa |
| display : Farsi |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : fr |
| display : French |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : ghc |
| display : Gaelic |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : de |
| display : German |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : gu |
| display : Gujarati |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : it |
| display : Italian |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : lt |
| display : Lithuanian |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : pl |
| display : Polish |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : pt |
| display : Portuguese |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : pa |
| display : Punjabi |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : so |
| display : Somali |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : es |
| display : Spanish |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : ta |
| display : Tamil |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : tr |
| display : Turkish |
| answerOption |
| value |
| system : http://tools.ietf.org/html/bcp47 |
| code : ur |
| display : Urdu |
| answerOption |
| value |
| display : Other |
| type : boolean |
| linkId : 9558300594974 |
| text : Do you need a language interpreter for your GP appointments? |
| required : True |
| repeats : False |
| item |
| item |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 2713146262242 |
| text : Choose type of pharmacy |
| enableWhen |
| question : 5319955577563 |
| operator : = |
| answer : True |
| required : True |
| repeats : False |
| answerOption |
| value |
| display : High Street Pharmacy |
| answerOption |
| value |
| display : Online-only Pharmacy |
| item |
| item |
| type : string |
| linkId : 7587493504635 |
| text : Pharmacy Name |
| required : True |
| repeats : False |
| item |
| type : integer |
| linkId : 8516440797888 |
| text : Pharmacy House Number |
| required : True |
| repeats : False |
| item |
| type : string |
| linkId : 7342162179490 |
| text : Pharmacy Street |
| item |
| linkId : 5149630375907 |
| text : Pharmacy Town |
| type : string |
| type : group |
| linkId : 7665401650008 |
| text : Choose a pharmacy |
| enableWhen |
| question : 5319955577563 |
| operator : = |
| answer : True |
| item |
| item |
| linkId : 4107477375862 |
| code |
| system : http://snomed.info/sct |
| code : 300611005 |
| display : Difficulty performing traveling activities (finding) |
| text : Would you have serious difficulty travelling to your nearest pharmacy to get medicines or medical appliances? |
| type : boolean |
| enableWhen |
| question : 3216525415675 |
| operator : = |
| answer : True |
| item |
| linkId : 1224857833601 |
| text : Do you live more than 1 mile from your nearest pharmacy? |
| type : boolean |
| enableWhen |
| question : 3216525415675 |
| operator : = |
| answer : True |
| enableWhen |
| question : 4107477375862 |
| operator : = |
| answer : False |
| enableBehavior : all |
| type : boolean |
| linkId : 3216525415675 |
| text : Do you want to get your prescription items direct from {NAME OF SURGERY}? |
| type : boolean |
| linkId : 5319955577563 |
| text : Would you like to choose or change a pharmacy for your prescriptions? |
| required : True |
| repeats : False |
| item |
| type : boolean |
| linkId : 3094394035878 |
| code |
| system : http://snomed.info/sct |
| code : 753651000000107 |
| display : Military veteran (finding) |
| text : Have you ever been a member of the UK Armed Forces or are a family member registered with the Defence Medical Services? |
| required : True |
| repeats : False |
| item |
| item |
| item |
| linkId : 4531185058436 |
| text : EC Full Name |
| type : string |
| item |
| linkId : 8633300116223 |
| text : EC Relationship to user |
| type : string |
| item |
| linkId : 6157634467632 |
| text : Next of Kin |
| type : boolean |
| item |
| linkId : 682000761752 |
| text : Contact telephone number |
| type : string |
| type : group |
| linkId : 2504251541565 |
| code |
| system : http://snomed.info/sct |
| code : 406548001 |
| display : Emergency contact details (observable entity) |
| text : What are the details of your emergency contact? |
| enableWhen |
| question : 9420407152267 |
| operator : = |
| answer : True |
| type : boolean |
| linkId : 9420407152267 |
| text : Do you have an emergency contact? |
| required : True |
| repeats : False |
| item |
| item |
| type : date |
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| type : quantity |
| 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 : [stone_av] |
| display : stone - British |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : [lb_av] |
| display : pound |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption |
| value |
| system : http://unitsofmeasure.org |
| code : kg |
| display : kilogram |
| linkId : 3301301896866 |
| code |
| system : http://snomed.info/sct |
| code : 784399000 |
| display : Self reported body weight (observable entity) |
| text : What is your weight? |
| required : False |
| repeats : False |
| initial |
| value |
| unit : kilogram |
| system : http://unitsofmeasure.org |
| code : kg |
| item |
| item |
| type : integer |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| linkId : 9335384644242 |
| code |
| system : http://snomed.info/sct |
| code : 443315005 |
| display : Number of alcohol units consumed on typical drinking day |
| text : How many units of alcohol do you drink on a typical day when you are drinking? |
| enableWhen |
| question : 2141293065983 |
| operator : != |
| answer |
| system : http://snomed.info/sct |
| code : 105542008 |
| display : Non - drinker |
| enableWhen |
| question : 2141293065983 |
| operator : != |
| answer |
| system : http://terminology.hl7.org/CodeSystem/data-absent-reason |
| code : asked-declined |
| display : Asked But Declined |
| enableBehavior : any |
| required : True |
| repeats : False |
| item |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : drop-down |
| display : Drop down |
| linkId : 31954461608 |
