Women for FHIR

Heavy Menstrual Bleeding Implementation Guide
0.1.0 - Draft

Please note, this guide is currently under development and subject to change.

Community-Facing Form

The FHIR version of the community-facing form was developed based on the Heavy Menstrual Bleeding (HMB) Patient Questionnaire. Many thanks to Women’s Health Road for providing this valuable foundation.

Please note that this is a live document and may have updated versions in the future as new research and standards are released.

Heavy Menstrual Bleeding (HMB) Patient Questionnaire

WHR-HMB-Q_1

WHR-HMB-Q_2

WHR-HMB-Q_3

WHR-HMB-Q_4

WHR-HMB-Q_5

Questionnaire

To view a rendered version of this form with the FHIR Questionnaire Viewer by LHC-Forms:
Open the Questionnaire in the Simplifier project, click on Tools (top right), and select Open with LHC-Forms – R4 Questionnaire.

Questionnaire
Questionnaire.id[0]CommunityFacingQuestionnaire
Questionnaire.meta[0].profile[0]http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
Questionnaire.url[0]https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire
Questionnaire.name[0]CommunityFacingQuestionnaire
Questionnaire.title[0]Community-facing Questionnaire
Questionnaire.status[0]draft
Questionnaire.experimental[0]True
Questionnaire.description[0]FHIR Questionnaire based on the 'Heavy Menstrual Bleeding (HMB) Patient Questionnaire' from Women's Health Road (Australia)
Questionnaire.item[0].linkId[0]1
Questionnaire.item[0].text[0]PERSONAL INFORMATION
Questionnaire.item[0].type[0]group
Questionnaire.item[0].item[0].linkId[0]1.1
Questionnaire.item[0].item[0].definition[0]http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given
Questionnaire.item[0].item[0].text[0]First Name
Questionnaire.item[0].item[0].type[0]string
Questionnaire.item[0].item[0].required[0]True
Questionnaire.item[0].item[1].linkId[0]1.2
Questionnaire.item[0].item[1].definition[0]http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family
Questionnaire.item[0].item[1].text[0]Surname
Questionnaire.item[0].item[1].type[0]string
Questionnaire.item[0].item[1].required[0]True
Questionnaire.item[0].item[2].linkId[0]1.3
Questionnaire.item[0].item[2].definition[0]http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given
Questionnaire.item[0].item[2].text[0]Preferred Name
Questionnaire.item[0].item[2].type[0]string
Questionnaire.item[0].item[3].linkId[0]1.4
Questionnaire.item[0].item[3].definition[0]http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate
Questionnaire.item[0].item[3].text[0]DOB
Questionnaire.item[0].item[3].type[0]date
Questionnaire.item[0].item[3].required[0]True
Questionnaire.item[0].item[4].linkId[0]1.5
Questionnaire.item[0].item[4].definition[0]http://hl7.org/fhir/StructureDefinition/Patient#Patient.contact.telecom.value
Questionnaire.item[0].item[4].text[0]Email
Questionnaire.item[0].item[4].type[0]string
Questionnaire.item[0].item[5].linkId[0]1.6
Questionnaire.item[0].item[5].text[0]Please outline your main health related concern(s)
Questionnaire.item[0].item[5].type[0]string
Questionnaire.item[1].linkId[0]2
Questionnaire.item[1].text[0]PAST MEDICAL HISTORY
Questionnaire.item[1].type[0]group
Questionnaire.item[1].item[0].linkId[0]2.1
Questionnaire.item[1].item[0].text[0]Please check any past or current medical conditions that apply to you
Questionnaire.item[1].item[0].type[0]choice
Questionnaire.item[1].item[0].repeats[0]True
Questionnaire.item[1].item[0].answerValueSet[0]https://simplifier.net/guide/hmb-fhir-ig/ValueSet/medical-conditions
Questionnaire.item[1].item[1].linkId[0]2.2
Questionnaire.item[1].item[1].text[0]Childhood Disease
Questionnaire.item[1].item[1].type[0]string
Questionnaire.item[1].item[2].linkId[0]2.3
Questionnaire.item[1].item[2].text[0]Cardiovascular Disease
Questionnaire.item[1].item[2].type[0]string
Questionnaire.item[1].item[3].linkId[0]2.4
Questionnaire.item[1].item[3].text[0]Cancer
Questionnaire.item[1].item[3].type[0]string
Questionnaire.item[1].item[4].linkId[0]2.5
Questionnaire.item[1].item[4].text[0]Other
Questionnaire.item[1].item[4].type[0]string
Questionnaire.item[2].linkId[0]3
Questionnaire.item[2].text[0]MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)
Questionnaire.item[2].type[0]group
Questionnaire.item[2].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[2].item[0].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[2].item[0].extension[0].value[0].code[0]a
Questionnaire.item[2].item[0].extension[0].value[0].display[0]year
Questionnaire.item[2].item[0].linkId[0]3.1
Questionnaire.item[2].item[0].text[0]Age of first menstrual period
Questionnaire.item[2].item[0].type[0]integer
Questionnaire.item[2].item[1].linkId[0]3.2
Questionnaire.item[2].item[1].text[0]Date your last period began
Questionnaire.item[2].item[1].type[0]date
Questionnaire.item[2].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[2].item[2].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[2].item[2].extension[0].value[0].code[0]d
Questionnaire.item[2].item[2].extension[0].value[0].display[0]day
Questionnaire.item[2].item[2].linkId[0]3.3
Questionnaire.item[2].item[2].text[0]Duration of menstrual period
Questionnaire.item[2].item[2].type[0]integer
Questionnaire.item[2].item[3].linkId[0]3.4
Questionnaire.item[2].item[3].text[0]Regularity of period length
Questionnaire.item[2].item[3].type[0]choice
Questionnaire.item[2].item[3].repeats[0]False
Questionnaire.item[2].item[3].answerOption[0].value[0].code[0]regular
Questionnaire.item[2].item[3].answerOption[0].value[0].display[0]Regular variation
Questionnaire.item[2].item[3].answerOption[1].value[0].code[0]irregular
Questionnaire.item[2].item[3].answerOption[1].value[0].display[0]Irregular
Questionnaire.item[2].item[4].linkId[0]3.5
Questionnaire.item[2].item[4].text[0]Flow Volume
Questionnaire.item[2].item[4].type[0]choice
Questionnaire.item[2].item[4].repeats[0]False
Questionnaire.item[2].item[4].answerOption[0].value[0].code[0]heavy
Questionnaire.item[2].item[4].answerOption[0].value[0].display[0]Heavy
Questionnaire.item[2].item[4].answerOption[1].value[0].code[0]normal
Questionnaire.item[2].item[4].answerOption[1].value[0].display[0]Normal
Questionnaire.item[2].item[4].answerOption[2].value[0].code[0]light
Questionnaire.item[2].item[4].answerOption[2].value[0].display[0]Light
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]slider
Questionnaire.item[2].item[5].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
Questionnaire.item[2].item[5].extension[1].value[0]1
Questionnaire.item[2].item[5].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[2].item[5].extension[2].value[0]0
Questionnaire.item[2].item[5].extension[3].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[2].item[5].extension[3].value[0]10
Questionnaire.item[2].item[5].linkId[0]3.6
Questionnaire.item[2].item[5].text[0]Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)
Questionnaire.item[2].item[5].type[0]integer
Questionnaire.item[2].item[6].linkId[0]3.7
Questionnaire.item[2].item[6].text[0]No. days between periods
Questionnaire.item[2].item[6].type[0]choice
Questionnaire.item[2].item[6].repeats[0]False
Questionnaire.item[2].item[6].answerOption[0].value[0].code[0]absent
Questionnaire.item[2].item[6].answerOption[0].value[0].display[0]Absent (no periods/bleeding)
Questionnaire.item[2].item[6].answerOption[1].value[0].code[0]frequent
Questionnaire.item[2].item[6].answerOption[1].value[0].display[0]Frequent (< 24 days)
Questionnaire.item[2].item[6].answerOption[2].value[0].code[0]normal
Questionnaire.item[2].item[6].answerOption[2].value[0].display[0]Normal (24 - 38 days)
Questionnaire.item[2].item[6].answerOption[3].value[0].code[0]infrequent
Questionnaire.item[2].item[6].answerOption[3].value[0].display[0]Infrequent (>38 days)
Questionnaire.item[2].item[7].linkId[0]3.8
Questionnaire.item[2].item[7].text[0]Predictability (regularity) of cycle length
Questionnaire.item[2].item[7].type[0]choice
Questionnaire.item[2].item[7].repeats[0]False
Questionnaire.item[2].item[7].answerOption[0].value[0].code[0]absent
Questionnaire.item[2].item[7].answerOption[0].value[0].display[0]Absent (no periods/bleeding)
Questionnaire.item[2].item[7].answerOption[1].value[0].code[0]predictable
Questionnaire.item[2].item[7].answerOption[1].value[0].display[0]Predictable (regular, varies by 2-7 days in length)
Questionnaire.item[2].item[7].answerOption[2].value[0].code[0]unpredictable
Questionnaire.item[2].item[7].answerOption[2].value[0].display[0]Unpredictable (irregular, varies by > 10 days in length)
Questionnaire.item[2].item[8].linkId[0]3.9
Questionnaire.item[2].item[8].text[0]Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)
Questionnaire.item[2].item[8].type[0]choice
Questionnaire.item[2].item[8].repeats[0]False
Questionnaire.item[2].item[8].answerOption[0].value[0].code[0]none
Questionnaire.item[2].item[8].answerOption[0].value[0].display[0]None
Questionnaire.item[2].item[8].answerOption[1].value[0].code[0]random
Questionnaire.item[2].item[8].answerOption[1].value[0].display[0]Random
Questionnaire.item[2].item[8].answerOption[2].value[0].code[0]cyclic-predictable
Questionnaire.item[2].item[8].answerOption[2].value[0].display[0]Cyclic/Predictable
Questionnaire.item[2].item[9].linkId[0]3.9.1
Questionnaire.item[2].item[9].text[0]When in your cycle does the bleeding occur?
Questionnaire.item[2].item[9].type[0]choice
Questionnaire.item[2].item[9].enableWhen[0].question[0]3.9
Questionnaire.item[2].item[9].enableWhen[0].operator[0]=
Questionnaire.item[2].item[9].enableWhen[0].answer[0].code[0]cyclic-predictable
Questionnaire.item[2].item[9].repeats[0]False
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Questionnaire.item[2].item[9].answerOption[0].value[0].display[0]Early Cycle
Questionnaire.item[2].item[9].answerOption[1].value[0].code[0]mid-cycle
Questionnaire.item[2].item[9].answerOption[1].value[0].display[0]Mid Cycle
Questionnaire.item[2].item[9].answerOption[2].value[0].code[0]late-cycle
Questionnaire.item[2].item[9].answerOption[2].value[0].display[0]Late Cycle
Questionnaire.item[2].item[10].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[10].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[10].extension[0].value[0].coding[0].code[0]slider
Questionnaire.item[2].item[10].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
Questionnaire.item[2].item[10].extension[1].value[0]1
Questionnaire.item[2].item[10].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[2].item[10].extension[2].value[0]0
Questionnaire.item[2].item[10].extension[3].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[2].item[10].extension[3].value[0]10
Questionnaire.item[2].item[10].linkId[0]3.10
Questionnaire.item[2].item[10].text[0]To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)
Questionnaire.item[2].item[10].type[0]integer
Questionnaire.item[2].item[11].linkId[0]3.11
Questionnaire.item[2].item[11].text[0]During heavier bleeding days do you
Questionnaire.item[2].item[11].type[0]group
Questionnaire.item[2].item[11].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[11].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[11].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[2].item[11].item[0].linkId[0]3.11.1
Questionnaire.item[2].item[11].item[0].text[0]Have to use double protection or get up to change your sanitary protection during the night?
Questionnaire.item[2].item[11].item[0].type[0]choice
Questionnaire.item[2].item[11].item[0].repeats[0]False
Questionnaire.item[2].item[11].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[2].item[11].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[2].item[11].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[2].item[11].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[2].item[11].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[11].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[11].item[1].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[2].item[11].item[1].linkId[0]3.11.2
Questionnaire.item[2].item[11].item[1].text[0]Worry about staining the seat of your chair, sofa, etc?
Questionnaire.item[2].item[11].item[1].type[0]choice
Questionnaire.item[2].item[11].item[1].repeats[0]False
Questionnaire.item[2].item[11].item[1].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[1].answerOption[0].value[0].code[0]373066001
Questionnaire.item[2].item[11].item[1].answerOption[0].value[0].display[0]Yes
Questionnaire.item[2].item[11].item[1].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[1].answerOption[1].value[0].code[0]373067005
Questionnaire.item[2].item[11].item[1].answerOption[1].value[0].display[0]No
Questionnaire.item[2].item[11].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[11].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[11].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[2].item[11].item[2].linkId[0]3.11.3
Questionnaire.item[2].item[11].item[2].text[0]Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?
Questionnaire.item[2].item[11].item[2].type[0]choice
Questionnaire.item[2].item[11].item[2].repeats[0]False
Questionnaire.item[2].item[11].item[2].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[2].answerOption[0].value[0].code[0]373066001
Questionnaire.item[2].item[11].item[2].answerOption[0].value[0].display[0]Yes
Questionnaire.item[2].item[11].item[2].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[11].item[2].answerOption[1].value[0].code[0]373067005
Questionnaire.item[2].item[11].item[2].answerOption[1].value[0].display[0]No
Questionnaire.item[2].item[12].linkId[0]3.12
Questionnaire.item[2].item[12].text[0]Period Pain
Questionnaire.item[2].item[12].type[0]group
Questionnaire.item[2].item[12].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[12].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[12].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[2].item[12].item[0].linkId[0]3.12.1
Questionnaire.item[2].item[12].item[0].text[0]Do you have period pain?
Questionnaire.item[2].item[12].item[0].type[0]choice
Questionnaire.item[2].item[12].item[0].repeats[0]False
Questionnaire.item[2].item[12].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[2].item[12].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[2].item[12].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[2].item[12].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[2].item[12].item[0].answerOption[2].value[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[0].answerOption[2].value[0].code[0]84638005
Questionnaire.item[2].item[12].item[0].answerOption[2].value[0].display[0]Occasional
Questionnaire.item[2].item[12].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[2].item[12].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[2].item[12].item[1].extension[0].value[0].coding[0].code[0]slider
Questionnaire.item[2].item[12].item[1].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
Questionnaire.item[2].item[12].item[1].extension[1].value[0]1
Questionnaire.item[2].item[12].item[1].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[2].item[12].item[1].extension[2].value[0]0
Questionnaire.item[2].item[12].item[1].extension[3].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[2].item[12].item[1].extension[3].value[0]10
Questionnaire.item[2].item[12].item[1].linkId[0]3.12.2
Questionnaire.item[2].item[12].item[1].text[0]Pain Score (0 = Little to no pain, 10 = Severe Pain)
Questionnaire.item[2].item[12].item[1].type[0]integer
Questionnaire.item[2].item[12].item[1].enableWhen[0].question[0]3.12.1
Questionnaire.item[2].item[12].item[1].enableWhen[0].operator[0]!=
Questionnaire.item[2].item[12].item[1].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[1].enableWhen[0].answer[0].code[0]373067005
Questionnaire.item[2].item[12].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[2].item[12].item[2].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[2].item[12].item[2].extension[0].value[0].code[0]a
Questionnaire.item[2].item[12].item[2].extension[0].value[0].display[0]year
Questionnaire.item[2].item[12].item[2].linkId[0]3.12.3
Questionnaire.item[2].item[12].item[2].text[0]How old were you when your periods became painful?
Questionnaire.item[2].item[12].item[2].type[0]integer
Questionnaire.item[2].item[12].item[2].enableWhen[0].question[0]3.12.1
Questionnaire.item[2].item[12].item[2].enableWhen[0].operator[0]!=
Questionnaire.item[2].item[12].item[2].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[2].enableWhen[0].answer[0].code[0]373067005
Questionnaire.item[2].item[12].item[3].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[2].item[12].item[3].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[2].item[12].item[3].extension[0].value[0].code[0]d
Questionnaire.item[2].item[12].item[3].extension[0].value[0].display[0]day
Questionnaire.item[2].item[12].item[3].linkId[0]3.12.4
Questionnaire.item[2].item[12].item[3].text[0]How many days each month do you have period pain for?
Questionnaire.item[2].item[12].item[3].type[0]integer
Questionnaire.item[2].item[12].item[3].enableWhen[0].question[0]3.12.1
Questionnaire.item[2].item[12].item[3].enableWhen[0].operator[0]!=
Questionnaire.item[2].item[12].item[3].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[12].item[3].enableWhen[0].answer[0].code[0]373067005
Questionnaire.item[2].item[13].linkId[0]3.13
Questionnaire.item[2].item[13].text[0]Where do you feel your period pain?
Questionnaire.item[2].item[13].type[0]choice
Questionnaire.item[2].item[13].enableWhen[0].question[0]3.12.1
Questionnaire.item[2].item[13].enableWhen[0].operator[0]!=
Questionnaire.item[2].item[13].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[13].enableWhen[0].answer[0].code[0]373067005
Questionnaire.item[2].item[13].repeats[0]True
Questionnaire.item[2].item[13].answerValueSet[0]https://simplifier.net/guide/hmb-fhir-ig/ValueSet/period-pain-body-sites
Questionnaire.item[2].item[14].linkId[0]3.13.1
Questionnaire.item[2].item[14].text[0]Other (please specify)
Questionnaire.item[2].item[14].type[0]string
Questionnaire.item[2].item[14].enableWhen[0].question[0]3.13
Questionnaire.item[2].item[14].enableWhen[0].operator[0]=
Questionnaire.item[2].item[14].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[14].enableWhen[0].answer[0].code[0]74964007
Questionnaire.item[2].item[15].linkId[0]3.14
Questionnaire.item[2].item[15].text[0]Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?
Questionnaire.item[2].item[15].type[0]choice
Questionnaire.item[2].item[15].enableWhen[0].question[0]3.12.1
Questionnaire.item[2].item[15].enableWhen[0].operator[0]!=
Questionnaire.item[2].item[15].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[2].item[15].enableWhen[0].answer[0].code[0]373067005
Questionnaire.item[2].item[15].repeats[0]False
Questionnaire.item[2].item[15].answerOption[0].value[0].code[0]yes
Questionnaire.item[2].item[15].answerOption[0].value[0].display[0]Yes
Questionnaire.item[2].item[15].answerOption[1].value[0].code[0]little
Questionnaire.item[2].item[15].answerOption[1].value[0].display[0]A little
Questionnaire.item[2].item[15].answerOption[2].value[0].code[0]not-at-all
Questionnaire.item[2].item[15].answerOption[2].value[0].display[0]Not at all
Questionnaire.item[2].item[15].answerOption[3].value[0].code[0]never-tried
Questionnaire.item[2].item[15].answerOption[3].value[0].display[0]I have never tried these medications
Questionnaire.item[3].linkId[0]4
Questionnaire.item[3].text[0]SEXUAL AND REPRODUCTIVE HISTORY
Questionnaire.item[3].type[0]group
Questionnaire.item[3].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[3].item[0].linkId[0]4.1
Questionnaire.item[3].item[0].text[0]Are you currently sexually active?
Questionnaire.item[3].item[0].type[0]choice
Questionnaire.item[3].item[0].repeats[0]False
Questionnaire.item[3].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[3].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[3].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[3].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[3].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[1].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[3].item[1].linkId[0]4.2
Questionnaire.item[3].item[1].text[0]Are you currently trying to get pregnant?
Questionnaire.item[3].item[1].type[0]choice
Questionnaire.item[3].item[1].repeats[0]False
Questionnaire.item[3].item[1].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[1].answerOption[0].value[0].code[0]373066001
Questionnaire.item[3].item[1].answerOption[0].value[0].display[0]Yes
Questionnaire.item[3].item[1].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[1].answerOption[1].value[0].code[0]373067005
Questionnaire.item[3].item[1].answerOption[1].value[0].display[0]No
Questionnaire.item[3].item[1].answerOption[2].value[0].code[0]want-in-future
Questionnaire.item[3].item[1].answerOption[2].value[0].display[0]Want in future
Questionnaire.item[3].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[3].item[2].linkId[0]4.3
Questionnaire.item[3].item[2].text[0]Do you experience any bleeding after sexual intercourse?
Questionnaire.item[3].item[2].type[0]choice
Questionnaire.item[3].item[2].repeats[0]False
Questionnaire.item[3].item[2].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[2].answerOption[0].value[0].code[0]373066001
Questionnaire.item[3].item[2].answerOption[0].value[0].display[0]Yes
Questionnaire.item[3].item[2].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[2].answerOption[1].value[0].code[0]373067005
Questionnaire.item[3].item[2].answerOption[1].value[0].display[0]No
Questionnaire.item[3].item[3].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[3].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[3].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[3].item[3].linkId[0]4.4
Questionnaire.item[3].item[3].text[0]Do you experience any excessive pain during sexual intercourse?
Questionnaire.item[3].item[3].type[0]choice
Questionnaire.item[3].item[3].repeats[0]False
Questionnaire.item[3].item[3].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[3].answerOption[0].value[0].code[0]373066001
Questionnaire.item[3].item[3].answerOption[0].value[0].display[0]Yes
Questionnaire.item[3].item[3].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[3].answerOption[1].value[0].code[0]373067005
Questionnaire.item[3].item[3].answerOption[1].value[0].display[0]No
