{ "resourceType": "Questionnaire", "id": "CommunityFacingQuestionnaire", "meta": { "profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ], "versionId": "2", "lastUpdated": "2025-08-14T08:00:00+00:00" }, "language": "en", "url": "https://simplifier.net/guide/hmb-fhir-ig/Questionnaire/community-facing-questionnaire", "name": "CommunityFacingQuestionnaire", "title": "Community-facing Questionnaire", "_title": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Fragebogen für die Bevölkerung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Community-facing Questionnaire" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cuestionario dirigido a la comunidad" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Questionnaire destiné à la communauté" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Questionário voltado para a comunidade" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "PERSÖNLICHE DATEN" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "PERSONAL INFORMATION" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "INFORMACIÓN PERSONAL" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "INFORMATIONS PERSONNELLES" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "INFORMAÇÕES PESSOAIS" } ] } ] }, "type": "group", "item": [ { "linkId": "1.1", "text": "First Name", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Vornamen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "First Name" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nombre" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Prénom" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Nome próprio" } ] } ] }, "type": "string", "required": true, "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given" }, { "linkId": "1.2", "text": "Surname", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Nachname" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Surname" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Apellido" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Nom de famille" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Apelido" } ] } ] }, "type": "string", "required": true, "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.family" }, { "linkId": "1.3", "text": "Preferred Name", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bevorzugter Name" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Preferred Name" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nombre preferido" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Nom préféré" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Nome preferido" } ] } ] }, "type": "string", "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.name.given" }, { "linkId": "1.4", "text": "DOB", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Geburtsdatum" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "DOB" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Fecha de nacimiento" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Date de naissance" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Data de nascimento" } ] } ] }, "type": "date", "required": true, "definition": "http://hl7.org/fhir/StructureDefinition/Patient#Patient.birthDate" }, { "linkId": "1.5", "text": "Email", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "E-Mail" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Email" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Correo electrónico" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Courriel" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Correio eletrónico" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte beschreiben Sie Ihr(e) Hauptanliegen in Bezug auf Ihre Gesundheit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please outline your main health related concern(s)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Describa su(s) principal(es) preocupación(es) relacionada(s) con la salud" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez décrire votre (vos) principale(s) préoccupation(s) en matière de santé" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Indique a(s) sua(s) principal(is) preocupação(ões) relacionada(s) com a saúde" } ] } ] }, "type": "string" } ] }, { "linkId": "2", "text": "PAST MEDICAL HISTORY", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "VORHERIGE KRANKENGESCHICHTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "PAST MEDICAL HISTORY" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIAL MÉDICO PREVIO" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "ANTÉCÉDENTS MÉDICAUX" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRICO MÉDICO" } ] } ] }, "type": "group", "item": [ { "linkId": "2.1", "text": "Please check any past or current medical conditions that apply to you", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte kreuzen Sie alle früheren oder aktuellen Erkrankungen an, die auf Sie zutreffen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please check any past or current medical conditions that apply to you" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor, marque cualquier condición médica pasada o presente que se aplique a usted" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez cocher toutes les conditions médicales passées ou présentes qui s'appliquent à vous" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Assinale qualquer problema de saúde passado ou atual que se aplique a si" } ] } ] }, "type": "choice", "repeats": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/medical-conditions" }, { "linkId": "2.2", "text": "Childhood Disease", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Kinderkrankheit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Childhood Disease" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Enfermedades infantiles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Maladies infantiles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Doença infantil" } ] } ] }, "type": "string" }, { "linkId": "2.3", "text": "Cardiovascular Disease", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Herz-Kreislauf-Erkrankungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Cardiovascular Disease" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Enfermedades cardiovasculares" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Maladies cardiovasculaires" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Doenças