| text : How often have you had six or more units of alcohol on a single occasion in the last year? |
| required : True |
| repeats : False |
| answerOption |
| value |
| display : Never |
| answerOption |
| value |
| display : Less than monthly |
| answerOption |
| value |
| display : Monthly |
| answerOption |
| value |
| display : Weekly |
| answerOption |
| value |
| display : Daily or almost daily |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/data-absent-reason |
| code : asked-declined |
| display : Asked But Declined |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| linkId : 2141293065983 |
| code |
| system : http://snomed.info/sct |
| code : 289152009 |
| display : Finding of frequency of drinking (finding) |
| text : How often do you drink alcohol or have a drink containing alcohol? |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 105542008 |
| display : Non - drinker |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 266917007 |
| display : Trivial drinker - <1u/day |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 160575005 |
| display : Light drinker - 1-2u/day |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 160576006 |
| display : Moderate drinker - 3-6u/day |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 160577002 |
| display : Heavy drinker - 7-9u/day |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 160578007 |
| display : Very heavy drinker - >9u/day |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/data-absent-reason |
| code : asked-declined |
| display : Asked But Declined |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 105542008 |
| display : Non - drinker alcohol |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 307450003 |
| display : Once monthly |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 307451004 |
| display : Twice monthly |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 229800002 |
| display : Twice a week |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 307445009 |
| display : Four times weekly |
| item |
| item |
| item |
| type : date |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| linkId : 2343533367553 |
| code |
| system : http://snomed.info/sct |
| code : 160625004 |
| display : Date ceased smoking (observable entity) |
| text : When did you stop smoking? |
| enableWhen |
| question : 8799894644724 |
| operator : = |
| answer |
| system : http://snomed.info/sct |
| code : 8517006 |
| display : Former smoker |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| linkId : 8799894644724 |
| code |
| system : http://snomed.info/sct |
| code : 229819007 |
| display : Tobacco use and exposure (observable entity) |
| text : What best describes you? |
| enableWhen |
| question : 2254100394705 |
| operator : = |
| answer |
| system : http://terminology.hl7.org/CodeSystem/v2-0532 |
| code : Y |
| display : Yes |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 77176002 |
| display : Current smoker |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 8517006 |
| display : Former smoker |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 1098881000000103 |
| display : Declined to give smoking status |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| extension |
| url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract |
| value : True |
| linkId : 2254100394705 |
| code |
| system : http://snomed.info/sct |
| code : 229819007 |
| display : Tobacco use and exposure (observable entity) |
| text : Have you ever smoked? |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v2-0532 |
| code : Y |
| display : Yes |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 8392000 |
| display : Non-smoker |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 1098881000000103 |
| display : Declined to give smoking status |
| item |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 4270314232487 |
| code |
| system : http://snomed.info/sct |
| code : 413909005 |
| display : Consent status for record sharing (finding) |
| text : Do you want important information from your GP record to be available to other health and care professionals? |
| required : True |
| repeats : False |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 773051000000102 |
| display : Express consent for core and additional Summary Care Record dataset upload |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 773031000000109 |
| display : Express consent for core Summary Care Record dataset upload |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 889091000000102 |
| display : Dissent to share Summary Care Record |
| item |
| type : choice |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : radio-button |
| display : Radio Button |
| linkId : 52633200885 |
| code |
| system : http://snomed.info/sct |
| code : 1237025001 |
| display : At increased risk of exposure to Mycobacterium tuberculosis complex (finding) |
| text : Have you ever spent more that 6 months in a country where there was an increased risk of catching tuberculosis (TB)? |
| repeats : False |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v2-0532 |
| code : Y |
| display : Yes |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v2-0532 |
| code : N |
| display : No |
| answerOption |
| value |
| system : http://terminology.hl7.org/CodeSystem/v2-0532 |
| code : ASKU |
| display : Unknown |
XML View