Questionnaire.item[3].item[4].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[4].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[4].extension[0].value[0].coding[0].code[0]slider
Questionnaire.item[3].item[4].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
Questionnaire.item[3].item[4].extension[1].value[0]1
Questionnaire.item[3].item[4].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[3].item[4].extension[2].value[0]1
Questionnaire.item[3].item[4].extension[3].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[3].item[4].extension[3].value[0]10
Questionnaire.item[3].item[4].linkId[0]4.4.1
Questionnaire.item[3].item[4].text[0]How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)
Questionnaire.item[3].item[4].type[0]integer
Questionnaire.item[3].item[4].enableWhen[0].question[0]4.4
Questionnaire.item[3].item[4].enableWhen[0].operator[0]=
Questionnaire.item[3].item[4].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[4].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[3].item[5].linkId[0]4.5
Questionnaire.item[3].item[5].text[0]What contraception, if any, are you currently using?
Questionnaire.item[3].item[5].type[0]string
Questionnaire.item[3].item[5].item[0].linkId[0]4.5.1
Questionnaire.item[3].item[5].item[0].text[0]For how long?
Questionnaire.item[3].item[5].item[0].type[0]string
Questionnaire.item[3].item[5].item[1].linkId[0]4.5.2
Questionnaire.item[3].item[5].item[1].text[0]For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)
Questionnaire.item[3].item[5].item[1].type[0]string
Questionnaire.item[3].item[6].linkId[0]4.6
Questionnaire.item[3].item[6].text[0]What contraception options, if any, have you used in the past?
Questionnaire.item[3].item[6].type[0]string
Questionnaire.item[3].item[6].item[0].linkId[0]4.6.1
Questionnaire.item[3].item[6].item[0].text[0]For any previous hormonal contraception, what impact did they have on your period/cycle?
Questionnaire.item[3].item[6].item[0].type[0]string
Questionnaire.item[3].item[7].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[3].item[7].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[3].item[7].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[3].item[7].linkId[0]4.7
Questionnaire.item[3].item[7].text[0]Do you have any current or a previous history of sexually transmitted diseases?
Questionnaire.item[3].item[7].type[0]choice
Questionnaire.item[3].item[7].repeats[0]False
Questionnaire.item[3].item[7].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[7].answerOption[0].value[0].code[0]373066001
Questionnaire.item[3].item[7].answerOption[0].value[0].display[0]Yes
Questionnaire.item[3].item[7].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[7].answerOption[1].value[0].code[0]373067005
Questionnaire.item[3].item[7].answerOption[1].value[0].display[0]No
Questionnaire.item[3].item[7].item[0].linkId[0]4.7.1
Questionnaire.item[3].item[7].item[0].text[0]Please provide detail (date, type, treatment)
Questionnaire.item[3].item[7].item[0].type[0]string
Questionnaire.item[3].item[7].item[0].enableWhen[0].question[0]4.7
Questionnaire.item[3].item[7].item[0].enableWhen[0].operator[0]=
Questionnaire.item[3].item[7].item[0].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[3].item[7].item[0].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[3].item[8].linkId[0]4.8
Questionnaire.item[3].item[8].text[0]Do you have any other sexual dysfunctions/issues related to sex?
Questionnaire.item[3].item[8].type[0]string
Questionnaire.item[3].item[9].linkId[0]4.9
Questionnaire.item[3].item[9].text[0]Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)
Questionnaire.item[3].item[9].type[0]group
Questionnaire.item[3].item[9].item[0].linkId[0]4.9.1
Questionnaire.item[3].item[9].item[0].text[0]Please provide the following information for each pregnancy
Questionnaire.item[3].item[9].item[0].type[0]group
Questionnaire.item[3].item[9].item[0].repeats[0]True
Questionnaire.item[3].item[9].item[0].item[0].linkId[0]4.9.1.1
Questionnaire.item[3].item[9].item[0].item[0].text[0]Birthplace
Questionnaire.item[3].item[9].item[0].item[0].type[0]string
Questionnaire.item[3].item[9].item[0].item[1].linkId[0]4.9.1.2
Questionnaire.item[3].item[9].item[0].item[1].text[0]Date
Questionnaire.item[3].item[9].item[0].item[1].type[0]date
Questionnaire.item[3].item[9].item[0].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[3].item[9].item[0].item[2].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[3].item[9].item[0].item[2].extension[0].value[0].code[0]wk
Questionnaire.item[3].item[9].item[0].item[2].extension[0].value[0].display[0]week
Questionnaire.item[3].item[9].item[0].item[2].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[3].item[9].item[0].item[2].extension[1].value[0]1
Questionnaire.item[3].item[9].item[0].item[2].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[3].item[9].item[0].item[2].extension[2].value[0]45
Questionnaire.item[3].item[9].item[0].item[2].linkId[0]4.9.1.3
Questionnaire.item[3].item[9].item[0].item[2].text[0]Gestation
Questionnaire.item[3].item[9].item[0].item[2].type[0]integer
Questionnaire.item[3].item[9].item[0].item[3].linkId[0]4.9.1.4
Questionnaire.item[3].item[9].item[0].item[3].text[0]Type of Birth (e.g. Vaginal or C/S)
Questionnaire.item[3].item[9].item[0].item[3].type[0]string
Questionnaire.item[3].item[9].item[0].item[4].linkId[0]4.9.1.5
Questionnaire.item[3].item[9].item[0].item[4].text[0]Model of Care (e.g. Midwife, Public/Private OB)
Questionnaire.item[3].item[9].item[0].item[4].type[0]string
Questionnaire.item[3].item[9].item[0].item[5].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[3].item[9].item[0].item[5].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[3].item[9].item[0].item[5].extension[0].value[0].code[0]g
Questionnaire.item[3].item[9].item[0].item[5].extension[0].value[0].display[0]gram
Questionnaire.item[3].item[9].item[0].item[5].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[3].item[9].item[0].item[5].extension[1].value[0]300
Questionnaire.item[3].item[9].item[0].item[5].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[3].item[9].item[0].item[5].extension[2].value[0]6000
Questionnaire.item[3].item[9].item[0].item[5].linkId[0]4.9.1.6
Questionnaire.item[3].item[9].item[0].item[5].text[0]Birth Weight
Questionnaire.item[3].item[9].item[0].item[5].type[0]integer
Questionnaire.item[3].item[9].item[0].item[6].linkId[0]4.9.1.7
Questionnaire.item[3].item[9].item[0].item[6].text[0]Name of Child (if applicable)
Questionnaire.item[3].item[9].item[0].item[6].type[0]string
Questionnaire.item[3].item[9].item[0].item[7].linkId[0]4.9.1.8
Questionnaire.item[3].item[9].item[0].item[7].text[0]Sex of Child (if applicable)
Questionnaire.item[3].item[9].item[0].item[7].type[0]string
Questionnaire.item[3].item[10].linkId[0]4.10
Questionnaire.item[3].item[10].text[0]Cervical Screening Test (CST)
Questionnaire.item[3].item[10].type[0]group
Questionnaire.item[3].item[10].item[0].linkId[0]4.10.1
Questionnaire.item[3].item[10].item[0].text[0]When was your most recent CST (Pap Smear)?
Questionnaire.item[3].item[10].item[0].type[0]date
Questionnaire.item[3].item[10].item[1].linkId[0]4.10.2
Questionnaire.item[3].item[10].item[1].text[0]What was the result of your most recent CST?
Questionnaire.item[3].item[10].item[1].type[0]string
Questionnaire.item[3].item[10].item[2].linkId[0]4.10.3
Questionnaire.item[3].item[10].item[2].text[0]Any past abnormal CST(s)? Please provide details
Questionnaire.item[3].item[10].item[2].type[0]string
Questionnaire.item[3].item[10].item[3].linkId[0]4.10.4
Questionnaire.item[3].item[10].item[3].text[0]If possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment.
Questionnaire.item[3].item[10].item[3].type[0]display
Questionnaire.item[4].linkId[0]5
Questionnaire.item[4].text[0]ASSOCIATED OR SYSTEMIC SYMPTOMS
Questionnaire.item[4].type[0]group
Questionnaire.item[4].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[0].linkId[0]5.1
Questionnaire.item[4].item[0].text[0]Do you experience any pelvic pain?
Questionnaire.item[4].item[0].type[0]choice
Questionnaire.item[4].item[0].repeats[0]False
Questionnaire.item[4].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[1].extension[0].value[0].coding[0].code[0]slider
Questionnaire.item[4].item[1].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
Questionnaire.item[4].item[1].extension[1].value[0]1
Questionnaire.item[4].item[1].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[4].item[1].extension[2].value[0]0
Questionnaire.item[4].item[1].extension[3].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[4].item[1].extension[3].value[0]10
Questionnaire.item[4].item[1].linkId[0]5.1.1
Questionnaire.item[4].item[1].text[0]Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)
Questionnaire.item[4].item[1].type[0]integer
Questionnaire.item[4].item[1].enableWhen[0].question[0]5.1
Questionnaire.item[4].item[1].enableWhen[0].operator[0]=
Questionnaire.item[4].item[1].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[1].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[2].linkId[0]5.2
Questionnaire.item[4].item[2].text[0]Have you noticed any abnormal vaginal discharge?
Questionnaire.item[4].item[2].type[0]choice
Questionnaire.item[4].item[2].repeats[0]False
Questionnaire.item[4].item[2].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[2].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[2].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[2].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[2].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[2].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[3].linkId[0]5.2.1
Questionnaire.item[4].item[3].text[0]Please provide detail
Questionnaire.item[4].item[3].type[0]string
Questionnaire.item[4].item[3].enableWhen[0].question[0]5.2
Questionnaire.item[4].item[3].enableWhen[0].operator[0]=
Questionnaire.item[4].item[3].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[3].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[4].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[4].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[4].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[4].linkId[0]5.3
Questionnaire.item[4].item[4].text[0]Do you currently have any urinary and/or bowel related concerns?
Questionnaire.item[4].item[4].type[0]choice
Questionnaire.item[4].item[4].repeats[0]False
Questionnaire.item[4].item[4].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[4].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[4].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[4].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[4].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[4].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[5].linkId[0]5.3.1
Questionnaire.item[4].item[5].text[0]Please provide detail (i.e. motion of passing/incontinence issues etc.)
Questionnaire.item[4].item[5].type[0]string
Questionnaire.item[4].item[5].enableWhen[0].question[0]5.3
Questionnaire.item[4].item[5].enableWhen[0].operator[0]=
Questionnaire.item[4].item[5].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[5].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[6].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[4].item[6].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[4].item[6].extension[0].value[0].code[0]kg
Questionnaire.item[4].item[6].extension[0].value[0].display[0]kilogram
Questionnaire.item[4].item[6].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[4].item[6].extension[1].value[0]20
Questionnaire.item[4].item[6].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[4].item[6].extension[2].value[0]300
Questionnaire.item[4].item[6].linkId[0]5.4
Questionnaire.item[4].item[6].text[0]What is your current weight?
Questionnaire.item[4].item[6].type[0]decimal
Questionnaire.item[4].item[7].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[4].item[7].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[4].item[7].extension[0].value[0].code[0]cm
Questionnaire.item[4].item[7].extension[0].value[0].display[0]centimeter
Questionnaire.item[4].item[7].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[4].item[7].extension[1].value[0]100
Questionnaire.item[4].item[7].extension[2].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[4].item[7].extension[2].value[0]250
Questionnaire.item[4].item[7].linkId[0]5.5
Questionnaire.item[4].item[7].text[0]What is your height?
Questionnaire.item[4].item[7].type[0]integer
Questionnaire.item[4].item[8].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[8].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[8].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[8].linkId[0]5.6
Questionnaire.item[4].item[8].text[0]Have you noticed any significant weight loss or gain?
Questionnaire.item[4].item[8].type[0]choice
Questionnaire.item[4].item[8].repeats[0]False
Questionnaire.item[4].item[8].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[8].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[8].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[8].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[8].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[8].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[9].linkId[0]5.6.1
Questionnaire.item[4].item[9].text[0]Details
Questionnaire.item[4].item[9].type[0]string
Questionnaire.item[4].item[9].enableWhen[0].question[0]5.6
Questionnaire.item[4].item[9].enableWhen[0].operator[0]=
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Questionnaire.item[4].item[9].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[10].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[10].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[10].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[10].linkId[0]5.7
Questionnaire.item[4].item[10].text[0]Have you had any blood tests done in the past 12 months?
Questionnaire.item[4].item[10].type[0]choice
Questionnaire.item[4].item[10].repeats[0]False
Questionnaire.item[4].item[10].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[10].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[10].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[10].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[10].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[10].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[11].linkId[0]5.7.1
Questionnaire.item[4].item[11].text[0]Date of most recent test
Questionnaire.item[4].item[11].type[0]date
Questionnaire.item[4].item[11].enableWhen[0].question[0]5.7
Questionnaire.item[4].item[11].enableWhen[0].operator[0]=
Questionnaire.item[4].item[11].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[11].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[12].linkId[0]5.7.2
Questionnaire.item[4].item[12].text[0]Pathology Provider
Questionnaire.item[4].item[12].type[0]string
Questionnaire.item[4].item[12].enableWhen[0].question[0]5.7
Questionnaire.item[4].item[12].enableWhen[0].operator[0]=
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Questionnaire.item[4].item[12].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[13].linkId[0]5.7.3
Questionnaire.item[4].item[13].text[0]Any clinically significant blood results & outcomes?
Questionnaire.item[4].item[13].type[0]string
Questionnaire.item[4].item[13].enableWhen[0].question[0]5.7
Questionnaire.item[4].item[13].enableWhen[0].operator[0]=
Questionnaire.item[4].item[13].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[13].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[14].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[4].item[14].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[4].item[14].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[4].item[14].linkId[0]5.8
Questionnaire.item[4].item[14].text[0]Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?
Questionnaire.item[4].item[14].type[0]choice
Questionnaire.item[4].item[14].repeats[0]False
Questionnaire.item[4].item[14].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[14].answerOption[0].value[0].code[0]373066001
Questionnaire.item[4].item[14].answerOption[0].value[0].display[0]Yes
Questionnaire.item[4].item[14].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[14].answerOption[1].value[0].code[0]373067005
Questionnaire.item[4].item[14].answerOption[1].value[0].display[0]No
Questionnaire.item[4].item[15].linkId[0]5.8.1
Questionnaire.item[4].item[15].text[0]Please provide the following imaging details
Questionnaire.item[4].item[15].type[0]group
Questionnaire.item[4].item[15].enableWhen[0].question[0]5.8
Questionnaire.item[4].item[15].enableWhen[0].operator[0]=
Questionnaire.item[4].item[15].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[4].item[15].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[4].item[15].repeats[0]True
Questionnaire.item[4].item[15].item[0].linkId[0]5.8.1.1
Questionnaire.item[4].item[15].item[0].text[0]Type of Imaging
Questionnaire.item[4].item[15].item[0].type[0]string
Questionnaire.item[4].item[15].item[1].linkId[0]5.8.1.2
Questionnaire.item[4].item[15].item[1].text[0]Date
Questionnaire.item[4].item[15].item[1].type[0]date
Questionnaire.item[4].item[15].item[2].linkId[0]5.8.1.3
Questionnaire.item[4].item[15].item[2].text[0]Imaging Provider & Location
Questionnaire.item[4].item[15].item[2].type[0]string
Questionnaire.item[4].item[15].item[3].linkId[0]5.8.1.4
Questionnaire.item[4].item[15].item[3].text[0]Clinical Reason
Questionnaire.item[4].item[15].item[3].type[0]string
Questionnaire.item[4].item[15].item[4].linkId[0]5.8.1.5
Questionnaire.item[4].item[15].item[4].text[0]Results / Findings
Questionnaire.item[4].item[15].item[4].type[0]string
Questionnaire.item[5].linkId[0]6
Questionnaire.item[5].text[0]CURRENT MEDICATIONS
Questionnaire.item[5].type[0]group
Questionnaire.item[5].item[0].linkId[0]6.1
Questionnaire.item[5].item[0].text[0]Please provide your current medications
Questionnaire.item[5].item[0].type[0]group
Questionnaire.item[5].item[0].repeats[0]True
Questionnaire.item[5].item[0].item[0].linkId[0]6.1.1
Questionnaire.item[5].item[0].item[0].text[0]Medication
Questionnaire.item[5].item[0].item[0].type[0]string
Questionnaire.item[5].item[0].item[1].linkId[0]6.1.2
Questionnaire.item[5].item[0].item[1].text[0]Dose
Questionnaire.item[5].item[0].item[1].type[0]string
Questionnaire.item[5].item[0].item[2].linkId[0]6.1.3
Questionnaire.item[5].item[0].item[2].text[0]Frequency
Questionnaire.item[5].item[0].item[2].type[0]string
Questionnaire.item[5].item[0].item[3].linkId[0]6.1.4
Questionnaire.item[5].item[0].item[3].text[0]Reason for Medication
Questionnaire.item[5].item[0].item[3].type[0]string
Questionnaire.item[5].item[0].item[4].linkId[0]6.1.5
Questionnaire.item[5].item[0].item[4].text[0]Duration you have been taking this medication for
Questionnaire.item[5].item[0].item[4].type[0]string
Questionnaire.item[6].linkId[0]7
Questionnaire.item[6].text[0]FAMILY HISTORY
Questionnaire.item[6].type[0]group
Questionnaire.item[6].item[0].linkId[0]7.1
Questionnaire.item[6].item[0].text[0]Blood and Clotting Disorders
Questionnaire.item[6].item[0].type[0]choice
Questionnaire.item[6].item[0].repeats[0]True
Questionnaire.item[6].item[0].answerOption[0].value[0].code[0]vwd
Questionnaire.item[6].item[0].answerOption[0].value[0].display[0]Von Willebrand disease
Questionnaire.item[6].item[0].answerOption[1].value[0].code[0]haem
Questionnaire.item[6].item[0].answerOption[1].value[0].display[0]Haemophilia
Questionnaire.item[6].item[0].answerOption[2].value[0].code[0]thromb
Questionnaire.item[6].item[0].answerOption[2].value[0].display[0]Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)
Questionnaire.item[6].item[0].answerOption[3].value[0].code[0]bruising
Questionnaire.item[6].item[0].answerOption[3].value[0].display[0]Easy bruising or excessive bleeding
Questionnaire.item[6].item[0].answerOption[4].value[0].code[0]clots
Questionnaire.item[6].item[0].answerOption[4].value[0].display[0]History of blood clots (DVT, stroke before age 50)
Questionnaire.item[6].item[1].linkId[0]7.2
Questionnaire.item[6].item[1].text[0]Endocrine and Hormonal Conditions
Questionnaire.item[6].item[1].type[0]choice
Questionnaire.item[6].item[1].repeats[0]True
Questionnaire.item[6].item[1].answerOption[0].value[0].code[0]thyroid
Questionnaire.item[6].item[1].answerOption[0].value[0].display[0]Thyroid Disease
Questionnaire.item[6].item[1].answerOption[1].value[0].code[0]pcos
Questionnaire.item[6].item[1].answerOption[1].value[0].display[0]PCOS
Questionnaire.item[6].item[1].answerOption[2].value[0].code[0]diabetes
Questionnaire.item[6].item[1].answerOption[2].value[0].display[0]Diabetes (Type 1 or Type 2)
Questionnaire.item[6].item[1].answerOption[3].value[0].code[0]menopause
Questionnaire.item[6].item[1].answerOption[3].value[0].display[0]Early menopause / premature ovarian insufficiency
Questionnaire.item[6].item[1].answerOption[4].value[0].code[0]adrenal
Questionnaire.item[6].item[1].answerOption[4].value[0].display[0]Adrenal disorders
Questionnaire.item[6].item[2].linkId[0]7.3
Questionnaire.item[6].item[2].text[0]Cancer / Malignancy
Questionnaire.item[6].item[2].type[0]choice
Questionnaire.item[6].item[2].repeats[0]True
Questionnaire.item[6].item[2].answerOption[0].value[0].code[0]breast
Questionnaire.item[6].item[2].answerOption[0].value[0].display[0]Breast Cancer
Questionnaire.item[6].item[2].answerOption[1].value[0].code[0]ovarian
Questionnaire.item[6].item[2].answerOption[1].value[0].display[0]Ovarian cancer
Questionnaire.item[6].item[2].answerOption[2].value[0].code[0]uterine
Questionnaire.item[6].item[2].answerOption[2].value[0].display[0]Uterine (endometrial cancer)
Questionnaire.item[6].item[2].answerOption[3].value[0].code[0]cervical
Questionnaire.item[6].item[2].answerOption[3].value[0].display[0]Cervical cancer
Questionnaire.item[6].item[2].answerOption[4].value[0].code[0]colon
Questionnaire.item[6].item[2].answerOption[4].value[0].display[0]Colon cancer (<50 yrs or related to Lynch Syndrome)
Questionnaire.item[6].item[2].answerOption[5].value[0].code[0]hereditary
Questionnaire.item[6].item[2].answerOption[5].value[0].display[0]Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)
Questionnaire.item[6].item[3].linkId[0]7.4
Questionnaire.item[6].item[3].text[0]Other relevant conditions
Questionnaire.item[6].item[3].type[0]choice
Questionnaire.item[6].item[3].repeats[0]True