cardiovasculares" } ] } ] }, "type": "string" }, { "linkId": "2.4", "text": "Cancer", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Krebs" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Cancer" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cáncer" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Cancer" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Cancro" } ] } ] }, "type": "string" }, { "linkId": "2.5", "text": "Other", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Andere" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Other" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Otros" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Autres" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Outros" } ] } ] }, "type": "string" } ] }, { "linkId": "3", "text": "MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "MENSTRUATIONSHISTORIE (FIGO-AUB-PARAMETER, SAMANTA, VAS, PIPPA)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "MENSTRUAL HISTORY (FIGO AUB PARAMETERS, SAMANTA, VAS, PIPPA)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIAL MENSTRUAL (PARÁMETROS FIGO AUB, SAMANTA, VAS, PIPPA)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "ANTÉCÉDENTS MENSTRUELS (PARAMÈTRES FIGO-AUB, SAMANTA, VAS, PIPPA)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRICO MENSTRUAL (PARÂMETROS FIGO AUB, SAMANTA, VAS, PIPPA)" } ] } ] }, "type": "group", "item": [ { "linkId": "3.1", "text": "Age of first menstrual period", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Alter der ersten Regelblutung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Age of first menstrual period" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Edad de la primera menstruación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Âge des premières règles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Idade do primeiro período menstrual" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Datum des Beginns Ihrer letzten Periode" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Date your last period began" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Fecha de su última menstruación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Date des dernières règles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Data do início da última menstruação" } ] } ] }, "type": "date" }, { "linkId": "3.3", "text": "Duration of menstrual period", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Dauer der Menstruation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Duration of menstrual period" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Duración del periodo menstrual" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Durée de la période menstruelle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Duração do período menstrual" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Regelmässigkeit der Periode" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Regularity of period" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Regularidad del periodo" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Régularité des règles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Regularidade do período" } ] } ] }, "type": "choice", "repeats": false, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/period-regularity" }, { "linkId": "3.5", "text": "Flow Volume", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Durchflussmenge" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Flow Volume" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Caudal" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Volume d'écoulement" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Volume do caudal" } ] } ] }, "type": "choice", "repeats": false, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/period-flow-volume" }, { "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte bewerten Sie die Intensität Ihrer Menstruationsblutung im Allgemeinen (0 = überhaupt keine Blutung, 10 = die stärkstmögliche Menstruationsblutung, die ich je hatte)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please assess the intensity of your menstrual bleeding, generally (0 = No bleeding at all, 10 = The heaviest possible menstrual bleeding I have ever had)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor, valore la intensidad de su sangrado menstrual, en general (0 = Ningún sangrado, 10 = El sangrado menstrual más abundante que he tenido nunca)." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez évaluer l'intensité de vos saignements menstruels, en général (0 = Pas de saignement du tout, 10 = Les saignements menstruels les plus abondants que j'aie jamais eus)." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Avalie, por favor, a intensidade da sua hemorragia menstrual, de um modo geral (0 = Nenhuma hemorragia, 10 = A hemorragia menstrual mais intensa que alguma vez tive)" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Anzahl der Tage zwischen den Perioden" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "No. days between periods" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nº de días entre periodos" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Nombre de jours entre les périodes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "N.º de dias entre períodos" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Vorhersagbarkeit (Regelmässigkeit) der Zykluslänge" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Predictability (regularity) of cycle length" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Previsibilidad (regularidad) de la duración del ciclo" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Prévisibilité (régularité) de la durée du cycle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Previsibilidade (regularidade) da duração do ciclo" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie intermenstruelle Blutungen (IMB) (Blutungen zwischen den Perioden)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you experience any Intermenstrual Bleeding (IMB) (bleeding in between periods)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Sufre hemorragias intermenstruales?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Souffrez-vous de saignements intermenstruels (saignements entre les règles)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem hemorragia intermenstrual (hemorragia entre períodos)?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wann tritt die Blutung in Ihrem Zyklus auf?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "When in your cycle does the bleeding occur?