<Questionnaire xmlns="http://hl7.org/fhir"> <id value="GPReg-Questionnaire-RegisterGPSurgery-Example" /> <meta> <versionId value="21" /> <lastUpdated value="2024-05-02T11:35:50.946Z" /> </meta> <url value="https://fhir.nhs.uk/England/StructureDefinition/England-Questionnaire-RegisterGPSurgeryv2" /> <title value="Register with a GP Surgery v2" /> <status value="draft" /> <description value="A FHIR Questionnaire created from GP Registration Programme - GP IT Deliverables" /> <purpose value="To standardise the questions asked when registering for a GP Surgery within England" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <linkId value="5564099927552" /> <text value="Who is registering with a GP?" /> <type value="choice" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <display value="Myself" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <display value="Someone else" /> </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="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <linkId value="4757609108297" /> <code> <system value="http://snomed.info/sct" /> <code value="722011000000106" /> <display value="Relationship (qualifier value)" /> </code> <text value="What is your relationship to the person being registered?" /> <type value="choice" /> <enableWhen> <question value="5564099927552" /> <operator value="=" /> <answerCoding> <display value="Someone else" /> </answerCoding> </enableWhen> <enableBehavior value="all" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> <code value="PRN" /> <display value="Parent" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole" /> <code value="Guardian" /> <display value="Guardian" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole" /> <code value="Carer" /> <display value="Carer" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0131" /> <code value="O" /> <display value="Other" /> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <linkId value="1296573860711" /> <text value="What type of carer are you?" /> <type value="choice" /> <enableWhen> <question value="5564099927552" /> <operator value="=" /> <answerCoding> <display value="Someone else" /> </answerCoding> </enableWhen> <enableWhen> <question value="4757609108297" /> <operator value="=" /> <answerCoding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole" /> <code value="Carer" /> <display value="Carer" /> </answerCoding> </enableWhen> <enableBehavior value="all" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1597921000000107" /> <display value="Has young carer" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="818091000000106" /> <display value="Has a paid carer" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="823411000000109" /> <display value="Has voluntary carer" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="361571000000107" /> <display value="Fostering" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <display value="None of the above" /> </valueCoding> </answerOption> </item> <item> <linkId value="3745453882893" /> <code> <system value="http://snomed.info/sct" /> <code value="184140000" /> <display value="Caregiver details (observable entity)" /> </code> <text value="What are your details?" /> <type value="group" /> <enableWhen> <question value="5564099927552" /> <operator value="=" /> <answerCoding> <display value="Someone else" /> </answerCoding> </enableWhen> <enableWhen> <question value="4757609108297" /> <operator value="=" /> <answerCoding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole" /> <code value="Carer" /> <display value="Carer" /> </answerCoding> </enableWhen> <enableBehavior value="all" /> <repeats value="false" /> <item> <linkId value="4823446188940" /> <text value="First name" /> <type value="string" /> <required value="true" /> </item> <item> <linkId value="3525030744831" /> <text value="Last name" /> <type value="string" /> <required value="true" /> </item> <item> <linkId value="9015495695743" /> <code> <system value="http://snomed.info/sct" /> <code value="405170004" /> <display value="Caregiver patient relationship (observable entity)" /> </code> <text value="Relationship to person being registered" /> <type value="string" /> <required value="true" /> <repeats value="false" /> </item> <item> <linkId value="2337627900699" /> <code> <system value="http://snomed.info/sct" /> <code value="408400006" /> <display value="Caregiver home telephone number (observable entity)" /> </code> <text value="Contact telephone number" /> <type value="string" /> <required value="true" /> <repeats value="false" /> </item> </item> </item> <item> <linkId value="3099707112786" /> <text value="Matching patient to their record" /> <type value="group" /> <item> <linkId value="2673545464189" /> <prefix value="1" /> <text value="What is the name of the person being registered?" /> <type value="group" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="drop-down" /> <display value="Drop down" /> </coding> </valueCodeableConcept> </extension> <linkId value="2526886552536" /> <code> <system value="http://snomed.info/sct" /> <code value="184098006" /> <display value="Patient title (observable entity)" /> </code> <text value="Title" /> <type value="open-choice" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890000" /> <display value="Mr" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890001" /> <display value="Mrs" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890003" /> <display value="Miss" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890002" /> <display value="Ms" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890004" /> <display value="Dr" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890012" /> <display value="Mx" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code" /> <code value="315890011" /> <display value="Master" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <display value="Other" /> </valueCoding> </answerOption> </item> <item> <linkId value="8025625545792" /> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#name.given" /> <code> <system value="http://snomed.info/sct" /> <code value="184095009" /> <display value="Patient forename (observable entity)" /> </code> <text value="First name" /> <type value="string" /> <required value="true" /> <repeats value="false" /> </item> <item> <linkId value="9205794395420" /> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#name.family" /> <code> <system value="http://snomed.info/sct" /> <code value="405622006" /> <display value="Patient middle name (observable entity)" /> </code> <text value="Middle name(s)" /> <type value="string" /> <required value="false" /> <repeats value="false" /> </item> <item> <linkId value="2444645364061" /> <code> <system value="http://snomed.info/sct" /> <code value="184096005" /> <display value="Patient surname (observable entity)" /> </code> <text value="Last Name" /> <type value="string" /> <required