Questionnaire.item[6].item[3].answerOption[0].value[0].code[0]endometriosis
Questionnaire.item[6].item[3].answerOption[0].value[0].display[0]Endometriosis or adenomyosis
Questionnaire.item[6].item[3].answerOption[1].value[0].code[0]fibroids
Questionnaire.item[6].item[3].answerOption[1].value[0].display[0]Fibroids
Questionnaire.item[6].item[3].answerOption[2].value[0].code[0]osteoporosis
Questionnaire.item[6].item[3].answerOption[2].value[0].display[0]Osteoporosis or early bone loss
Questionnaire.item[6].item[3].answerOption[3].value[0].code[0]cardio
Questionnaire.item[6].item[3].answerOption[3].value[0].display[0]Cardiovascular disease
Questionnaire.item[6].item[3].answerOption[4].value[0].code[0]autoimmune
Questionnaire.item[6].item[3].answerOption[4].value[0].display[0]Autoimmune conditions
Questionnaire.item[6].item[3].answerOption[5].value[0].code[0]genetic
Questionnaire.item[6].item[3].answerOption[5].value[0].display[0]Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)
Questionnaire.item[6].item[3].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[6].item[3].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[6].item[3].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[6].item[3].item[0].linkId[0]7.4.1
Questionnaire.item[6].item[3].item[0].text[0]Cardiovascular disease <55 yrs
Questionnaire.item[6].item[3].item[0].type[0]choice
Questionnaire.item[6].item[3].item[0].enableWhen[0].question[0]7.4
Questionnaire.item[6].item[3].item[0].enableWhen[0].operator[0]=
Questionnaire.item[6].item[3].item[0].enableWhen[0].answer[0].code[0]cardio
Questionnaire.item[6].item[3].item[0].repeats[0]False
Questionnaire.item[6].item[3].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[6].item[3].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[6].item[3].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[6].item[3].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[6].item[3].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[6].item[3].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[6].item[4].linkId[0]7.5
Questionnaire.item[6].item[4].text[0]Please provide details about the conditions you selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer etc.)
Questionnaire.item[6].item[4].type[0]string
Questionnaire.item[6].item[4].enableWhen[0].question[0]7.1
Questionnaire.item[6].item[4].enableWhen[0].operator[0]exists
Questionnaire.item[6].item[4].enableWhen[0].answer[0]True
Questionnaire.item[6].item[4].enableWhen[1].question[0]7.2
Questionnaire.item[6].item[4].enableWhen[1].operator[0]exists
Questionnaire.item[6].item[4].enableWhen[1].answer[0]True
Questionnaire.item[6].item[4].enableWhen[2].question[0]7.3
Questionnaire.item[6].item[4].enableWhen[2].operator[0]exists
Questionnaire.item[6].item[4].enableWhen[2].answer[0]True
Questionnaire.item[6].item[4].enableWhen[3].question[0]7.4
Questionnaire.item[6].item[4].enableWhen[3].operator[0]exists
Questionnaire.item[6].item[4].enableWhen[3].answer[0]True
Questionnaire.item[6].item[4].enableBehavior[0]any
Questionnaire.item[6].item[4].repeats[0]True
Questionnaire.item[7].linkId[0]8
Questionnaire.item[7].text[0]SOCIAL HISTORY
Questionnaire.item[7].type[0]group
Questionnaire.item[7].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[0].linkId[0]8.1
Questionnaire.item[7].item[0].text[0]Do you currently have a partner(s)?
Questionnaire.item[7].item[0].type[0]choice
Questionnaire.item[7].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[7].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[7].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[7].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[7].item[0].item[0].linkId[0]8.1.1
Questionnaire.item[7].item[0].item[0].text[0]If you are comfortable to share, what is your partner/s' name and sex/gender/age?
Questionnaire.item[7].item[0].item[0].type[0]string
Questionnaire.item[7].item[0].item[0].enableWhen[0].question[0]8.1
Questionnaire.item[7].item[0].item[0].enableWhen[0].operator[0]=
Questionnaire.item[7].item[0].item[0].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[0].item[0].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[7].item[0].item[0].repeats[0]True
Questionnaire.item[7].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[1].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[1].linkId[0]8.2
Questionnaire.item[7].item[1].text[0]Are you currently working?
Questionnaire.item[7].item[1].type[0]choice
Questionnaire.item[7].item[1].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[1].answerOption[0].value[0].code[0]373066001
Questionnaire.item[7].item[1].answerOption[0].value[0].display[0]Yes
Questionnaire.item[7].item[1].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[1].answerOption[1].value[0].code[0]373067005
Questionnaire.item[7].item[1].answerOption[1].value[0].display[0]No
Questionnaire.item[7].item[1].item[0].linkId[0]8.2.1
Questionnaire.item[7].item[1].item[0].text[0]Please provide details about your work
Questionnaire.item[7].item[1].item[0].type[0]group
Questionnaire.item[7].item[1].item[0].enableWhen[0].question[0]8.2
Questionnaire.item[7].item[1].item[0].enableWhen[0].operator[0]=
Questionnaire.item[7].item[1].item[0].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[1].item[0].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[7].item[1].item[0].repeats[0]True
Questionnaire.item[7].item[1].item[0].item[0].linkId[0]8.2.1.1
Questionnaire.item[7].item[1].item[0].item[0].text[0]Employment Type (PT, FT, Casual)
Questionnaire.item[7].item[1].item[0].item[0].type[0]string
Questionnaire.item[7].item[1].item[0].item[1].linkId[0]8.2.1.2
Questionnaire.item[7].item[1].item[0].item[1].text[0]Occupation
Questionnaire.item[7].item[1].item[0].item[1].type[0]string
Questionnaire.item[7].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[2].linkId[0]8.3
Questionnaire.item[7].item[2].text[0]Are you currently studying?
Questionnaire.item[7].item[2].type[0]choice
Questionnaire.item[7].item[2].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[2].answerOption[0].value[0].code[0]373066001
Questionnaire.item[7].item[2].answerOption[0].value[0].display[0]Yes
Questionnaire.item[7].item[2].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[2].answerOption[1].value[0].code[0]373067005
Questionnaire.item[7].item[2].answerOption[1].value[0].display[0]No
Questionnaire.item[7].item[2].item[0].linkId[0]8.3.1
Questionnaire.item[7].item[2].item[0].text[0]Institution
Questionnaire.item[7].item[2].item[0].type[0]string
Questionnaire.item[7].item[2].item[0].enableWhen[0].question[0]8.3
Questionnaire.item[7].item[2].item[0].enableWhen[0].operator[0]=
Questionnaire.item[7].item[2].item[0].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[2].item[0].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[7].item[2].item[1].linkId[0]8.3.2
Questionnaire.item[7].item[2].item[1].text[0]Level & Area of study
Questionnaire.item[7].item[2].item[1].type[0]string
Questionnaire.item[7].item[2].item[1].enableWhen[0].question[0]8.3
Questionnaire.item[7].item[2].item[1].enableWhen[0].operator[0]=
Questionnaire.item[7].item[2].item[1].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[2].item[1].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[7].item[3].linkId[0]8.4
Questionnaire.item[7].item[3].text[0]Lifestyle
Questionnaire.item[7].item[3].type[0]group
Questionnaire.item[7].item[3].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[3].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[3].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[3].item[0].linkId[0]8.4.1
Questionnaire.item[7].item[3].item[0].text[0]Do you currently smoke?
Questionnaire.item[7].item[3].item[0].type[0]choice
Questionnaire.item[7].item[3].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[3].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[7].item[3].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[7].item[3].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[3].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[7].item[3].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[7].item[3].item[0].answerOption[2].value[0].code[0]past
Questionnaire.item[7].item[3].item[0].answerOption[2].value[0].display[0]In Past
Questionnaire.item[7].item[3].item[0].answerOption[3].value[0].code[0]vape
Questionnaire.item[7].item[3].item[0].answerOption[3].value[0].display[0]Vape
Questionnaire.item[7].item[3].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[3].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[3].item[1].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[3].item[1].linkId[0]8.4.2
Questionnaire.item[7].item[3].item[1].text[0]Do you take any recreational drugs?
Questionnaire.item[7].item[3].item[1].type[0]choice
Questionnaire.item[7].item[3].item[1].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[3].item[1].answerOption[0].value[0].code[0]373066001
Questionnaire.item[7].item[3].item[1].answerOption[0].value[0].display[0]Yes
Questionnaire.item[7].item[3].item[1].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[7].item[3].item[1].answerOption[1].value[0].code[0]373067005
Questionnaire.item[7].item[3].item[1].answerOption[1].value[0].display[0]No
Questionnaire.item[7].item[3].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[3].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[3].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[3].item[2].linkId[0]8.4.3
Questionnaire.item[7].item[3].item[2].text[0]How often do you drink Alcohol?
Questionnaire.item[7].item[3].item[2].type[0]choice
Questionnaire.item[7].item[3].item[2].answerOption[0].value[0].code[0]never
Questionnaire.item[7].item[3].item[2].answerOption[0].value[0].display[0]Never
Questionnaire.item[7].item[3].item[2].answerOption[1].value[0].code[0]ltmonthly
Questionnaire.item[7].item[3].item[2].answerOption[1].value[0].display[0]< Monthly
Questionnaire.item[7].item[3].item[2].answerOption[2].value[0].code[0]1_2pm
Questionnaire.item[7].item[3].item[2].answerOption[2].value[0].display[0]1-2 days per month
Questionnaire.item[7].item[3].item[2].answerOption[3].value[0].code[0]1_2pw
Questionnaire.item[7].item[3].item[2].answerOption[3].value[0].display[0]1-2 days a week
Questionnaire.item[7].item[3].item[2].answerOption[4].value[0].code[0]3_4pw
Questionnaire.item[7].item[3].item[2].answerOption[4].value[0].display[0]3-4 days a week
Questionnaire.item[7].item[3].item[2].answerOption[5].value[0].code[0]5_6pw
Questionnaire.item[7].item[3].item[2].answerOption[5].value[0].display[0]5-6 days a week
Questionnaire.item[7].item[3].item[2].answerOption[6].value[0].code[0]everyday
Questionnaire.item[7].item[3].item[2].answerOption[6].value[0].display[0]Everyday
Questionnaire.item[7].item[3].item[2].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[7].item[3].item[2].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[7].item[3].item[2].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[7].item[3].item[2].item[0].linkId[0]8.4.3.1
Questionnaire.item[7].item[3].item[2].item[0].text[0]On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)
Questionnaire.item[7].item[3].item[2].item[0].type[0]choice
Questionnaire.item[7].item[3].item[2].item[0].enableWhen[0].question[0]8.4.3
Questionnaire.item[7].item[3].item[2].item[0].enableWhen[0].operator[0]!=
Questionnaire.item[7].item[3].item[2].item[0].enableWhen[0].answer[0].code[0]never
Questionnaire.item[7].item[3].item[2].item[0].answerOption[0].value[0].code[0]1_3
Questionnaire.item[7].item[3].item[2].item[0].answerOption[0].value[0].display[0]1-3
Questionnaire.item[7].item[3].item[2].item[0].answerOption[1].value[0].code[0]3_5
Questionnaire.item[7].item[3].item[2].item[0].answerOption[1].value[0].display[0]3-5
Questionnaire.item[7].item[3].item[2].item[0].answerOption[2].value[0].code[0]5_7
Questionnaire.item[7].item[3].item[2].item[0].answerOption[2].value[0].display[0]5-7
Questionnaire.item[7].item[3].item[2].item[0].answerOption[3].value[0].code[0]7plus
Questionnaire.item[7].item[3].item[2].item[0].answerOption[3].value[0].display[0]7+
Questionnaire.item[7].item[3].item[3].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[7].item[3].item[3].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[7].item[3].item[3].extension[0].value[0].code[0]h
Questionnaire.item[7].item[3].item[3].extension[0].value[0].display[0]hour
Questionnaire.item[7].item[3].item[3].linkId[0]8.4.4
Questionnaire.item[7].item[3].item[3].text[0]How many hours of physical activity do you do on an average week?
Questionnaire.item[7].item[3].item[3].type[0]decimal
Questionnaire.item[7].item[3].item[3].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-unit
Questionnaire.item[7].item[3].item[3].item[0].extension[0].value[0].system[0]http://unitsofmeasure.org
Questionnaire.item[7].item[3].item[3].item[0].extension[0].value[0].code[0]/wk
Questionnaire.item[7].item[3].item[3].item[0].extension[0].value[0].display[0]per week
Questionnaire.item[7].item[3].item[3].item[0].linkId[0]8.4.4.1
Questionnaire.item[7].item[3].item[3].item[0].text[0]Frequency (times per week)
Questionnaire.item[7].item[3].item[3].item[0].type[0]integer
Questionnaire.item[7].item[3].item[3].item[1].linkId[0]8.4.4.2
Questionnaire.item[7].item[3].item[3].item[1].text[0]Intensity
Questionnaire.item[7].item[3].item[3].item[1].type[0]string
Questionnaire.item[8].linkId[0]9
Questionnaire.item[8].text[0]SURGICAL HISTORY
Questionnaire.item[8].type[0]group
Questionnaire.item[8].item[0].linkId[0]9.1
Questionnaire.item[8].item[0].text[0]Please provide details for each surgery you have had
Questionnaire.item[8].item[0].type[0]group
Questionnaire.item[8].item[0].repeats[0]True
Questionnaire.item[8].item[0].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/minValue
Questionnaire.item[8].item[0].item[0].extension[0].value[0]1900
Questionnaire.item[8].item[0].item[0].extension[1].url[0]http://hl7.org/fhir/StructureDefinition/maxValue
Questionnaire.item[8].item[0].item[0].extension[1].value[0]2100
Questionnaire.item[8].item[0].item[0].linkId[0]9.1.1
Questionnaire.item[8].item[0].item[0].text[0]Year
Questionnaire.item[8].item[0].item[0].type[0]integer
Questionnaire.item[8].item[0].item[1].linkId[0]9.1.2
Questionnaire.item[8].item[0].item[1].text[0]Place of Surgery
Questionnaire.item[8].item[0].item[1].type[0]string
Questionnaire.item[8].item[0].item[2].linkId[0]9.1.3
Questionnaire.item[8].item[0].item[2].text[0]Details (Surgeon, Type of Procedure, any complications or issues?, findings)
Questionnaire.item[8].item[0].item[2].type[0]string
Questionnaire.item[9].linkId[0]10
Questionnaire.item[9].text[0]MENOPAUSE
Questionnaire.item[9].type[0]group
Questionnaire.item[9].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[0].linkId[0]10.1
Questionnaire.item[9].item[0].text[0]Does this section apply to you (menopausal or perimenopausal)?
Questionnaire.item[9].item[0].type[0]choice
Questionnaire.item[9].item[0].required[0]True
Questionnaire.item[9].item[0].answerOption[0].value[0].system[0]http://snomed.info/sct
Questionnaire.item[9].item[0].answerOption[0].value[0].code[0]373066001
Questionnaire.item[9].item[0].answerOption[0].value[0].display[0]Yes
Questionnaire.item[9].item[0].answerOption[1].value[0].system[0]http://snomed.info/sct
Questionnaire.item[9].item[0].answerOption[1].value[0].code[0]373067005
Questionnaire.item[9].item[0].answerOption[1].value[0].display[0]No
Questionnaire.item[9].item[1].linkId[0]10.1.1
Questionnaire.item[9].item[1].text[0]On the Modified Greene Scale below, judge the severity of your symptoms and record the score.
Questionnaire.item[9].item[1].type[0]group
Questionnaire.item[9].item[1].enableWhen[0].question[0]10.1
Questionnaire.item[9].item[1].enableWhen[0].operator[0]=
Questionnaire.item[9].item[1].enableWhen[0].answer[0].system[0]http://snomed.info/sct
Questionnaire.item[9].item[1].enableWhen[0].answer[0].code[0]373066001
Questionnaire.item[9].item[1].item[0].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[0].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[0].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[0].linkId[0]10.1.1.1
Questionnaire.item[9].item[1].item[0].code[0].system[0]http://snomed.info/sct
Questionnaire.item[9].item[1].item[0].code[0].code[0]198436008
Questionnaire.item[9].item[1].item[0].code[0].display[0]Menopausal flushing (finding)
Questionnaire.item[9].item[1].item[0].text[0]Hot flushes
Questionnaire.item[9].item[1].item[0].type[0]choice
Questionnaire.item[9].item[1].item[0].required[0]True
Questionnaire.item[9].item[1].item[0].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[0].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[0].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[0].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[0].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[0].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[0].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[0].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[1].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[1].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[1].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[1].linkId[0]10.1.1.2
Questionnaire.item[9].item[1].item[1].text[0]Lightheaded feelings
Questionnaire.item[9].item[1].item[1].type[0]choice
Questionnaire.item[9].item[1].item[1].required[0]True
Questionnaire.item[9].item[1].item[1].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[1].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[1].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[1].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[1].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[1].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[1].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[1].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[2].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[2].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[2].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[2].linkId[0]10.1.1.3
Questionnaire.item[9].item[1].item[2].text[0]Headaches
Questionnaire.item[9].item[1].item[2].type[0]choice
Questionnaire.item[9].item[1].item[2].required[0]True
Questionnaire.item[9].item[1].item[2].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[2].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[2].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[2].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[2].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[2].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[2].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[2].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[3].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[3].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[3].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[3].linkId[0]10.1.1.4
Questionnaire.item[9].item[1].item[3].text[0]Irritability
Questionnaire.item[9].item[1].item[3].type[0]choice
Questionnaire.item[9].item[1].item[3].required[0]True
Questionnaire.item[9].item[1].item[3].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[3].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[3].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[3].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[3].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[3].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[3].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[3].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[4].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[4].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[4].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[4].linkId[0]10.1.1.5
Questionnaire.item[9].item[1].item[4].text[0]Depression
Questionnaire.item[9].item[1].item[4].type[0]choice
Questionnaire.item[9].item[1].item[4].required[0]True
Questionnaire.item[9].item[1].item[4].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[4].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[4].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[4].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[4].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[4].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[4].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[4].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[5].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[5].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[5].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[5].linkId[0]10.1.1.6
Questionnaire.item[9].item[1].item[5].text[0]Unloved feelings
Questionnaire.item[9].item[1].item[5].type[0]choice
Questionnaire.item[9].item[1].item[5].required[0]True
Questionnaire.item[9].item[1].item[5].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[5].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[5].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[5].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[5].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[5].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[5].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[5].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[6].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[6].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[6].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[6].linkId[0]10.1.1.7
Questionnaire.item[9].item[1].item[6].text[0]Anxiety
Questionnaire.item[9].item[1].item[6].type[0]choice
Questionnaire.item[9].item[1].item[6].required[0]True
Questionnaire.item[9].item[1].item[6].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[6].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[6].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[6].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[6].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[6].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[6].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[6].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[7].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[7].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[7].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[7].linkId[0]10.1.1.8
Questionnaire.item[9].item[1].item[7].text[0]Mood changes
Questionnaire.item[9].item[1].item[7].type[0]choice