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿En qué momento del ciclo se produce la hemorragia?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "A quel moment de votre cycle les saignements surviennent-ils?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Em que altura do ciclo ocorre a hemorragia?" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "In welchem Ausmass beeinträchtigt Ihre Periode Ihre täglichen Aktivitäten (0 = Sie beeinträchtigt meine täglichen Aktivitäten überhaupt nicht, 10 = Sie beeinträchtigt meine täglichen Aktivitäten vollständig)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "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)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿En qué medida influye la menstruación en tus actividades diarias (0 = No interfiere en absoluto en mis actividades diarias, 10 = Interfiere completamente en mis actividades diarias)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Dans quelle mesure vos règles ont-elles un impact sur vos activités quotidiennes (0 = Elles n'interfèrent pas du tout avec mes activités quotidiennes, 10 = Elles interfèrent complètement avec mes activités quotidiennes)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Em que medida o período menstrual tem impacto nas suas actividades diárias (0 = Não interfere de todo com as minhas actividades diárias, 10 = Interfere completamente com as minhas actividades diárias)" } ] } ] }, "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": "3.11", "text": "During heavier bleeding days do you", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie an Tagen mit stärkerer Blutung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "During heavier bleeding days do you" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Durante los días de sangrado más abundante" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Pendant les jours où les saignements sont plus abondants, est-ce que vous" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Durante os dias de hemorragia mais intensa" } ] } ] }, "type": "group", "item": [ { "linkId": "3.11.1", "text": "Have to use double protection or get up to change your sanitary protection during the night?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Müssen Sie einen doppelten Schutz verwenden oder nachts aufstehen, um Ihren Hygieneschutz zu wechseln?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Have to use double protection or get up to change your sanitary protection during the night?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Tiene que utilizar doble protección o levantarse para cambiarse la protección sanitaria durante la noche?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Vous devez utiliser une double protection ou vous lever pour changer de protection hygiénique pendant la nuit?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem de usar proteção dupla ou levantar-se para mudar a proteção higiénica durante a noite?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "3.11.2", "text": "Worry about staining the seat of your chair, sofa, etc?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie Angst vor Flecken auf der Sitzfläche Ihres Stuhls, Sofas usw.?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Worry about staining the seat of your chair, sofa, etc?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Le preocupa manchar el asiento de su silla, sofá, etc.?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Vous craignez de tacher l'assise de votre fauteuil, de votre canapé, etc." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Preocupa-se com a possibilidade de manchar o assento da sua cadeira, sofá, 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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "3.11.3", "text": "Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Vermeiden Sie bestimmte Aktivitäten, Reisen oder Freizeitpläne, weil Sie Ihren Tampon oder Ihre Binde häufig wechseln müssen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Avoid certain activities, travel, or leisure plans, because you need to change your tampon or pad frequently?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Evitas determinadas actividades, viajes o planes de ocio porque tienes que cambiarte el tampón o la compresa con frecuencia?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Éviter certaines activités, certains voyages ou certains projets de loisirs parce que vous devez changer fréquemment de tampon ou de serviette hygiénique?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Evita certas actividades, viagens ou planos de lazer porque precisa de mudar frequentemente o seu tampão ou penso?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" } ] }, { "linkId": "3.12", "text": "Period Pain", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Periodenschmerzen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Period Pain" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dolor menstrual" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Douleurs menstruelles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dores menstruais" } ] } ] }, "type": "group", "item": [ { "linkId": "3.12.1", "text": "Do you have period pain?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie Regelschmerzen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you have period pain?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Te duele la regla?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous des douleurs menstruelles?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem dores menstruais?" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Schmerzwert (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Pain Score (0 = Little to no pain, 10 = Severe Pain)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Puntuación del dolor (0 = poco dolor, 10 = dolor intenso)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Score de douleur (0 = Peu ou pas de douleur, 10 = Douleur intense)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Pontuação da dor (0 = pouca ou nenhuma dor, 10 = dor intensa)" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie alt waren Sie, als Ihre Periode schmerzhaft wurde?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "How old were you when your periods became painful?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Qué edad tenías cuando te empezó a doler la regla?