value="true" /> <repeats value="false" /> </item> <item> <linkId value="5369283890405" /> <code> <system value="http://snomed.info/sct" /> <code value="247841000000109" /> <display value="Patient previous surname (observable entity)" /> </code> <text value="Previous last name" /> <type value="string" /> <required value="false" /> <repeats value="false" /> </item> </item> <item> <linkId value="5721234742686" /> <definition value="http://hl7.org/fhir/StructureDefinition/Patient#birthDate" /> <code> <system value="http://snomed.info/sct" /> <code value="184099003" /> <display value="Date of birth (observable entity)" /> </code> <text value="What is the your date of birth" /> <type value="date" /> <required value="true" /> <repeats value="false" /> </item> <item> <linkId value="2535971200955" /> <text value="Do you know your NHS Number?" /> <type value="boolean" /> <required value="true" /> <repeats value="false" /> <item> <linkId value="7450549676323" /> <definition value="http://hl7.org/fhir/StructureDefinition/RelatedPerson#identifier" /> <code> <system value="http://snomed.info/sct" /> <code value="395451000000101" /> <display value="Patient National Health Service number (observable entity)" /> </code> <text value="What is your NHS number" /> <type value="integer" /> <enableWhen> <question value="2535971200955" /> <operator value="=" /> <answerBoolean value="true" /> </enableWhen> <enableBehavior value="any" /> <required value="true" /> <repeats value="false" /> </item> <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="2535971200955_helpText" /> <text value="You do not need to know their NHS number to continue. If you do not know it, you can tell us their full name instead." /> <type value="display" /> </item> </item> <item> <linkId value="6043124139100" /> <text value="Are you registering with a UK GP for the first time" /> <type value="boolean" /> <required value="true" /> <repeats value="false" /> <item> <linkId value="9441224899731" /> <code> <system value="http://snomed.info/sct" /> <code value="711481000000108" /> <display value="Patient registered general practitioner (observable entity)" /> </code> <text value="What is the name of the GP surgery you want to leave?" /> <type value="group" /> <enableWhen> <question value="6043124139100" /> <operator value="=" /> <answerBoolean value="false" /> </enableWhen> <item> <linkId value="5352371648554" /> <text value="Current Surgery name" /> <type value="string" /> </item> <item> <linkId value="6622306991068" /> <text value="Current Surgery postcode" /> <type value="string" /> </item> <item> <linkId value="2066131115145" /> <text value="Select your current GP surgery" /> <type value="group" /> <item> <linkId value="7885193861634" /> <text value="Current Surgery street" /> <type value="string" /> </item> <item> <linkId value="7211883460061" /> <text value="Current Surgery town" /> <type value="string" /> </item> </item> </item> <item> <linkId value="8087948177397" /> <text value="Do you know the postcode used when you last registered with a UK GP?" /> <type value="boolean" /> <enableWhen> <question value="6043124139100" /> <operator value="=" /> <answerBoolean value="false" /> </enableWhen> <required value="true" /> <repeats value="false" /> <item> <linkId value="7359582925710" /> <text value="What postcode did you use when you last registered with a UK GP?" /> <type value="string" /> <enableWhen> <question value="8087948177397" /> <operator value="=" /> <answerBoolean value="true" /> </enableWhen> <required value="true" /> <repeats value="false" /> </item> </item> </item> </item> <item> <linkId value="3189857950482" /> <text value="Personal Details" /> <type value="group" /> <item> <linkId value="7570130246483" /> <text value="Do you have a current UK address" /> <type value="boolean" /> <required value="true" /> <repeats value="false" /> <item> <linkId value="3834031732678" /> <code> <system value="http://snomed.info/sct" /> <code value="184097001" /> <display value="Patient address (observable entity)" /> </code> <text value="What is your current UK address?" /> <type value="group" /> <enableWhen> <question value="7570130246483" /> <operator value="=" /> <answerBoolean value="true" /> </enableWhen> <item> <linkId value="7091443873030" /> <text value="House number or name (optional)" /> <type value="string" /> <required value="false" /> </item> <item> <linkId value="5086068712017" /> <code> <system value="http://snomed.info/sct" /> <code value="184102003" /> <display value="Patient postal code (observable entity)" /> </code> <text value="Postcode" /> <type value="string" /> </item> <item> <linkId value="1187115804415" /> <text value="Select an address" /> <type value="group" /> <item> <linkId value="8052908008533" /> <text value="Street" /> <type value="string" /> </item> <item> <linkId value="9119357682451" /> <text value="Town" /> <type value="string" /> </item> </item> </item> </item> <item> <linkId value="8454185457892" /> <text value="What are your Contact Details" /> <type value="group" /> <item> <linkId value="5425785344304" /> <code> <system value="http://snomed.info/sct" /> <code value="429697006" /> <display value="Patient home telephone number (observable entity)" /> </code> <text value="Home telephone number" /> <type value="string" /> </item> <item> <linkId value="8530163235785" /> <code> <system value="http://snomed.info/sct" /> <code value="428481002" /> <display value="Patient mobile telephone number (observable entity)" /> </code> <text value="Mobile telephone number" /> <type value="string" /> </item> <item> <linkId value="7870443952741" /> <code> <system 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<system value="http://snomed.info/sct" /> <code value="160578007" /> <display value="Very heavy drinker - >9u/day" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason" /> <code value="asked-declined" /> <display value="Asked But Declined" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="105542008" /> <display value="Non - drinker alcohol" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="307450003" /> <display value="Once monthly" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="307451004" /> <display value="Twice monthly" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="229800002" /> <display value="Twice a week" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="307445009" /> <display value="Four times weekly" /> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <linkId value="9335384644242" /> <code> <system value="http://snomed.info/sct" /> <code value="443315005" /> <display value="Number of alcohol units consumed on typical drinking day" /> </code> <text value="How many units of alcohol do you drink on a typical day when you are drinking?" /> <type value="integer" /> <enableWhen> <question value="2141293065983" /> <operator value="!