Questionnaire.item[9].item[1].item[7].required[0]True
Questionnaire.item[9].item[1].item[7].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[7].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[7].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[7].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[7].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[7].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[7].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[7].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[8].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[8].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[8].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[8].linkId[0]10.1.1.9
Questionnaire.item[9].item[1].item[8].text[0]Sleeplessness
Questionnaire.item[9].item[1].item[8].type[0]choice
Questionnaire.item[9].item[1].item[8].required[0]True
Questionnaire.item[9].item[1].item[8].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[8].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[8].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[8].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[8].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[8].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[8].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[8].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[9].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[9].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[9].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[9].linkId[0]10.1.1.10
Questionnaire.item[9].item[1].item[9].text[0]Unusual tiredness
Questionnaire.item[9].item[1].item[9].type[0]choice
Questionnaire.item[9].item[1].item[9].required[0]True
Questionnaire.item[9].item[1].item[9].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[9].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[9].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[9].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[9].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[9].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[9].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[9].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[10].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[10].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[10].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[10].linkId[0]10.1.1.11
Questionnaire.item[9].item[1].item[10].text[0]Backache
Questionnaire.item[9].item[1].item[10].type[0]choice
Questionnaire.item[9].item[1].item[10].required[0]True
Questionnaire.item[9].item[1].item[10].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[10].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[10].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[10].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[10].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[10].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[10].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[10].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[11].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[11].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[11].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[11].linkId[0]10.1.1.12
Questionnaire.item[9].item[1].item[11].text[0]Joint pains
Questionnaire.item[9].item[1].item[11].type[0]choice
Questionnaire.item[9].item[1].item[11].required[0]True
Questionnaire.item[9].item[1].item[11].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[11].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[11].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[11].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[11].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[11].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[11].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[11].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[12].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[12].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[12].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[12].linkId[0]10.1.1.13
Questionnaire.item[9].item[1].item[12].text[0]Muscle pains
Questionnaire.item[9].item[1].item[12].type[0]choice
Questionnaire.item[9].item[1].item[12].required[0]True
Questionnaire.item[9].item[1].item[12].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[12].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[12].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[12].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[12].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[12].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[12].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[12].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[13].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[13].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[13].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[13].linkId[0]10.1.1.14
Questionnaire.item[9].item[1].item[13].text[0]New facial hair
Questionnaire.item[9].item[1].item[13].type[0]choice
Questionnaire.item[9].item[1].item[13].required[0]True
Questionnaire.item[9].item[1].item[13].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[13].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[13].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[13].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[13].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[13].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[13].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[13].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[14].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[14].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[14].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[14].linkId[0]10.1.1.15
Questionnaire.item[9].item[1].item[14].text[0]Dry skin
Questionnaire.item[9].item[1].item[14].type[0]choice
Questionnaire.item[9].item[1].item[14].required[0]True
Questionnaire.item[9].item[1].item[14].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[14].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[14].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[14].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[14].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[14].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[14].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[14].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[15].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[15].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[15].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[15].linkId[0]10.1.1.16
Questionnaire.item[9].item[1].item[15].text[0]Crawling feelings under the skin
Questionnaire.item[9].item[1].item[15].type[0]choice
Questionnaire.item[9].item[1].item[15].required[0]True
Questionnaire.item[9].item[1].item[15].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[15].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[15].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[15].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[15].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[15].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[15].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[15].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[16].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[16].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[16].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[16].linkId[0]10.1.1.17
Questionnaire.item[9].item[1].item[16].text[0]Less sexual feelings
Questionnaire.item[9].item[1].item[16].type[0]choice
Questionnaire.item[9].item[1].item[16].required[0]True
Questionnaire.item[9].item[1].item[16].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[16].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[16].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[16].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[16].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[16].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[16].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[16].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[17].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[17].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[17].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[17].linkId[0]10.1.1.18
Questionnaire.item[9].item[1].item[17].text[0]Dry vagina
Questionnaire.item[9].item[1].item[17].type[0]choice
Questionnaire.item[9].item[1].item[17].required[0]True
Questionnaire.item[9].item[1].item[17].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[17].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[17].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[17].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[17].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[17].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[17].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[17].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[18].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[18].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[18].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[18].linkId[0]10.1.1.19
Questionnaire.item[9].item[1].item[18].text[0]Uncomfortable intercourse
Questionnaire.item[9].item[1].item[18].type[0]choice
Questionnaire.item[9].item[1].item[18].required[0]True
Questionnaire.item[9].item[1].item[18].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[18].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[18].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[18].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[18].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[18].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[18].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[18].answerOption[3].value[0].display[0]Severe
Questionnaire.item[9].item[1].item[19].extension[0].url[0]http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
Questionnaire.item[9].item[1].item[19].extension[0].value[0].coding[0].system[0]http://hl7.org/fhir/questionnaire-item-control
Questionnaire.item[9].item[1].item[19].extension[0].value[0].coding[0].code[0]radio-button
Questionnaire.item[9].item[1].item[19].linkId[0]10.1.1.20
Questionnaire.item[9].item[1].item[19].text[0]Urinary frequency changes
Questionnaire.item[9].item[1].item[19].type[0]choice
Questionnaire.item[9].item[1].item[19].required[0]True
Questionnaire.item[9].item[1].item[19].answerOption[0].value[0].code[0]0
Questionnaire.item[9].item[1].item[19].answerOption[0].value[0].display[0]None
Questionnaire.item[9].item[1].item[19].answerOption[1].value[0].code[0]1
Questionnaire.item[9].item[1].item[19].answerOption[1].value[0].display[0]Mild
Questionnaire.item[9].item[1].item[19].answerOption[2].value[0].code[0]2
Questionnaire.item[9].item[1].item[19].answerOption[2].value[0].display[0]Moderate
Questionnaire.item[9].item[1].item[19].answerOption[3].value[0].code[0]3
Questionnaire.item[9].item[1].item[19].answerOption[3].value[0].display[0]Severe
Questionnaire.item[10].linkId[0]11
Questionnaire.item[10].text[0]OTHER NOTES
Questionnaire.item[10].type[0]group
Questionnaire.item[10].item[0].linkId[0]11.1
Questionnaire.item[10].item[0].text[0]Please use the space below to let us know of anything else we can do or need to note to best support your health journey
Questionnaire.item[10].item[0].type[0]text
<Questionnaire xmlns="http://hl7.org/fhir">
    <id value="CommunityFacingQuestionnaire" />
    <meta>
        <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" />
    </meta>
    <url value="https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire" />
    <name value="CommunityFacingQuestionnaire" />
    <title value="Community-facing Questionnaire" />
    <status value="draft" />
    <experimental value="true" />
    <description value="FHIR Questionnaire based on the &#39;Heavy Menstrual Bleeding (HMB) Patient Questionnaire&#39; from Women&#39;s Health Road (Australia)" />
    <item>
        <linkId value="1" />
        <text value="PERSONAL INFORMATION" />
        <type value="group" />
        <item>
            <linkId value="1.1" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given" />
            <text value="First Name" />
            <type value="string" />
            <required value="true" />
        </item>
        <item>
            <linkId value="1.2" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family" />
            <text value="Surname" />
            <type value="string" />
            <required value="true" />
        </item>
        <item>
            <linkId value="1.3" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given" />
            <text value="Preferred Name" />
            <type value="string" />
        </item>
        <item>
            <linkId value="1.4" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate" />
            <text value="DOB" />
            <type value="date" />
            <required value="true" />
        </item>
        <item>
            <linkId value="1.5" />
            <definition value="http://hl7.org/fhir/StructureDefinition/Patient#Patient.contact.telecom.value" />
            <text value="Email" />
            <type value="string" />
        </item>
        <item>
            <linkId value="1.6" />
            <text value="Please outline your main health related concern(s)" />
            <type value="string" />
        </item>
    </item>
    <item>
        <linkId value="2" />
        <text value="PAST MEDICAL HISTORY" />
        <type value="group" />
        <item>
            <linkId value="2.1" />
            <text value="Please check any past or current medical conditions that apply to you" />
            <type value="choice" />
            <repeats value="true" />
            <answerValueSet value="https://simplifier.net/guide/hmb-fhir-ig/ValueSet/medical-conditions" />
        </item>
        <item>
            <linkId value="2.2" />
            <text value="Childhood Disease" />
            <type value="string" />
        </item>
        <item>
            <linkId value="2.3" />
            <text value="Cardiovascular Disease" />
            <type value="string" />
        </item>
        <item>
            <linkId value="2.4" />
            <text value="Cancer" />
            <type value="string" />
        </item>
        <item>
            <linkId value="2.5" />
            <text value="Other" />
            <type value="string" />
        </item>
    </item>
    <item>
        <linkId value="3" />
        <text value="MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)" />
        <type value="group" />
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="a" />
                    <display value="year" />
                </valueCoding>
            </extension>
            <linkId value="3.1" />
            <text value="Age of first menstrual period" />
            <type value="integer" />
        </item>
        <item>
            <linkId value="3.2" />
            <text value="Date your last period began" />
            <type value="date" />
        </item>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="d" />
                    <display value="day" />
                </valueCoding>
            </extension>
            <linkId value="3.3" />
            <text value="Duration of menstrual period" />
            <type value="integer" />
        </item>
        <item>
            <linkId value="3.4" />
            <text value="Regularity of period length" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <code value="regular" />
                    <display value="Regular variation" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="irregular" />
                    <display value="Irregular" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="3.5" />
            <text value="Flow Volume" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <code value="heavy" />
                    <display value="Heavy" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="normal" />
                    <display value="Normal" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="light" />
                    <display value="Light" />
                </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="slider" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue">
                <valueInteger value="1" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                <valueInteger value="0" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueInteger value="10" />
            </extension>
            <linkId value="3.6" />
            <text value="Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)" />
            <type value="integer" />
        </item>
        <item>
            <linkId value="3.7" />
            <text value="No. days between periods" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <code value="absent" />
                    <display value="Absent (no periods/bleeding)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="frequent" />
                    <display value="Frequent (&lt; 24 days)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="normal" />
                    <display value="Normal (24 - 38 days)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="infrequent" />
                    <display value="Infrequent (&gt;38 days)" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="3.8" />
            <text value="Predictability (regularity) of cycle length" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <code value="absent" />
                    <display value="Absent (no periods/bleeding)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="predictable" />
                    <display value="Predictable (regular, varies by 2-7 days in length)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="unpredictable" />
                    <display value="Unpredictable (irregular, varies by &gt; 10 days in length)" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="3.9" />
            <text value="Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <code value="none" />
                    <display value="None" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="random" />
                    <display value="Random" />
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            <answerOption>
                <valueCoding>
                    <code value="cyclic-predictable" />
                    <display value="Cyclic/Predictable" />
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            <linkId value="3.9.1" />
            <text value="When in your cycle does the bleeding occur?" />
            <type value="choice" />
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                <question value="3.9" />
                <operator value="=" />
                <answerCoding>
                    <code value="cyclic-predictable" />
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            <answerOption>
                <valueCoding>
                    <code value="early-cycle" />
                    <display value="Early Cycle" />
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            <answerOption>
                <valueCoding>
                    <code value="mid-cycle" />
                    <display value="Mid Cycle" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="late-cycle" />
                    <display value="Late Cycle" />
                </valueCoding>
            </answerOption>
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        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                <valueCodeableConcept>
                    <coding>
                        <system value="http://hl7.org/fhir/questionnaire-item-control" />
                        <code value="slider" />
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                <valueInteger value="0" />
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            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueInteger value="10" />
            </extension>
            <linkId value="3.10" />
            <text value="To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)" />
            <type value="integer" />
        </item>
        <item>
            <linkId value="3.11" />
            <text value="During heavier bleeding days do you" />
            <type value="group" />
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                            <code value="radio-button" />
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                <linkId value="3.11.1" />
                <text value="Have to use double protection or get up to change your sanitary protection during the night?" />
                <type value="choice" />
                <repeats value="false" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
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            <item>
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                            <system value="http://hl7.org/fhir/questionnaire-item-control" />
                            <code value="radio-button" />
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                <linkId value="3.11.2" />
                <text value="Worry about staining the seat of your chair, sofa, etc?" />
                <type value="choice" />
                <repeats value="false" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
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                </answerOption>
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
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                </answerOption>
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                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                    <valueCodeableConcept>
                        <coding>
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                            <code value="radio-button" />
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                <linkId value="3.11.3" />