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quel âge aviez-vous lorsque vos règles sont devenues douloureuses?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Que idade tinha quando a menstruação se tornou dolorosa?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "An wie vielen Tagen im Monat haben Sie Regelschmerzen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "How many days each month do you have period pain for?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuántos días al mes le duele la regla?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Combien de jours par mois avez-vous des douleurs menstruelles?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Durante quantos dias por mês tem dores menstruais?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wo spüren Sie Ihre Regelschmerzen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Where do you feel your period pain?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Dónde sientes el dolor menstrual?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Où ressentez-vous vos douleurs menstruelles?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Onde é que sente as dores do período?" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sonstiges (bitte angeben)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Other (please specify)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Otros (especifique)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Autre (à préciser)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Outros (especificar)" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Helfen Medikamente gegen Regelschmerzen (Ibuprofen, Ponstan, Naprogesic usw.) bei Regelschmerzen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do period pain medications (Ibuprofen, Ponstan, Naprogesic etc.) help your period pain?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Los medicamentos para el dolor menstrual (Ibuprofeno, Ponstan, Naprogesic, etc.) alivian el dolor menstrual?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Les médicaments contre les douleurs menstruelles (Ibuprofen, Ponstan, Naprogesic, etc.) aident-ils à soulager les douleurs menstruelles?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Os medicamentos para as dores do período (Ibuprofeno, Ponstan, Naprogesic, etc.) ajudam as dores do período?" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "SEXUELLE UND REPRODUKTIVE GESCHICHTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "SEXUAL AND REPRODUCTIVE HISTORY" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIAL SEXUAL Y REPRODUCTIVO" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "HISTORIQUE SEXUEL ET REPRODUCTIF" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRICO SEXUAL E REPRODUTIVO" } ] } ] }, "type": "group", "item": [ { "linkId": "4.1", "text": "Are you currently sexually active?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie derzeit sexuell aktiv?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Are you currently sexually active?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Es usted sexualmente activo?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Êtes-vous actuellement sexuellement actif?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "É atualmente sexualmente ativo?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "4.2", "text": "Are you currently trying to get pregnant?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Versuchen Sie derzeit, schwanger zu werden?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Are you currently trying to get pregnant?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Está intentando quedarse embarazada?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Essayez-vous actuellement de tomber enceinte?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Está atualmente a tentar engravidar?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie Blutungen nach dem Geschlechtsverkehr?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you experience any bleeding after sexual intercourse?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Sufre alguna hemorragia después de mantener relaciones sexuales?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous des saignements après les rapports sexuels?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem alguma hemorragia após as relações sexuais?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "4.4", "text": "Do you experience any excessive pain during sexual intercourse?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie beim Geschlechtsverkehr starke Schmerzen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you experience any excessive pain during sexual intercourse?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Siente un dolor excesivo durante las relaciones sexuales?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Souffrez-vous de douleurs excessives pendant les rapports sexuels?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sente dores excessivas durante as relações sexuais?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie würden Sie diese Schmerzen auf einer Skala von 1-10 beschreiben? (0 = wenig bis keine Schmerzen, 10 = starke Schmerzen)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "How would you describe this pain on a scale from 1-10? (0 = Little to no pain, 10 = Severe Pain)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cómo describiría este dolor en una escala del 1 al 10? (0 = Poco o ningún dolor, 10 = Dolor intenso)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Comment décririez-vous cette douleur sur une échelle de 1 à 10 (0 = Peu ou pas de douleur, 10 = Douleur intense)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Como descreveria esta dor numa escala de 1 a 10 (0 = pouca ou nenhuma dor, 10 = dor intensa)?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Welche Verhütungsmittel verwenden Sie derzeit, wenn überhaupt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "What contraception, if any, are you currently using?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Qué método anticonceptivo utiliza actualmente?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quelle contraception utilisez-vous actuellement, le cas échéant?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Que contracetivo, se for o caso, está a utilizar atualmente?" } ] } ] }, "type": "string", "item": [ { "linkId": "4.5.1", "text": "For how long?