=" /> <answerCoding> <system value="http://snomed.info/sct" /> <code value="105542008" /> <display value="Non - drinker" /> </answerCoding> </enableWhen> <enableWhen> <question value="2141293065983" /> <operator value="!=" /> <answerCoding> <system 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value="Monthly" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <display value="Weekly" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <display value="Daily or almost daily" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason" /> <code value="asked-declined" /> <display value="Asked But Declined" /> </valueCoding> </answerOption> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <linkId value="2254100394705" /> <code> <system value="http://snomed.info/sct" /> <code value="229819007" /> <display value="Tobacco use and exposure (observable entity)" /> </code> <text value="Have you ever smoked?" /> <type value="choice" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0532" /> <code value="Y" /> <display value="Yes" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="8392000" /> <display value="Non-smoker" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1098881000000103" /> <display value="Declined to give smoking status" /> </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="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <linkId value="8799894644724" /> <code> <system value="http://snomed.info/sct" /> <code value="229819007" /> <display value="Tobacco use and exposure (observable entity)" /> </code> <text value="What best describes you?" /> <type value="choice" /> <enableWhen> <question value="2254100394705" /> <operator value="=" /> <answerCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0532" /> <code value="Y" /> <display value="Yes" /> </answerCoding> </enableWhen> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="77176002" /> <display value="Current smoker" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="8517006" /> <display value="Former smoker" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1098881000000103" /> <display value="Declined to give smoking status" /> </valueCoding> </answerOption> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <linkId value="2343533367553" /> <code> <system value="http://snomed.info/sct" /> <code value="160625004" /> <display value="Date ceased smoking (observable entity)" /> </code> <text value="When did you stop smoking?" /> <type value="date" /> <enableWhen> <question value="8799894644724" /> <operator value="=" /> <answerCoding> <system value="http://snomed.info/sct" /> <code value="8517006" /> <display value="Former smoker" /> </answerCoding> </enableWhen> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <linkId value="4270314232487" /> <code> <system value="http://snomed.info/sct" /> <code value="413909005" /> <display value="Consent status for record sharing (finding)" /> </code> <text value="Do you want important information from your GP record to be available to other health and care professionals?" /> <type value="choice" /> <required value="true" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="773051000000102" /> <display value="Express consent for core and additional Summary Care Record dataset upload" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="773031000000109" /> <display value="Express consent for core Summary Care Record dataset upload" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="889091000000102" /> <display value="Dissent to share Summary Care Record" /> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> <display value="Radio Button" /> </coding> </valueCodeableConcept> </extension> <linkId value="52633200885" /> <code> <system value="http://snomed.info/sct" /> <code value="1237025001" /> <display value="At increased risk of exposure to Mycobacterium tuberculosis complex (finding)" /> </code> <text value="Have you ever spent more that 6 months in a country where there was an increased risk of catching tuberculosis (TB)?" /> <type value="choice" /> <repeats value="false" /> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0532" /> <code value="Y" /> <display value="Yes" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0532" /> <code value="N" /> <display value="No" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0532" /> <code value="ASKU" /> <display value="Unknown" /> </valueCoding> </answerOption> </item> </item> </Questionnaire>
JSON View
{ "resourceType": "Questionnaire", "id": "GPReg-Questionnaire-RegisterGPSurgery-Example", "meta": { "versionId": "21", "lastUpdated": "2024-05-02T11:35:50.946Z" }, "url": "https://fhir.nhs.uk/England/StructureDefinition/England-Questionnaire-RegisterGPSurgeryv2", "title": "Register with a GP Surgery v2", "status": "draft", "description": "A FHIR Questionnaire created from GP Registration Programme - GP IT Deliverables", "purpose": "To standardise the questions asked when registering for a GP Surgery within England", "item": [ { "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button", "display": "Radio Button" } ] } } ], "linkId": "4757609108297", "code": [ { "system": "http://snomed.info/sct", "code": "722011000000106", "display": "Relationship (qualifier value)" } ], "text": "What is your relationship to the person being registered?", "type": "choice", "enableWhen": [ { "question": "5564099927552", "operator": "=", "answerCoding": { "display": "Someone else" } } ], "enableBehavior": "all", "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code": "PRN", "display": "Parent" } }, { "valueCoding": { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole", "code": "Guardian", "display": "Guardian" } }, { "valueCoding": { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole", "code": "Carer", "display": "Carer" } }, { "valueCoding": { "system": "http://terminology.hl7.org/CodeSystem/v2-0131", "code": "O", "display": "Other" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button", "display": "Radio Button" } ] } } ], "linkId": "1296573860711", "text": "What type of carer are you?", "type": "choice", "enableWhen": [ { "question": "5564099927552", "operator": "=", "answerCoding": { "display": "Someone else" } }, { "question": "4757609108297", "operator": "=", "answerCoding": { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-AdditionalPersonRelationshipRole", "code": "Carer", "display": "Carer" } } ], "enableBehavior": "all", "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "1597921000000107", "display": "Has young carer" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "818091000000106", "display": "Has a paid carer" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "823411000000109", "display": "Has voluntary carer" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "361571000000107", "display": "Fostering" } }, { "valueCoding": { 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the person being registered?", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "drop-down", "display": "Drop down" } ] } } ], "linkId": "2526886552536", "code": [ { "system": "http://snomed.info/sct", "code": "184098006", "display": "Patient title (observable entity)" } ], "text": "Title", "type": "open-choice", "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "system": "https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code", "code": "315890000", "display": "Mr" } }, { "valueCoding": { "system": "https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code", "code": "315890001", "display": "Mrs" } }, { "valueCoding": { "system": "https://fhir.medirecords.com/CodeSystem/mr-patient-name-title-code", "code": "315890003", "display": "Miss" } }, { "valueCoding": { 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If you do not know it, you can tell us their full name instead.", "type": "display", "linkId": "2535971200955_helpText", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "text": "Help-Button", "coding": [ { "code": "help", "display": "Help-Button", "system": "http://hl7.org/fhir/questionnaire-item-control" } ] } } ] } ] }, { "linkId": "6043124139100", "text": "Are you registering with a UK GP for the first time", "type": "boolean", "required": true, "repeats": false, "item": [ { "linkId": "9441224899731", "code": [ { "system": "http://snomed.info/sct", "code": "711481000000108", "display": "Patient registered general practitioner (observable entity)" } ], "text": "What is the name of the GP surgery you want to leave?", "type": "group", "enableWhen": [ { "question": "6043124139100", "operator": "=", "answerBoolean": false } ], "item": [ { "linkId": "5352371648554", "text": "Current Surgery name", "type": "string" }, { "linkId": "6622306991068", "text": "Current Surgery postcode", "type": "string" }, { "linkId": "2066131115145", "text": "Select your current GP surgery", "type": "group", "item": [ { "linkId": "7885193861634", "text": "Current Surgery street", "type": "string" }, { "linkId": "7211883460061", "text": "Current Surgery town", "type": "string" } ] } ] }, { "linkId": "8087948177397", "text": "Do you know the postcode used when you last registered with a UK GP?", "type": "boolean", "enableWhen": [ { "question": "6043124139100", "operator": "=", "answerBoolean": false } ], "required": true, "repeats": false, "item": [ { "linkId": "7359582925710", "text": "What postcode did you use when you last registered with a UK GP?", "type": "string", "enableWhen": [ { "question": "8087948177397", "operator": "=", "answerBoolean": true } ], "required": true, "repeats": false } ] } ] } ] }, { "linkId": "3189857950482", "text": "Personal Details", "type": "group", "item": [ { "linkId": "7570130246483", "text": "Do you have a current UK address", "type": "boolean", "required": true, "repeats": false, "item": [ { "linkId": "3834031732678", "code": [ { "system": "http://snomed.info/sct", "code": "184097001", "display": "Patient address (observable entity)" } ], "text": "What is your current UK address?", "type": "group", "enableWhen": [ { "question": "7570130246483", "operator": "=", "answerBoolean": true } ], "item": [ { "linkId": "7091443873030", "text": "House number or name (optional)", "type": "string", "required": false }, { "linkId": "5086068712017", "code": [ { "system": "http://snomed.info/sct", "code": "184102003", "display": "Patient postal code (observable entity)" } ], "text": "Postcode", "type": "string" }, { "linkId": "1187115804415", "text": "Select an address", "type": "group", "item": [ { "linkId": "8052908008533", "text": "Street", "type": "string" }, { "linkId": "9119357682451", "text": "Town", "type": "string" } ] } ] } ] }, { "linkId": "8454185457892", "text": "What are your Contact Details", "type": "group", "item": [ { "linkId": "5425785344304", "code": [ { "system": "http://snomed.info/sct", "code": "429697006", "display": "Patient home telephone number (observable entity)" } ], "text": "Home telephone number", "type": "string" }, { "linkId": "8530163235785", "code": [ { "system": "http://snomed.info/sct", "code": "428481002", "display": "Patient mobile telephone number (observable entity)" } ], "text": "Mobile telephone number", "type": "string" }, { "linkId": "7870443952741", "code": [ { "system": "http://snomed.info/sct", "code": "424966008", "display": "Patient email address (observable entity)" } ], "text": "Email", "type": "string" } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "check-box", "display": "Check-box" } ] } } ], "linkId": "5729238155283", "code": [ { "system": "http://snomed.info/sct", "code": "276031006", "display": "Details of education (observable entity)" } ], "text": "Do you go to any of the following for your education?", "type": "open-choice", "required": true, "repeats": true, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "342271000000107", "display": "Educated to primary school level" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "161117005", "display": "Nursery" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "302139001", "display": "Home-schooled" } }, { "valueCoding": { "display": "None of the above" } } ], "item": [ { "linkId": "394020974422", "text": "Enter details of where you go for your education - School", "type": "group", "enableWhen": [ { "question": "5729238155283", "operator": "=", "answerCoding": { "display": "Educated to primary school level" } } ], "repeats": false, "item": [ { "linkId": "3906837152832", "text": "Name of school", "type": "string", "required": true, "repeats": false }, { "linkId": "6688482508092", "text": "Postcode", "type": "string", "required": true, "repeats": false }, { "linkId": "8439668864839", "text": "Telephone number", "type": "string", "required": true, "repeats": false } ] }, { "linkId": "7429200519586", "text": "Enter details of where you go for your education - Nursery", "type": "group", "enableWhen": [ { "question": "5729238155283", "operator": "=", "answerCoding": { "display": "Nursery" } } ], "repeats": false, "item": [ { "linkId": "4527715209757", "text": "Name of nursery", "type": "string", "required": true, "repeats": false }, { "linkId": "9264432080912", "text": "Postcode", "type": "string", "required": true, "repeats": false }, { "linkId": "9604650637827", "text": "Telephone number", "type": "string", "required": true, "repeats": false } ] }, { "linkId": "8242011050226", "text": "Enter details of where you go for your education - Home School", "type": "group", "enableWhen": [ { "question": "5729238155283", "operator": "=", "answerCoding": { "display": "Home schooled" } } ], "item": [ { "linkId": "9503918040039", "text": "Postcode", "type": "string", "required": true, "repeats": false }, { "linkId": "5244682504330", "text": "Telephone number", "type": "string", "required": true, "repeats": false } ] } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "check-box", "display": "Check-box" } ] } } ], "linkId": "2352413897998", "text": "Is anyone else involved in your care?", "type": "open-choice", "required": true, "repeats": true, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "309390008", "display": "Hospital consultant" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "1052581000000109", "display": "Health visitor" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "106328005", "display": "Social worker" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "223366009", "display": "Healthcare professional" } }, { "valueCoding": { "display": "None of the above" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button", "display": "Radio Button" } ] } } ], "linkId": "3509733064094", "code": [ { "system": "http://snomed.info/sct", "code": "184100006", "display": "Patient sex (observable entity)" } ], "text": "What is your sex as recorded on your NHS record?", "type": "choice", "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Male" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "female", "display": "Female" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "other", "display": "Other" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "unknown", "display": "Unknown" } } ] }, { "item": [ { "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "drop-down", "display": "Drop down" } ] } } ], "linkId": "3434094779174", "code": [ { "system": "http://snomed.info/sct", "code": "398089004", "display": "Ethnic background" } ], "text": "Which of the following best describes your [Ethnic group] background?", "enableWhen": [ { "question": "4800938448822", "operator": "!=", "answerCoding": { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland", "code": "Z", "display": "Not stated" } } ], "answerValueSet": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland" } ], "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "drop-down", "display": "Drop down" } ] } } ], "linkId": "4800938448822", "code": [ { "system": "http://snomed.info/sct", "code": "398089004", "display": "Ethnic background" } ], "text": "What is your ethnic group?", "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "display": "Asian or Asian British" } }, { "valueCoding": { "display": "Black African, Black British or Caribbean" } }, { "valueCoding": { "display": "Mixed or multiple ethnic groups" } }, { "valueCoding": { "display": "White" } }, { "valueCoding": { "display": "Another ethnic group" } }, { "valueCoding": { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland", "code": "Z", "display": "Not stated" } } ] }, { "item": [ { "type": "open-choice", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "drop-down", "display": "Drop down" } ] } } ], "linkId": "1841983710357", "code": [ { "system": "http://snomed.info/sct", "code": "439736001", "display": "Language for which interpreter is needed (observable entity)" } ], "text": "Which language do you need an interpreter for?", "enableWhen": [ { "question": "9558300594974", "operator": "=", "answerBoolean": true } ], "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "bfi", "display": "British Sign Language" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "ar", "display": "Arabic" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "cit", "display": 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}, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "lt", "display": "Lithuanian" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "pl", "display": "Polish" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "pt", "display": "Portuguese" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "pa", "display": "Punjabi" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "so", "display": "Somali" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "es", "display": "Spanish" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "ta", "display": "Tamil" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "tr", "display": "Turkish" } }, { "valueCoding": { "system": "http://tools.ietf.org/html/bcp47", "code": "ur", "display": "Urdu" } }, { "valueCoding": { "display": "Other" } } ] } ], "type": "boolean", "linkId": "9558300594974", "text": "Do