                <text value="Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?" />
                <type value="choice" />
                <repeats value="false" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
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                <answerOption>
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                        <system value="http://snomed.info/sct" />
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                        <display value="No" />
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        </item>
        <item>
            <linkId value="3.12" />
            <text value="Period Pain" />
            <type value="group" />
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                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                    <valueCodeableConcept>
                        <coding>
                            <system value="http://hl7.org/fhir/questionnaire-item-control" />
                            <code value="radio-button" />
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                <linkId value="3.12.1" />
                <text value="Do you have period pain?" />
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                <repeats value="false" />
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                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
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                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
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                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="84638005" />
                        <display value="Occasional" />
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                </answerOption>
            </item>
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                            <system value="http://hl7.org/fhir/questionnaire-item-control" />
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                    <valueInteger value="0" />
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                <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                    <valueInteger value="10" />
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                <linkId value="3.12.2" />
                <text value="Pain Score (0 = Little to no pain, 10 = Severe Pain)" />
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                    <question value="3.12.1" />
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            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                    <valueCoding>
                        <system value="http://unitsofmeasure.org" />
                        <code value="a" />
                        <display value="year" />
                    </valueCoding>
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                <linkId value="3.12.3" />
                <text value="How old were you when your periods became painful?" />
                <type value="integer" />
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                    <question value="3.12.1" />
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                        <system value="http://snomed.info/sct" />
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            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                    <valueCoding>
                        <system value="http://unitsofmeasure.org" />
                        <code value="d" />
                        <display value="day" />
                    </valueCoding>
                </extension>
                <linkId value="3.12.4" />
                <text value="How many days each month do you have period pain for?" />
                <type value="integer" />
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                    <question value="3.12.1" />
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                    <answerCoding>
                        <system value="http://snomed.info/sct" />
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                </enableWhen>
            </item>
        </item>
        <item>
            <linkId value="3.13" />
            <text value="Where do you feel your period pain?" />
            <type value="choice" />
            <enableWhen>
                <question value="3.12.1" />
                <operator value="!=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
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            <repeats value="true" />
            <answerValueSet value="https://simplifier.net/guide/hmb-fhir-ig/ValueSet/period-pain-body-sites" />
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        <item>
            <linkId value="3.13.1" />
            <text value="Other (please specify)" />
            <type value="string" />
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                <question value="3.13" />
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                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="74964007" />
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        </item>
        <item>
            <linkId value="3.14" />
            <text value="Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?" />
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                <question value="3.12.1" />
                <operator value="!=" />
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            <repeats value="false" />
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                <valueCoding>
                    <code value="yes" />
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            <answerOption>
                <valueCoding>
                    <code value="little" />
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            <answerOption>
                <valueCoding>
                    <code value="not-at-all" />
                    <display value="Not at all" />
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            <answerOption>
                <valueCoding>
                    <code value="never-tried" />
                    <display value="I have never tried these medications" />
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    </item>
    <item>
        <linkId value="4" />
        <text value="SEXUAL AND REPRODUCTIVE HISTORY" />
        <type value="group" />
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                <valueCodeableConcept>
                    <coding>
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                        <code value="radio-button" />
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            <linkId value="4.1" />
            <text value="Are you currently sexually active?" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
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                    <display value="No" />
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            <linkId value="4.2" />
            <text value="Are you currently trying to get pregnant?" />
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            <repeats value="false" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
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                    <system value="http://snomed.info/sct" />
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            <answerOption>
                <valueCoding>
                    <code value="want-in-future" />
                    <display value="Want in future" />
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                <valueCodeableConcept>
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                        <code value="radio-button" />
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            <linkId value="4.3" />
            <text value="Do you experience any bleeding after sexual intercourse?" />
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            <repeats value="false" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
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                    <system value="http://snomed.info/sct" />
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            <linkId value="4.4" />
            <text value="Do you experience any excessive pain during sexual intercourse?" />
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            <repeats value="false" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
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                    <display value="No" />
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                <valueInteger value="1" />
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            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueInteger value="10" />
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            <linkId value="4.4.1" />
            <text value="How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)" />
            <type value="integer" />
            <enableWhen>
                <question value="4.4" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
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        </item>
        <item>
            <linkId value="4.5" />
            <text value="What contraception, if any, are you currently using?" />
            <type value="string" />
            <item>
                <linkId value="4.5.1" />
                <text value="For how long?" />
                <type value="string" />
            </item>
            <item>
                <linkId value="4.5.2" />
                <text value="For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)" />
                <type value="string" />
            </item>
        </item>
        <item>
            <linkId value="4.6" />
            <text value="What contraception options, if any, have you used in the past?" />
            <type value="string" />
            <item>
                <linkId value="4.6.1" />
                <text value="For any previous hormonal contraception, what impact did they have on your period/cycle?" />
                <type value="string" />
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        </item>
        <item>
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                <valueCodeableConcept>
                    <coding>
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            <linkId value="4.7" />
            <text value="Do you have any current or a previous history of sexually transmitted diseases?" />
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            <repeats value="false" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
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            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
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            <item>
                <linkId value="4.7.1" />
                <text value="Please provide detail (date, type, treatment)" />
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                    <question value="4.7" />
                    <operator value="=" />
                    <answerCoding>
                        <system value="http://snomed.info/sct" />
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            </item>
        </item>
        <item>
            <linkId value="4.8" />
            <text value="Do you have any other sexual dysfunctions/issues related to sex?" />
            <type value="string" />
        </item>
        <item>
            <linkId value="4.9" />
            <text value="Please let us know of any previous pregnancy history including abortions &amp; miscarriages (if comfortable)" />
            <type value="group" />
            <item>
                <linkId value="4.9.1" />
                <text value="Please provide the following information for each pregnancy" />
                <type value="group" />
                <repeats value="true" />
                <item>
                    <linkId value="4.9.1.1" />
                    <text value="Birthplace" />
                    <type value="string" />
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                <item>
                    <linkId value="4.9.1.2" />
                    <text value="Date" />
                    <type value="date" />
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                <item>
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                        <valueCoding>
                            <system value="http://unitsofmeasure.org" />
                            <code value="wk" />
                            <display value="week" />
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                        <valueInteger value="1" />
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                        <valueInteger value="45" />
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                    <linkId value="4.9.1.3" />
                    <text value="Gestation" />
                    <type value="integer" />
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                <item>
                    <linkId value="4.9.1.4" />
                    <text value="Type of Birth (e.g. Vaginal or C/S)" />
                    <type value="string" />
                </item>
                <item>
                    <linkId value="4.9.1.5" />
                    <text value="Model of Care (e.g. Midwife, Public/Private OB)" />
                    <type value="string" />
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                <item>
                    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                        <valueCoding>
                            <system value="http://unitsofmeasure.org" />
                            <code value="g" />
                            <display value="gram" />
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                    <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                        <valueInteger value="300" />
                    </extension>
                    <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                        <valueInteger value="6000" />
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                    <linkId value="4.9.1.6" />
                    <text value="Birth Weight" />
                    <type value="integer" />
                </item>
                <item>
                    <linkId value="4.9.1.7" />
                    <text value="Name of Child (if applicable)" />
                    <type value="string" />
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                <item>
                    <linkId value="4.9.1.8" />
                    <text value="Sex of Child (if applicable)" />
                    <type value="string" />
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            </item>
        </item>
        <item>
            <linkId value="4.10" />
            <text value="Cervical Screening Test (CST)" />
            <type value="group" />
            <item>
                <linkId value="4.10.1" />
                <text value="When was your most recent CST (Pap Smear)?" />
                <type value="date" />
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            <item>
                <linkId value="4.10.2" />
                <text value="What was the result of your most recent CST?" />
                <type value="string" />
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            <item>
                <linkId value="4.10.3" />
                <text value="Any past abnormal CST(s)? Please provide details" />
                <type value="string" />
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            <item>
                <linkId value="4.10.4" />
                <text value="If possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment." />
                <type value="display" />
            </item>
        </item>
    </item>
    <item>
        <linkId value="5" />
        <text value="ASSOCIATED OR SYSTEMIC SYMPTOMS" />
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            <linkId value="5.1" />
            <text value="Do you experience any pelvic pain?" />
            <type value="choice" />
            <repeats value="false" />
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                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
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            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
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                    <display value="No" />
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        <item>
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                <valueInteger value="0" />
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            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueInteger value="10" />
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            <linkId value="5.1.1" />
            <text value="Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)" />
            <type value="integer" />
            <enableWhen>
                <question value="5.1" />
                <operator value="=" />
                <answerCoding>
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                        <code value="radio-button" />
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                </valueCodeableConcept>
            </extension>
            <linkId value="5.2" />
            <text value="Have you noticed any abnormal vaginal discharge?" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="5.2.1" />
            <text value="Please provide detail" />
            <type value="string" />
            <enableWhen>
                <question value="5.2" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </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" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="5.3" />
            <text value="Do you currently have any urinary and/or bowel related concerns?" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="5.3.1" />
            <text value="Please provide detail (i.e. motion of passing/incontinence issues etc.)" />
            <type value="string" />
            <enableWhen>
                <question value="5.3" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </item>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="kg" />
                    <display value="kilogram" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                <valueDecimal value="20" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueDecimal value="300" />
            </extension>
            <linkId value="5.4" />
            <text value="What is your current weight?" />
            <type value="decimal" />
        </item>
        <item>
            <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                <valueCoding>
                    <system value="http://unitsofmeasure.org" />
                    <code value="cm" />
                    <display value="centimeter" />
                </valueCoding>
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                <valueInteger value="100" />
            </extension>
            <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                <valueInteger value="250" />
            </extension>
            <linkId value="5.5" />
            <text value="What is your height?" />
            <type value="integer" />
        </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" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="5.6" />
            <text value="Have you noticed any significant weight loss or gain?" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="5.6.1" />
            <text value="Details" />
            <type value="string" />
            <enableWhen>
                <question value="5.6" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </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" />
                    </coding>
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            <linkId value="5.7" />
            <text value="Have you had any blood tests done in the past 12 months?" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="5.7.1" />
            <text value="Date of most recent test" />
            <type value="date" />
            <enableWhen>
                <question value="5.7" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </item>
        <item>
            <linkId value="5.7.2" />
            <text value="Pathology Provider" />
            <type value="string" />
            <enableWhen>
                <question value="5.7" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </item>
        <item>
            <linkId value="5.7.3" />
            <text value="Any clinically significant blood results &amp; outcomes?" />
            <type value="string" />
            <enableWhen>
                <question value="5.7" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
        </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" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="5.8" />
            <text value="Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?" />
            <type value="choice" />
            <repeats value="false" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="5.8.1" />
            <text value="Please provide the following imaging details" />
            <type value="group" />
            <enableWhen>
                <question value="5.8" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
            <repeats value="true" />
            <item>
                <linkId value="5.8.1.1" />
                <text value="Type of Imaging" />
                <type value="string" />
            </item>
            <item>
                <linkId value="5.8.1.2" />
                <text value="Date" />
                <type value="date" />
            </item>
            <item>
                <linkId value="5.8.1.3" />
                <text value="Imaging Provider &amp; Location" />
                <type value="string" />
            </item>
            <item>
                <linkId value="5.8.1.4" />
                <text value="Clinical Reason" />
                <type value="string" />
            </item>
            <item>
                <linkId value="5.8.1.5" />
                <text value="Results / Findings" />
                <type value="string" />
            </item>
        </item>
    </item>
    <item>
        <linkId value="6" />
        <text value="CURRENT MEDICATIONS" />
        <type value="group" />
        <item>
            <linkId value="6.1" />
            <text value="Please provide your current medications" />
            <type value="group" />
            <repeats value="true" />
            <item>
                <linkId value="6.1.1" />
                <text value="Medication" />
                <type value="string" />
            </item>
            <item>
                <linkId value="6.1.2" />
                <text value="Dose" />
                <type value="string" />
            </item>
            <item>
                <linkId value="6.1.3" />
                <text value="Frequency" />
                <type value="string" />
            </item>
            <item>
                <linkId value="6.1.4" />
                <text value="Reason for Medication" />
                <type value="string" />
            </item>
            <item>
                <linkId value="6.1.5" />
                <text value="Duration you have been taking this medication for" />
                <type value="string" />
            </item>
        </item>
    </item>
    <item>
        <linkId value="7" />
        <text value="FAMILY HISTORY" />
        <type value="group" />
        <item>
            <linkId value="7.1" />
            <text value="Blood and Clotting Disorders" />
            <type value="choice" />
            <repeats value="true" />
            <answerOption>
                <valueCoding>
                    <code value="vwd" />
                    <display value="Von Willebrand disease" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="haem" />
                    <display value="Haemophilia" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="thromb" />
                    <display value="Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="bruising" />
                    <display value="Easy bruising or excessive bleeding" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="clots" />
                    <display value="History of blood clots (DVT, stroke before age 50)" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="7.2" />
            <text value="Endocrine and Hormonal Conditions" />
            <type value="choice" />
            <repeats value="true" />
            <answerOption>
                <valueCoding>
                    <code value="thyroid" />
                    <display value="Thyroid Disease" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="pcos" />
                    <display value="PCOS" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="diabetes" />
                    <display value="Diabetes (Type 1 or Type 2)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="menopause" />
                    <display value="Early menopause / premature ovarian insufficiency" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="adrenal" />
                    <display value="Adrenal disorders" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="7.3" />
            <text value="Cancer / Malignancy" />
            <type value="choice" />
            <repeats value="true" />
            <answerOption>
                <valueCoding>
                    <code value="breast" />
                    <display value="Breast Cancer" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="ovarian" />
                    <display value="Ovarian cancer" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="uterine" />
                    <display value="Uterine (endometrial cancer)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="cervical" />
                    <display value="Cervical cancer" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="colon" />
                    <display value="Colon cancer (&lt;50 yrs or related to Lynch Syndrome)" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="hereditary" />
                    <display value="Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="7.4" />
            <text value="Other relevant conditions" />
            <type value="choice" />
            <repeats value="true" />
            <answerOption>
                <valueCoding>
                    <code value="endometriosis" />
                    <display value="Endometriosis or adenomyosis" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="fibroids" />
                    <display value="Fibroids" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="osteoporosis" />
                    <display value="Osteoporosis or early bone loss" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="cardio" />
                    <display value="Cardiovascular disease" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="autoimmune" />
                    <display value="Autoimmune conditions" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <code value="genetic" />
                    <display value="Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)" />
                </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="7.4.1" />
                <text value="Cardiovascular disease &lt;55 yrs" />
                <type value="choice" />
                <enableWhen>
                    <question value="7.4" />
                    <operator value="=" />
                    <answerCoding>
                        <code value="cardio" />
                    </answerCoding>
                </enableWhen>
                <repeats value="false" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
                    </valueCoding>
                </answerOption>
            </item>
        </item>
        <item>
            <linkId value="7.5" />
            <text value="Please provide details about the conditions you selected above (i.e. date &amp; age at diagnosis, outcome of diagnosis, type of cancer etc.)" />
            <type value="string" />
            <enableWhen>
                <question value="7.1" />
                <operator value="exists" />
                <answerBoolean value="true" />
            </enableWhen>
            <enableWhen>
                <question value="7.2" />
                <operator value="exists" />
                <answerBoolean value="true" />
            </enableWhen>
            <enableWhen>
                <question value="7.3" />
                <operator value="exists" />
                <answerBoolean value="true" />
            </enableWhen>
            <enableWhen>
                <question value="7.4" />
                <operator value="exists" />
                <answerBoolean value="true" />
            </enableWhen>
            <enableBehavior value="any" />
            <repeats value="true" />
        </item>
    </item>
    <item>
        <linkId value="8" />
        <text value="SOCIAL HISTORY" />
        <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="radio-button" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="8.1" />
            <text value="Do you currently have a partner(s)?" />
            <type value="choice" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
            <item>
                <linkId value="8.1.1" />
                <text value="If you are comfortable to share, what is your partner/s&#39; name and sex/gender/age?" />
                <type value="string" />
                <enableWhen>
                    <question value="8.1" />
                    <operator value="=" />
                    <answerCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                    </answerCoding>
                </enableWhen>
                <repeats value="true" />
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        </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" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="8.2" />
            <text value="Are you currently working?" />
            <type value="choice" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
            <item>
                <linkId value="8.2.1" />
                <text value="Please provide details about your work" />
                <type value="group" />
                <enableWhen>
                    <question value="8.2" />
                    <operator value="=" />
                    <answerCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                    </answerCoding>
                </enableWhen>
                <repeats value="true" />
                <item>
                    <linkId value="8.2.1.1" />
                    <text value="Employment Type (PT, FT, Casual)" />
                    <type value="string" />
                </item>
                <item>
                    <linkId value="8.2.1.2" />
                    <text value="Occupation" />
                    <type value="string" />
                </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" />
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                </valueCodeableConcept>
            </extension>
            <linkId value="8.3" />
            <text value="Are you currently studying?" />
            <type value="choice" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
            <item>
                <linkId value="8.3.1" />
                <text value="Institution" />
                <type value="string" />
                <enableWhen>
                    <question value="8.3" />
                    <operator value="=" />
                    <answerCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                    </answerCoding>
                </enableWhen>
            </item>
            <item>
                <linkId value="8.3.2" />
                <text value="Level &amp; Area of study" />
                <type value="string" />
                <enableWhen>
                    <question value="8.3" />
                    <operator value="=" />
                    <answerCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                    </answerCoding>
                </enableWhen>
            </item>
        </item>
        <item>
            <linkId value="8.4" />
            <text value="Lifestyle" />
            <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="radio-button" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="8.4.1" />
                <text value="Do you currently smoke?" />
                <type value="choice" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="past" />
                        <display value="In Past" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="vape" />
                        <display value="Vape" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="8.4.2" />
                <text value="Do you take any recreational drugs?" />
                <type value="choice" />
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373066001" />
                        <display value="Yes" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <system value="http://snomed.info/sct" />
                        <code value="373067005" />
                        <display value="No" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="8.4.3" />
                <text value="How often do you drink Alcohol?" />
                <type value="choice" />
                <answerOption>
                    <valueCoding>
                        <code value="never" />
                        <display value="Never" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="ltmonthly" />
                        <display value="&lt; Monthly" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1_2pm" />
                        <display value="1-2 days per month" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1_2pw" />
                        <display value="1-2 days a week" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3_4pw" />
                        <display value="3-4 days a week" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="5_6pw" />
                        <display value="5-6 days a week" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="everyday" />
                        <display value="Everyday" />
                    </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" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <linkId value="8.4.3.1" />
                    <text value="On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)" />
                    <type value="choice" />
                    <enableWhen>
                        <question value="8.4.3" />
                        <operator value="!=" />
                        <answerCoding>
                            <code value="never" />
                        </answerCoding>
                    </enableWhen>
                    <answerOption>
                        <valueCoding>
                            <code value="1_3" />
                            <display value="1-3" />
                        </valueCoding>
                    </answerOption>
                    <answerOption>
                        <valueCoding>
                            <code value="3_5" />
                            <display value="3-5" />
                        </valueCoding>
                    </answerOption>
                    <answerOption>
                        <valueCoding>
                            <code value="5_7" />
                            <display value="5-7" />
                        </valueCoding>
                    </answerOption>
                    <answerOption>
                        <valueCoding>
                            <code value="7plus" />
                            <display value="7+" />
                        </valueCoding>
                    </answerOption>
                </item>
            </item>
            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                    <valueCoding>
                        <system value="http://unitsofmeasure.org" />
                        <code value="h" />
                        <display value="hour" />
                    </valueCoding>
                </extension>
                <linkId value="8.4.4" />
                <text value="How many hours of physical activity do you do on an average week?" />
                <type value="decimal" />
                <item>
                    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
                        <valueCoding>
                            <system value="http://unitsofmeasure.org" />
                            <code value="/wk" />
                            <display value="per week" />
                        </valueCoding>
                    </extension>
                    <linkId value="8.4.4.1" />
                    <text value="Frequency (times per week)" />
                    <type value="integer" />
                </item>
                <item>
                    <linkId value="8.4.4.2" />
                    <text value="Intensity" />
                    <type value="string" />
                </item>
            </item>
        </item>
    </item>
    <item>
        <linkId value="9" />
        <text value="SURGICAL HISTORY" />
        <type value="group" />
        <item>
            <linkId value="9.1" />
            <text value="Please provide details for each surgery you have had" />
            <type value="group" />
            <repeats value="true" />
            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/minValue">
                    <valueInteger value="1900" />
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
                    <valueInteger value="2100" />
                </extension>
                <linkId value="9.1.1" />
                <text value="Year" />
                <type value="integer" />
            </item>
            <item>
                <linkId value="9.1.2" />
                <text value="Place of Surgery" />
                <type value="string" />
            </item>
            <item>
                <linkId value="9.1.3" />
                <text value="Details (Surgeon, Type of Procedure, any complications or issues?, findings)" />
                <type value="string" />
            </item>
        </item>
    </item>
    <item>
        <linkId value="10" />
        <text value="MENOPAUSE" />
        <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="radio-button" />
                    </coding>
                </valueCodeableConcept>
            </extension>
            <linkId value="10.1" />
            <text value="Does this section apply to you (menopausal or perimenopausal)?" />
            <type value="choice" />
            <required value="true" />
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                    <display value="Yes" />
                </valueCoding>
            </answerOption>
            <answerOption>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373067005" />
                    <display value="No" />
                </valueCoding>
            </answerOption>
        </item>
        <item>
            <linkId value="10.1.1" />
            <text value="On the Modified Greene Scale below, judge the severity of your symptoms and record the score." />
            <type value="group" />
            <enableWhen>
                <question value="10.1" />
                <operator value="=" />
                <answerCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="373066001" />
                </answerCoding>
            </enableWhen>
            <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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.1" />
                <code>
                    <system value="http://snomed.info/sct" />
                    <code value="198436008" />
                    <display value="Menopausal flushing (finding)" />
                </code>
                <text value="Hot flushes" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.2" />
                <text value="Lightheaded feelings" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.3" />
                <text value="Headaches" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.4" />
                <text value="Irritability" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.5" />
                <text value="Depression" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.6" />
                <text value="Unloved feelings" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.7" />
                <text value="Anxiety" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.8" />
                <text value="Mood changes" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.9" />
                <text value="Sleeplessness" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.10" />
                <text value="Unusual tiredness" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.11" />
                <text value="Backache" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.12" />
                <text value="Joint pains" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.13" />
                <text value="Muscle pains" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.14" />
                <text value="New facial hair" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </valueCoding>
                </answerOption>
            </item>
            <item>
                <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
                    <valueCodeableConcept>
                        <coding>
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                            <code value="radio-button" />
                        </coding>
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                </extension>
                <linkId value="10.1.1.15" />
                <text value="Dry skin" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.16" />
                <text value="Crawling feelings under the skin" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.17" />
                <text value="Less sexual feelings" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.18" />
                <text value="Dry vagina" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.19" />
                <text value="Uncomfortable intercourse" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </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" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <linkId value="10.1.1.20" />
                <text value="Urinary frequency changes" />
                <type value="choice" />
                <required value="true" />
                <answerOption>
                    <valueCoding>
                        <code value="0" />
                        <display value="None" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="1" />
                        <display value="Mild" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="2" />
                        <display value="Moderate" />
                    </valueCoding>
                </answerOption>
                <answerOption>
                    <valueCoding>
                        <code value="3" />
                        <display value="Severe" />
                    </valueCoding>
                </answerOption>
            </item>
        </item>
    </item>
    <item>
        <linkId value="11" />
        <text value="OTHER NOTES" />
        <type value="group" />
        <item>
            <linkId value="11.1" />
            <text value="Please use the space below to let us know of anything else we can do or need to note to best support your health journey" />
            <type value="text" />
        </item>
    </item>
</Questionnaire>