you need a language interpreter for your GP appointments?", "required": true, "repeats": false }, { "item": [ { "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button", "display": "Radio Button" } ] } } ], "linkId": "2713146262242", "text": "Choose type of pharmacy", "enableWhen": [ { "question": "5319955577563", "operator": "=", "answerBoolean": true } ], "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "display": "High Street Pharmacy" } }, { "valueCoding": { "display": "Online-only Pharmacy" } } ] }, { "item": [ { "type": "string", "linkId": "7587493504635", "text": "Pharmacy Name", "required": true, "repeats": false }, { "type": "integer", "linkId": "8516440797888", "text": "Pharmacy House Number", "required": true, "repeats": false }, { "type": "string", "linkId": "7342162179490", "text": "Pharmacy Street" }, { "linkId": "5149630375907", "text": "Pharmacy Town", "type": "string" } ], "type": "group", "linkId": "7665401650008", "text": "Choose a pharmacy", "enableWhen": [ { "question": "5319955577563", "operator": "=", "answerBoolean": true } ] }, { "item": [ { "linkId": "4107477375862", "code": [ { "system": "http://snomed.info/sct", "code": "300611005", "display": "Difficulty performing traveling activities (finding)" } ], "text": "Would you have serious difficulty travelling to your nearest pharmacy to get medicines or medical appliances?", "type": "boolean", "enableWhen": [ { "question": "3216525415675", "operator": "=", "answerBoolean": true } ] }, { "linkId": "1224857833601", "text": "Do you live more than 1 mile from your nearest pharmacy?", "type": "boolean", "enableWhen": [ { "question": "3216525415675", "operator": "=", "answerBoolean": true }, { "question": "4107477375862", "operator": "=", "answerBoolean": false } ], "enableBehavior": "all" } ], "type": "boolean", "linkId": "3216525415675", "text": "Do you want to get your prescription items direct from {NAME OF SURGERY}?" } ], "type": "boolean", "linkId": "5319955577563", "text": "Would you like to choose or change a pharmacy for your prescriptions?", "required": true, "repeats": false }, { "type": "boolean", "linkId": "3094394035878", "code": [ { "system": "http://snomed.info/sct", "code": "753651000000107", "display": "Military veteran (finding)" } ], "text": "Have you ever been a member of the UK Armed Forces or are a family member registered with the Defence Medical Services?", "required": true, "repeats": false }, { "item": [ { "item": [ { "linkId": "4531185058436", "text": "EC Full Name", "type": "string" }, { "linkId": "8633300116223", "text": "EC Relationship to user", "type": "string" }, { "linkId": "6157634467632", "text": "Next of Kin", "type": "boolean" }, { "linkId": "682000761752", "text": "Contact telephone number", "type": "string" } ], "type": "group", "linkId": "2504251541565", "code": [ { "system": "http://snomed.info/sct", "code": "406548001", "display": "Emergency contact details (observable entity)" } ], "text": "What are the details of your emergency contact?", "enableWhen": [ { "question": "9420407152267", "operator": "=", "answerBoolean": true } ] } ], "type": "boolean", "linkId": "9420407152267", "text": "Do you have an emergency contact?", "required": true, "repeats": false }, { "item": [ { "type": "date", "linkId": "132357985294", "text": "What was the date you left the UK?", "enableWhen": [ { "question": "7951535385611", "operator": "=", "answerBoolean": true } ] }, { "type": "date", "linkId": "2420834071501", "text": "What was the date you returned to the UK?", "enableWhen": [ { "question": "7951535385611", "operator": "=", "answerBoolean": true } ] } ], "type": "boolean", "linkId": "7951535385611", "text": "Are you returning from overseas?", "required": true, 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}, { "linkId": "7423112602149", "text": "Expiry date", "type": "date" } ], "type": "group", "linkId": "2698577897288", "code": [ { "system": "http://snomed.info/sct", "code": "896271000000104", "display": "Holds European Health Insurance Card (finding)" } ], "text": "European health insurance card details" } ], "type": "choice", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "radio-button", "display": "Radio Button" } ] } } ], "linkId": "4739595792362", "text": "Do you have any of these documents?", "enableWhen": [ { "question": "291105241223", "operator": "=", "answerBoolean": true } ], "required": true, "repeats": false, "answerOption": [ { "valueCoding": { "display": "EHIC" } }, { "valueCoding": { "display": "S1 form" } }, { "valueCoding": { "display": "I don't have any of these documents" } } ] } ], "type": "boolean", "linkId": 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"question": "1651487045545", "operator": "=", "answerCoding": { "system": "http://snomed.info/sct", "code": "74964007", "display": "Other" } }, { "question": "630742013280", "operator": "=", "answerBoolean": true } ], "enableBehavior": "any", "required": true, "repeats": false }, { "type": "string", "linkId": "815946439143", "code": [ { "system": "http://snomed.info/sct", "code": "169812000", "display": "Place of birth (observable entity)" } ], "text": "Place of birth" } ], "type": "group", "linkId": "4918792971884", "text": "Enter details of where you were born" } ], "type": "boolean", "linkId": "630742013280", "text": "Have you recently moved to the UK from abroad?", "required": true, "repeats": false }, { "item": [ { "item": [ { "type": "integer", "linkId": "9878329078813", "text": "Previous Address number" }, { "linkId": "6041393041572", "text": "Previous Address postcode", "type": "string" }, { "linkId": "2255229743869", "text": "Select your address", "type": "group", "item": [ { 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