{
    "resourceType": "Questionnaire",
    "id": "CommunityFacingQuestionnaire",
    "meta": {
        "profile":  [
            "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
        ]
    },
    "url": "https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire",
    "name": "CommunityFacingQuestionnaire",
    "title": "Community-facing Questionnaire",
    "status": "draft",
    "experimental": true,
    "description": "FHIR Questionnaire based on the 'Heavy Menstrual Bleeding (HMB) Patient Questionnaire' from Women's Health Road (Australia)",
    "item":  [
        {
            "linkId": "1",
            "text": "PERSONAL INFORMATION",
            "type": "group",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "First Name",
                    "type": "string",
                    "required": true,
                    "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given"
                },
                {
                    "linkId": "1.2",
                    "text": "Surname",
                    "type": "string",
                    "required": true,
                    "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family"
                },
                {
                    "linkId": "1.3",
                    "text": "Preferred Name",
                    "type": "string",
                    "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given"
                },
                {
                    "linkId": "1.4",
                    "text": "DOB",
                    "type": "date",
                    "required": true,
                    "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate"
                },
                {
                    "linkId": "1.5",
                    "text": "Email",
                    "type": "string",
                    "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.contact.telecom.value"
                },
                {
                    "linkId": "1.6",
                    "text": "Please outline your main health related concern(s)",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "2",
            "text": "PAST MEDICAL HISTORY",
            "type": "group",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Please check any past or current medical conditions that apply to you",
                    "type": "choice",
                    "repeats": true,
                    "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/medical-conditions"
                },
                {
                    "linkId": "2.2",
                    "text": "Childhood Disease",
                    "type": "string"
                },
                {
                    "linkId": "2.3",
                    "text": "Cardiovascular Disease",
                    "type": "string"
                },
                {
                    "linkId": "2.4",
                    "text": "Cancer",
                    "type": "string"
                },
                {
                    "linkId": "2.5",
                    "text": "Other",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "3",
            "text": "MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)",
            "type": "group",
            "item":  [
                {
                    "linkId": "3.1",
                    "text": "Age of first menstrual period",
                    "type": "integer",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                            "valueCoding": {
                                "code": "a",
                                "system": "http://unitsofmeasure.org",
                                "display": "year"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.2",
                    "text": "Date your last period began",
                    "type": "date"
                },
                {
                    "linkId": "3.3",
                    "text": "Duration of menstrual period",
                    "type": "integer",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                            "valueCoding": {
                                "code": "d",
                                "system": "http://unitsofmeasure.org",
                                "display": "day"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.4",
                    "text": "Regularity of period length",
                    "type": "choice",
                    "repeats": false,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "regular",
                                "display": "Regular variation"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "irregular",
                                "display": "Irregular"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.5",
                    "text": "Flow Volume",
                    "type": "choice",
                    "repeats": false,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "heavy",
                                "display": "Heavy"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "normal",
                                "display": "Normal"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "light",
                                "display": "Light"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.6",
                    "text": "Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)",
                    "type": "integer",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "slider",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 10
                        }
                    ]
                },
                {
                    "linkId": "3.7",
                    "text": "No. days between periods",
                    "type": "choice",
                    "repeats": false,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "absent",
                                "display": "Absent (no periods/bleeding)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "frequent",
                                "display": "Frequent (< 24 days)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "normal",
                                "display": "Normal (24 - 38 days)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "infrequent",
                                "display": "Infrequent (>38 days)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.8",
                    "text": "Predictability (regularity) of cycle length",
                    "type": "choice",
                    "repeats": false,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "absent",
                                "display": "Absent (no periods/bleeding)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "predictable",
                                "display": "Predictable (regular, varies by 2-7 days in length)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "unpredictable",
                                "display": "Unpredictable (irregular, varies by > 10 days in length)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.9",
                    "text": "Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)",
                    "type": "choice",
                    "repeats": false,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "none",
                                "display": "None"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "random",
                                "display": "Random"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "cyclic-predictable",
                                "display": "Cyclic/Predictable"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.9.1",
                    "text": "When in your cycle does the bleeding occur?",
                    "type": "choice",
                    "repeats": false,
                    "enableWhen":  [
                        {
                            "question": "3.9",
                            "operator": "=",
                            "answerCoding": {
                                "code": "cyclic-predictable"
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "early-cycle",
                                "display": "Early Cycle"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "mid-cycle",
                                "display": "Mid Cycle"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "late-cycle",
                                "display": "Late Cycle"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.10",
                    "text": "To what extent does your period impact your daily activities (0 = It does not interfere with my daily activities at all, 10 = It completely interferes with my daily activities)",
                    "type": "integer",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "slider",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
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                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 10
                        }
                    ]
                },
                {
                    "linkId": "3.11",
                    "text": "During heavier bleeding days do you",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "3.11.1",
                            "text": "Have to use double protection or get up to change your sanitary protection during the night?",
                            "type": "choice",
                            "repeats": false,
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.11.2",
                            "text": "Worry about staining the seat of your chair, sofa, etc?",
                            "type": "choice",
                            "repeats": false,
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.11.3",
                            "text": "Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?",
                            "type": "choice",
                            "repeats": false,
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "3.12",
                    "text": "Period Pain",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "3.12.1",
                            "text": "Do you have period pain?",
                            "type": "choice",
                            "repeats": false,
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "84638005",
                                        "system": "http://snomed.info/sct",
                                        "display": "Occasional"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.12.2",
                            "text": "Pain Score (0 = Little to no pain, 10 = Severe Pain)",
                            "type": "integer",
                            "enableWhen":  [
                                {
                                    "question": "3.12.1",
                                    "operator": "!=",
                                    "answerCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "slider",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                },
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                                    "valueInteger": 1
                                },
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                                    "valueInteger": 0
                                },
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                                    "valueInteger": 10
                                }
                            ]
                        },
                        {
                            "linkId": "3.12.3",
                            "text": "How old were you when your periods became painful?",
                            "type": "integer",
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                    "valueCoding": {
                                        "code": "a",
                                        "system": "http://unitsofmeasure.org",
                                        "display": "year"
                                    }
                                }
                            ],
                            "enableWhen":  [
                                {
                                    "question": "3.12.1",
                                    "operator": "!=",
                                    "answerCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "3.12.4",
                            "text": "How many days each month do you have period pain for?",
                            "type": "integer",
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                    "valueCoding": {
                                        "code": "d",
                                        "system": "http://unitsofmeasure.org",
                                        "display": "day"
                                    }
                                }
                            ],
                            "enableWhen":  [
                                {
                                    "question": "3.12.1",
                                    "operator": "!=",
                                    "answerCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "3.13",
                    "text": "Where do you feel your period pain?",
                    "type": "choice",
                    "repeats": true,
                    "enableWhen":  [
                        {
                            "question": "3.12.1",
                            "operator": "!=",
                            "answerCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/period-pain-body-sites"
                },
                {
                    "linkId": "3.13.1",
                    "text": "Other (please specify)",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "3.13",
                            "operator": "=",
                            "answerCoding": {
                                "code": "74964007",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "3.14",
                    "text": "Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?",
                    "type": "choice",
                    "repeats": false,
                    "enableWhen":  [
                        {
                            "question": "3.12.1",
                            "operator": "!=",
                            "answerCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "yes",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "little",
                                "display": "A little"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "not-at-all",
                                "display": "Not at all"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "never-tried",
                                "display": "I have never tried these medications"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "4",
            "text": "SEXUAL AND REPRODUCTIVE HISTORY",
            "type": "group",
            "item":  [
                {
                    "linkId": "4.1",
                    "text": "Are you currently sexually active?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "4.2",
                    "text": "Are you currently trying to get pregnant?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "want-in-future",
                                "display": "Want in future"
                            }
                        }
                    ]
                },
                {
                    "linkId": "4.3",
                    "text": "Do you experience any bleeding after sexual intercourse?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "4.4",
                    "text": "Do you experience any excessive pain during sexual intercourse?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "4.4.1",
                    "text": "How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)",
                    "type": "integer",
                    "enableWhen":  [
                        {
                            "question": "4.4",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "slider",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 10
                        }
                    ]
                },
                {
                    "linkId": "4.5",
                    "text": "What contraception, if any, are you currently using?",
                    "type": "string",
                    "item":  [
                        {
                            "linkId": "4.5.1",
                            "text": "For how long?",
                            "type": "string"
                        },
                        {
                            "linkId": "4.5.2",
                            "text": "For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)",
                            "type": "string"
                        }
                    ]
                },
                {
                    "linkId": "4.6",
                    "text": "What contraception options, if any, have you used in the past?",
                    "type": "string",
                    "item":  [
                        {
                            "linkId": "4.6.1",
                            "text": "For any previous hormonal contraception, what impact did they have on your period/cycle?",
                            "type": "string"
                        }
                    ]
                },
                {
                    "linkId": "4.7",
                    "text": "Do you have any current or a previous history of sexually transmitted diseases?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "4.7.1",
                            "text": "Please provide detail (date, type, treatment)",
                            "type": "string",
                            "enableWhen":  [
                                {
                                    "question": "4.7",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4.8",
                    "text": "Do you have any other sexual dysfunctions/issues related to sex?",
                    "type": "string"
                },
                {
                    "linkId": "4.9",
                    "text": "Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "4.9.1",
                            "text": "Please provide the following information for each pregnancy",
                            "type": "group",
                            "repeats": true,
                            "item":  [
                                {
                                    "linkId": "4.9.1.1",
                                    "text": "Birthplace",
                                    "type": "string"
                                },
                                {
                                    "linkId": "4.9.1.2",
                                    "text": "Date",
                                    "type": "date"
                                },
                                {
                                    "linkId": "4.9.1.3",
                                    "text": "Gestation",
                                    "type": "integer",
                                    "extension":  [
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                            "valueCoding": {
                                                "code": "wk",
                                                "system": "http://unitsofmeasure.org",
                                                "display": "week"
                                            }
                                        },
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                                            "valueInteger": 1
                                        },
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                                            "valueInteger": 45
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.9.1.4",
                                    "text": "Type of Birth (e.g. Vaginal or C/S)",
                                    "type": "string"
                                },
                                {
                                    "linkId": "4.9.1.5",
                                    "text": "Model of Care (e.g. Midwife, Public/Private OB)",
                                    "type": "string"
                                },
                                {
                                    "linkId": "4.9.1.6",
                                    "text": "Birth Weight",
                                    "type": "integer",
                                    "extension":  [
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                            "valueCoding": {
                                                "code": "g",
                                                "system": "http://unitsofmeasure.org",
                                                "display": "gram"
                                            }
                                        },
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                                            "valueInteger": 300
                                        },
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                                            "valueInteger": 6000
                                        }
                                    ]
                                },
                                {
                                    "linkId": "4.9.1.7",
                                    "text": "Name of Child (if applicable)",
                                    "type": "string"
                                },
                                {
                                    "linkId": "4.9.1.8",
                                    "text": "Sex of Child (if applicable)",
                                    "type": "string"
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "4.10",
                    "text": "Cervical Screening Test (CST)",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "4.10.1",
                            "text": "When was your most recent CST (Pap Smear)?",
                            "type": "date"
                        },
                        {
                            "linkId": "4.10.2",
                            "text": "What was the result of your most recent CST?",
                            "type": "string"
                        },
                        {
                            "linkId": "4.10.3",
                            "text": "Any past abnormal CST(s)? Please provide details",
                            "type": "string"
                        },
                        {
                            "linkId": "4.10.4",
                            "text": "If possible, please provide a copy of your most recent screening test(s) results or bring a copy of these results with you on the day of your appointment.",
                            "type": "display"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "5",
            "text": "ASSOCIATED OR SYSTEMIC SYMPTOMS",
            "type": "group",
            "item":  [
                {
                    "linkId": "5.1",
                    "text": "Do you experience any pelvic pain?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.1.1",
                    "text": "Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)",
                    "type": "integer",
                    "enableWhen":  [
                        {
                            "question": "5.1",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "slider",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 10
                        }
                    ]
                },
                {
                    "linkId": "5.2",
                    "text": "Have you noticed any abnormal vaginal discharge?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.2.1",
                    "text": "Please provide detail",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "5.2",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.3",
                    "text": "Do you currently have any urinary and/or bowel related concerns?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.3.1",
                    "text": "Please provide detail (i.e. motion of passing/incontinence issues etc.)",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "5.3",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.4",
                    "text": "What is your current weight?",
                    "type": "decimal",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                            "valueCoding": {
                                "code": "kg",
                                "system": "http://unitsofmeasure.org",
                                "display": "kilogram"
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueDecimal": 20
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueDecimal": 300
                        }
                    ]
                },
                {
                    "linkId": "5.5",
                    "text": "What is your height?",
                    "type": "integer",
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                            "valueCoding": {
                                "code": "cm",
                                "system": "http://unitsofmeasure.org",
                                "display": "centimeter"
                            }
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 100
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 250
                        }
                    ]
                },
                {
                    "linkId": "5.6",
                    "text": "Have you noticed any significant weight loss or gain?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.6.1",
                    "text": "Details",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "5.6",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.7",
                    "text": "Have you had any blood tests done in the past 12 months?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.7.1",
                    "text": "Date of most recent test",
                    "type": "date",
                    "enableWhen":  [
                        {
                            "question": "5.7",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.7.2",
                    "text": "Pathology Provider",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "5.7",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.7.3",
                    "text": "Any clinically significant blood results & outcomes?",
                    "type": "string",
                    "enableWhen":  [
                        {
                            "question": "5.7",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.8",
                    "text": "Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?",
                    "type": "choice",
                    "repeats": false,
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ]
                },
                {
                    "linkId": "5.8.1",
                    "text": "Please provide the following imaging details",
                    "type": "group",
                    "repeats": true,
                    "enableWhen":  [
                        {
                            "question": "5.8",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "5.8.1.1",
                            "text": "Type of Imaging",
                            "type": "string"
                        },
                        {
                            "linkId": "5.8.1.2",
                            "text": "Date",
                            "type": "date"
                        },
                        {
                            "linkId": "5.8.1.3",
                            "text": "Imaging Provider & Location",
                            "type": "string"
                        },
                        {
                            "linkId": "5.8.1.4",
                            "text": "Clinical Reason",
                            "type": "string"
                        },
                        {
                            "linkId": "5.8.1.5",
                            "text": "Results / Findings",
                            "type": "string"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "6",
            "text": "CURRENT MEDICATIONS",
            "type": "group",
            "item":  [
                {
                    "linkId": "6.1",
                    "text": "Please provide your current medications",
                    "type": "group",
                    "repeats": true,
                    "item":  [
                        {
                            "linkId": "6.1.1",
                            "text": "Medication",
                            "type": "string"
                        },
                        {
                            "linkId": "6.1.2",
                            "text": "Dose",
                            "type": "string"
                        },
                        {
                            "linkId": "6.1.3",
                            "text": "Frequency",
                            "type": "string"
                        },
                        {
                            "linkId": "6.1.4",
                            "text": "Reason for Medication",
                            "type": "string"
                        },
                        {
                            "linkId": "6.1.5",
                            "text": "Duration you have been taking this medication for",
                            "type": "string"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "7",
            "text": "FAMILY HISTORY",
            "type": "group",
            "item":  [
                {
                    "linkId": "7.1",
                    "text": "Blood and Clotting Disorders",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "vwd",
                                "display": "Von Willebrand disease"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "haem",
                                "display": "Haemophilia"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "thromb",
                                "display": "Thrombophilia (e.g. Factor V Leiden, Protein C/S deficiency)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "bruising",
                                "display": "Easy bruising or excessive bleeding"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "clots",
                                "display": "History of blood clots (DVT, stroke before age 50)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "7.2",
                    "text": "Endocrine and Hormonal Conditions",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "thyroid",
                                "display": "Thyroid Disease"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "pcos",
                                "display": "PCOS"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "diabetes",
                                "display": "Diabetes (Type 1 or Type 2)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "menopause",
                                "display": "Early menopause / premature ovarian insufficiency"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "adrenal",
                                "display": "Adrenal disorders"
                            }
                        }
                    ]
                },
                {
                    "linkId": "7.3",
                    "text": "Cancer / Malignancy",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "breast",
                                "display": "Breast Cancer"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "ovarian",
                                "display": "Ovarian cancer"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "uterine",
                                "display": "Uterine (endometrial cancer)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "cervical",
                                "display": "Cervical cancer"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "colon",
                                "display": "Colon cancer (<50 yrs or related to Lynch Syndrome)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "hereditary",
                                "display": "Other hereditary cancers (e.g. BRCA1/2, Lynch Syndrome)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "7.4",
                    "text": "Other relevant conditions",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "endometriosis",
                                "display": "Endometriosis or adenomyosis"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "fibroids",
                                "display": "Fibroids"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "osteoporosis",
                                "display": "Osteoporosis or early bone loss"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "cardio",
                                "display": "Cardiovascular disease"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "autoimmune",
                                "display": "Autoimmune conditions"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "genetic",
                                "display": "Genetic syndromes (e.g. Turner syndrome, Kallmann syndrome)"
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "7.4.1",
                            "text": "Cardiovascular disease <55 yrs",
                            "type": "choice",
                            "repeats": false,
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                }
                            ],
                            "enableWhen":  [
                                {
                                    "question": "7.4",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "cardio"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "7.5",
                    "text": "Please provide details about the conditions you selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer etc.)",
                    "type": "string",
                    "repeats": true,
                    "enableWhen":  [
                        {
                            "question": "7.1",
                            "operator": "exists",
                            "answerBoolean": true
                        },
                        {
                            "question": "7.2",
                            "operator": "exists",
                            "answerBoolean": true
                        },
                        {
                            "question": "7.3",
                            "operator": "exists",
                            "answerBoolean": true
                        },
                        {
                            "question": "7.4",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "enableBehavior": "any"
                }
            ]
        },
        {
            "linkId": "8",
            "text": "SOCIAL HISTORY",
            "type": "group",
            "item":  [
                {
                    "linkId": "8.1",
                    "text": "Do you currently have a partner(s)?",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "8.1.1",
                            "text": "If you are comfortable to share, what is your partner/s' name and sex/gender/age?",
                            "type": "string",
                            "repeats": true,
                            "enableWhen":  [
                                {
                                    "question": "8.1",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "8.2",
                    "text": "Are you currently working?",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "8.2.1",
                            "text": "Please provide details about your work",
                            "type": "group",
                            "repeats": true,
                            "enableWhen":  [
                                {
                                    "question": "8.2",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ],
                            "item":  [
                                {
                                    "linkId": "8.2.1.1",
                                    "text": "Employment Type (PT, FT, Casual)",
                                    "type": "string"
                                },
                                {
                                    "linkId": "8.2.1.2",
                                    "text": "Occupation",
                                    "type": "string"
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "8.3",
                    "text": "Are you currently studying?",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "8.3.1",
                            "text": "Institution",
                            "type": "string",
                            "enableWhen":  [
                                {
                                    "question": "8.3",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "8.3.2",
                            "text": "Level & Area of study",
                            "type": "string",
                            "enableWhen":  [
                                {
                                    "question": "8.3",
                                    "operator": "=",
                                    "answerCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "8.4",
                    "text": "Lifestyle",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "8.4.1",
                            "text": "Do you currently smoke?",
                            "type": "choice",
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "past",
                                        "display": "In Past"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "vape",
                                        "display": "Vape"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "8.4.2",
                            "text": "Do you take any recreational drugs?",
                            "type": "choice",
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "373066001",
                                        "system": "http://snomed.info/sct",
                                        "display": "Yes"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "373067005",
                                        "system": "http://snomed.info/sct",
                                        "display": "No"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "8.4.3",
                            "text": "How often do you drink Alcohol?",
                            "type": "choice",
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "never",
                                        "display": "Never"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "ltmonthly",
                                        "display": "< Monthly"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1_2pm",
                                        "display": "1-2 days per month"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1_2pw",
                                        "display": "1-2 days a week"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3_4pw",
                                        "display": "3-4 days a week"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "5_6pw",
                                        "display": "5-6 days a week"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "everyday",
                                        "display": "Everyday"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ],
                            "item":  [
                                {
                                    "linkId": "8.4.3.1",
                                    "text": "On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)",
                                    "type": "choice",
                                    "answerOption":  [
                                        {
                                            "valueCoding": {
                                                "code": "1_3",
                                                "display": "1-3"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "code": "3_5",
                                                "display": "3-5"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "code": "5_7",
                                                "display": "5-7"
                                            }
                                        },
                                        {
                                            "valueCoding": {
                                                "code": "7plus",
                                                "display": "7+"
                                            }
                                        }
                                    ],
                                    "enableWhen":  [
                                        {
                                            "question": "8.4.3",
                                            "operator": "!=",
                                            "answerCoding": {
                                                "code": "never"
                                            }
                                        }
                                    ],
                                    "extension":  [
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                            "valueCodeableConcept": {
                                                "coding":  [
                                                    {
                                                        "code": "radio-button",
                                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                                    }
                                                ]
                                            }
                                        }
                                    ]
                                }
                            ]
                        },
                        {
                            "linkId": "8.4.4",
                            "text": "How many hours of physical activity do you do on an average week?",
                            "type": "decimal",
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                    "valueCoding": {
                                        "code": "h",
                                        "system": "http://unitsofmeasure.org",
                                        "display": "hour"
                                    }
                                }
                            ],
                            "item":  [
                                {
                                    "linkId": "8.4.4.1",
                                    "text": "Frequency (times per week)",
                                    "type": "integer",
                                    "extension":  [
                                        {
                                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
                                            "valueCoding": {
                                                "code": "/wk",
                                                "system": "http://unitsofmeasure.org",
                                                "display": "per week"
                                            }
                                        }
                                    ]
                                },
                                {
                                    "linkId": "8.4.4.2",
                                    "text": "Intensity",
                                    "type": "string"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "9",
            "text": "SURGICAL HISTORY",
            "type": "group",
            "item":  [
                {
                    "linkId": "9.1",
                    "text": "Please provide details for each surgery you have had",
                    "type": "group",
                    "repeats": true,
                    "item":  [
                        {
                            "linkId": "9.1.1",
                            "text": "Year",
                            "type": "integer",
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                                    "valueInteger": 1900
                                },
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                                    "valueInteger": 2100
                                }
                            ]
                        },
                        {
                            "linkId": "9.1.2",
                            "text": "Place of Surgery",
                            "type": "string"
                        },
                        {
                            "linkId": "9.1.3",
                            "text": "Details (Surgeon, Type of Procedure, any complications or issues?, findings)",
                            "type": "string"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "10",
            "text": "MENOPAUSE",
            "type": "group",
            "item":  [
                {
                    "linkId": "10.1",
                    "text": "Does this section apply to you (menopausal or perimenopausal)?",
                    "type": "choice",
                    "required": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct",
                                "display": "Yes"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "373067005",
                                "system": "http://snomed.info/sct",
                                "display": "No"
                            }
                        }
                    ],
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "radio-button",
                                        "system": "http://hl7.org/fhir/questionnaire-item-control"
                                    }
                                ]
                            }
                        }
                    ]
                },
                {
                    "linkId": "10.1.1",
                    "text": "On the Modified Greene Scale below, judge the severity of your symptoms and record the score.",
                    "type": "group",
                    "enableWhen":  [
                        {
                            "question": "10.1",
                            "operator": "=",
                            "answerCoding": {
                                "code": "373066001",
                                "system": "http://snomed.info/sct"
                            }
                        }
                    ],
                    "item":  [
                        {
                            "linkId": "10.1.1.1",
                            "text": "Hot flushes",
                            "code":  [
                                {
                                    "code": "198436008",
                                    "system": "http://snomed.info/sct",
                                    "display": "Menopausal flushing (finding)"
                                }
                            ],
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.2",
                            "text": "Lightheaded feelings",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.3",
                            "text": "Headaches",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.4",
                            "text": "Irritability",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.5",
                            "text": "Depression",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.6",
                            "text": "Unloved feelings",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.7",
                            "text": "Anxiety",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.8",
                            "text": "Mood changes",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.9",
                            "text": "Sleeplessness",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.10",
                            "text": "Unusual tiredness",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.11",
                            "text": "Backache",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.12",
                            "text": "Joint pains",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.13",
                            "text": "Muscle pains",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.14",
                            "text": "New facial hair",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.15",
                            "text": "Dry skin",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.16",
                            "text": "Crawling feelings under the skin",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.17",
                            "text": "Less sexual feelings",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.18",
                            "text": "Dry vagina",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.19",
                            "text": "Uncomfortable intercourse",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "10.1.1.20",
                            "text": "Urinary frequency changes",
                            "type": "choice",
                            "required": true,
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "code": "0",
                                        "display": "None"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "1",
                                        "display": "Mild"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "2",
                                        "display": "Moderate"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "code": "3",
                                        "display": "Severe"
                                    }
                                }
                            ],
                            "extension":  [
                                {
                                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                                    "valueCodeableConcept": {
                                        "coding":  [
                                            {
                                                "code": "radio-button",
                                                "system": "http://hl7.org/fhir/questionnaire-item-control"
                                            }
                                        ]
                                    }
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "11",
            "text": "OTHER NOTES",
            "type": "group",
            "item":  [
                {
                    "linkId": "11.1",
                    "text": "Please use the space below to let us know of anything else we can do or need to note to best support your health journey",
                    "type": "text"
                }
            ]
        }
    ]
}

QuestionnaireResponse

QuestionnaireResponse
QuestionnaireResponse.id[0]CommunityFacingQuestionnaireResponseFlorenceBennett
QuestionnaireResponse.questionnaire[0]https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire
QuestionnaireResponse.status[0]in-progress
QuestionnaireResponse.item[0].linkId[0]1
QuestionnaireResponse.item[0].text[0]PERSONAL INFORMATION
QuestionnaireResponse.item[0].item[0].linkId[0]1.1
QuestionnaireResponse.item[0].item[0].text[0]First Name
QuestionnaireResponse.item[0].item[0].answer[0].value[0]Florence
QuestionnaireResponse.item[0].item[1].linkId[0]1.2
QuestionnaireResponse.item[0].item[1].text[0]Surname
QuestionnaireResponse.item[0].item[1].answer[0].value[0]Bennett
QuestionnaireResponse.item[0].item[2].linkId[0]1.3
QuestionnaireResponse.item[0].item[2].text[0]Preferred Name
QuestionnaireResponse.item[0].item[2].answer[0].value[0]Flo
QuestionnaireResponse.item[0].item[3].linkId[0]1.4
QuestionnaireResponse.item[0].item[3].text[0]DOB
QuestionnaireResponse.item[0].item[3].answer[0].value[0]1951-01-20
QuestionnaireResponse.item[0].item[4].linkId[0]1.5
QuestionnaireResponse.item[0].item[4].text[0]Email
QuestionnaireResponse.item[0].item[4].answer[0].value[0]flo@example.com
QuestionnaireResponse.item[0].item[5].linkId[0]1.6
QuestionnaireResponse.item[0].item[5].text[0]Please outline your main health related concern(s)
QuestionnaireResponse.item[0].item[5].answer[0].value[0]Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)
QuestionnaireResponse.item[1].linkId[0]2
QuestionnaireResponse.item[1].text[0]PAST MEDICAL HISTORY
QuestionnaireResponse.item[1].item[0].linkId[0]2.1
QuestionnaireResponse.item[1].item[0].text[0]Please check any past or current medical conditions that apply to you
QuestionnaireResponse.item[1].item[0].answer[0].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[1].item[0].answer[0].value[0].code[0]195967001
QuestionnaireResponse.item[1].item[0].answer[0].value[0].display[0]Asthma (disorder)
QuestionnaireResponse.item[1].item[0].answer[1].value[0].system[0]http://snomed.info/sct
QuestionnaireResponse.item[1].item[0].answer[1].value[0].code[0]52702003
QuestionnaireResponse.item[1].item[0].answer[1].value[0].display[0]Chronic fatigue syndrome (disorder)
QuestionnaireResponse.item[1].item[1].linkId[0]2.2
QuestionnaireResponse.item[1].item[1].text[0]Childhood Disease
QuestionnaireResponse.item[1].item[1].answer[0].value[0]Measles
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
    <id value="CommunityFacingQuestionnaireResponseFlorenceBennett" />
    <questionnaire value="https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire" />
    <status value="in-progress" />
    <item>
        <linkId value="1" />
        <text value="PERSONAL INFORMATION" />
        <item>
            <linkId value="1.1" />
            <text value="First Name" />
            <answer>
                <valueString value="Florence" />
            </answer>
        </item>
        <item>
            <linkId value="1.2" />
            <text value="Surname" />
            <answer>
                <valueString value="Bennett" />
            </answer>
        </item>
        <item>
            <linkId value="1.3" />
            <text value="Preferred Name" />
            <answer>
                <valueString value="Flo" />
            </answer>
        </item>
        <item>
            <linkId value="1.4" />
            <text value="DOB" />
            <answer>
                <valueDate value="1951-01-20" />
            </answer>
        </item>
        <item>
            <linkId value="1.5" />
            <text value="Email" />
            <answer>
                <valueString value="flo@example.com" />
            </answer>
        </item>
        <item>
            <linkId value="1.6" />
            <text value="Please outline your main health related concern(s)" />
            <answer>
                <valueString value="Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)" />
            </answer>
        </item>
    </item>
    <item>
        <linkId value="2" />
        <text value="PAST MEDICAL HISTORY" />
        <item>
            <linkId value="2.1" />
            <text value="Please check any past or current medical conditions that apply to you" />
            <answer>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="195967001" />
                    <display value="Asthma (disorder)" />
                </valueCoding>
            </answer>
            <answer>
                <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="52702003" />
                    <display value="Chronic fatigue syndrome (disorder)" />
                </valueCoding>
            </answer>
        </item>
        <item>
            <linkId value="2.2" />
            <text value="Childhood Disease" />
            <answer>
                <valueString value="Measles" />
            </answer>
        </item>
    </item>
</QuestionnaireResponse>

{
    "resourceType": "QuestionnaireResponse",
    "id": "CommunityFacingQuestionnaireResponseFlorenceBennett",
    "questionnaire": "https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire",
    "status": "in-progress",
    "item":  [
        {
            "linkId": "1",
            "text": "PERSONAL INFORMATION",
            "item":  [
                {
                    "linkId": "1.1",
                    "text": "First Name",
                    "answer":  [
                        {
                            "valueString": "Florence"
                        }
                    ]
                },
                {
                    "linkId": "1.2",
                    "text": "Surname",
                    "answer":  [
                        {
                            "valueString": "Bennett"
                        }
                    ]
                },
                {
                    "linkId": "1.3",
                    "text": "Preferred Name",
                    "answer":  [
                        {
                            "valueString": "Flo"
                        }
                    ]
                },
                {
                    "linkId": "1.4",
                    "text": "DOB",
                    "answer":  [
                        {
                            "valueDate": "1951-01-20"
                        }
                    ]
                },
                {
                    "linkId": "1.5",
                    "text": "Email",
                    "answer":  [
                        {
                            "valueString": "flo@example.com"
                        }
                    ]
                },
                {
                    "linkId": "1.6",
                    "text": "Please outline your main health related concern(s)",
                    "answer":  [
                        {
                            "valueString": "Heavy Periods (fatigue, occasional dizziness, need to change protection every 1-2 hours on heavy days)"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "2",
            "text": "PAST MEDICAL HISTORY",
            "item":  [
                {
                    "linkId": "2.1",
                    "text": "Please check any past or current medical conditions that apply to you",
                    "answer":  [
                        {
                            "valueCoding": {
                                "code": "195967001",
                                "system": "http://snomed.info/sct",
                                "display": "Asthma (disorder)"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "52702003",
                                "system": "http://snomed.info/sct",
                                "display": "Chronic fatigue syndrome (disorder)"
                            }
                        }
                    ]
                },
                {
                    "linkId": "2.2",
                    "text": "Childhood Disease",
                    "answer":  [
                        {
                            "valueString": "Measles"
                        }
                    ]
                }
            ]
        }
    ]
}