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Für wie lange?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "For how long?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Durante cuánto tiempo?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Pendant combien de temps?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Durante quanto tempo?" } ] } ] }, "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.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Welche Auswirkungen hat die hormonelle Empfängnisverhütung auf Ihre Periode/Ihren Zyklus gehabt? (Durchflussmenge, Dauer, Häufigkeit usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "For any hormonal contraception, what impact has this had on your period/cycle? (flow volume, duration, frequency etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "En el caso de los anticonceptivos hormonales, ¿qué impacto han tenido en su periodo/ciclo? (volumen de flujo, duración, frecuencia, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "En cas de contraception hormonale, quel a été l'impact sur vos règles/cycle? (volume du flux, durée, fréquence, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Relativamente a qualquer contraceção hormonal, qual o impacto que teve no seu período/ciclo? (volume do fluxo, duração, frequência, etc.)" } ] } ] }, "type": "string" } ] }, { "linkId": "4.6", "text": "What contraception options, if any, have you used in the past?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Welche Empfängnisverhütungsmethoden haben Sie in der Vergangenheit verwendet, wenn überhaupt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "What contraception options, if any, have you used in the past?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Qué métodos anticonceptivos has utilizado en el pasado?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quels sont les moyens de contraception que vous avez éventuellement utilisés dans le passé?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Que opções de contraceção utilizou no passado, se é que utilizou alguma?" } ] } ] }, "type": "string", "item": [ { "linkId": "4.6.1", "text": "For any previous hormonal contraception, what impact did they have on your period/cycle?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Welche Auswirkungen hatten frühere hormonelle Verhütungsmittel auf Ihre Periode/Ihren Zyklus?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "For any previous hormonal contraception, what impact did they have on your period/cycle?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "En el caso de los anticonceptivos hormonales anteriores, ¿qué efecto tuvieron en tu periodo/ciclo?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Pour toute contraception hormonale antérieure, quel impact a-t-elle eu sur vos règles/cycle?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Relativamente a qualquer contraceção hormonal anterior, qual o impacto que teve no seu período/ciclo?" } ] } ] }, "type": "string" } ] }, { "linkId": "4.7", "text": "Do you have any current or a previous history of sexually transmitted diseases?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie derzeit oder in der Vergangenheit sexuell übertragbare Krankheiten gehabt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you have any current or a previous history of sexually transmitted diseases?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Padece o ha padecido alguna enfermedad de transmisión sexual?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous des antécédents ou des maladies sexuellement transmissibles?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem algum historial atual ou anterior de doenças sexualmente transmissíveis?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no", "item": [ { "linkId": "4.7.1", "text": "Please provide detail (date, type, treatment)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Einzelheiten an (Datum, Art, Behandlung)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide detail (date, type, treatment)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proporcione detalles (fecha, tipo, tratamiento)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails (date, type, traitement)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fornecer pormenores (data, tipo, tratamento)" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie andere sexuelle Funktionsstörungen/Probleme im Zusammenhang mit Sex?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you have any other sexual dysfunctions/issues related to sex?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Tienes alguna otra disfunción o problema sexual relacionado con el sexo?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous d'autres dysfonctionnements sexuels/problèmes liés à la sexualité?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem outras disfunções sexuais/questões relacionadas com o sexo?" } ] } ] }, "type": "string" }, { "linkId": "4.9", "text": "Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte informieren Sie uns über frühere Schwangerschaften, einschliesslich Schwangerschaftsabbrüche und Fehlgeburten (falls möglich)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please let us know of any previous pregnancy history including abortions & miscarriages (if comfortable)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor, infórmenos de cualquier antecedente de embarazo, incluyendo abortos y abortos involuntarios (si se siente cómodo)." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez nous informer de tout antécédent de grossesse, y compris les avortements et les fausses couches (si vous vous sentez à l'aise)." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Informe-nos de qualquer historial de gravidez anterior, incluindo abortos e abortos espontâneos (se for confortável)" } ] } ] }, "type": "group", "item": [ { "linkId": "4.9.1", "text": "Please provide the following information for each pregnancy", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie für jede Schwangerschaft die folgenden Informationen an" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide the following information for each pregnancy" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Facilite la siguiente información para cada embarazo" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir les informations suivantes pour chaque grossesse" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Forneça as seguintes informações para cada gravidez" } ] } ] }, "type": "group", "repeats": true, "item": [ { "linkId": "4.9.1.1", "text": "Birthplace", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Geburtsort" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Birthplace" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Lugar de nacimiento" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Lieu de naissance" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Local de nascimento" } ] } ] }, "type": "string" }, { "linkId": "4.9.1.2", "text": "Date", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Datum" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Date" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Fecha" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Date" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Data" } ] } ] }, "type": "date" }, { "linkId": "4.9.1.3", "text": "Gestation", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Schwangerschaft" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Gestation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Gestación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Gestation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Gestação" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Art der Geburt (z.B. vaginal oder Kaiserschnitt)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Type of Birth (e.g. Vaginal or C/S)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Tipo de parto (ej. vaginal o cesárea)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Type d'accouchement (ex. vaginal ou césarienne)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tipo de parto (ex. vaginal ou cesariana)" } ] } ] }, "type": "string" }, { "linkId": "4.9.1.5", "text": "Model of Care (e.g. Midwife, Public/Private OB)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Betreuungsmodell (z.B. Hebamme, öffentliche/private Geburtshilfe)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Model of Care (e.g. Midwife, Public/Private OB)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Modelo de atención (ej. comadrona, obstetricia pública/privada)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Modèle de soins (ex. sage-femme, obstétrique publique/privée)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Modelo de cuidado (ex. parteira, obstetrícia pública/privada)" } ] } ] }, "type": "string" }, { "linkId": "4.9.1.6", "text": "Birth Weight", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Geburtsgewicht" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Birth Weight" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Peso al nacer" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Poids de naissance" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Peso ao nascer" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Name des Kindes (falls zutreffend)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Name of Child (if applicable)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nombre del niño (si aplica)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Nom de l'enfant (si applicable)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Nome da criança (se aplicável)" } ] } ] }, "type": "string" }, { "linkId": "4.9.1.8", "text": "Sex of Child (if applicable)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Geschlecht des Kindes (falls zutreffend)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Sex of Child (if applicable)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Sexo del niño (si aplica)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Sexe de l'enfant (si applicable)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sexo da criança (se aplicável)" } ] } ] }, "type": "string" } ] } ] }, { "linkId": "4.10", "text": "Cervical Screening Test (CST)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Gebärmutterhals-Screening-Test (CST)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Cervical Screening Test (CST)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Prueba de cribado cervical" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Test de dépistage cervical (TDC)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Teste de rastreio cervical (CST)" } ] } ] }, "type": "group", "item": [ { "linkId": "4.10.1", "text": "When was your most recent CST (Pap Smear)?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wann war Ihr letzter CST (Pap-Abstrich)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "When was your most recent CST (Pap Smear)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuándo fue su última citología vaginal?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quelle est la date de votre dernier frottis cervical?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Quando foi o seu último CST (Papanicolau)?" } ] } ] }, "type": "date" }, { "linkId": "4.10.2", "text": "What was the result of your most recent CST?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Was war das Ergebnis Ihres letzten CST?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "What was the result of your most recent CST?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuál ha sido el resultado de su último CST?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quel a été le résultat de votre dernière CST?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Qual foi o resultado do seu último CST?" } ] } ] }, "type": "string" }, { "linkId": "4.10.3", "text": "Any past abnormal CST(s)? Please provide details", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Gab es in der Vergangenheit abnormale CSTs? Bitte Einzelheiten angeben" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Any past abnormal CST(s)? Please provide details" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Alguna(s) CST(s) anormal(es) en el pasado? Indique los detalles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous déjà eu des TCC anormales? Veuillez fournir des détails" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Alguma CST anormal no passado? Fornecer pormenores" } ] } ] }, "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.", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wenn möglich, legen Sie bitte eine Kopie der Ergebnisse Ihrer letzten Früherkennungsuntersuchung(en) vor oder bringen Sie eine Kopie dieser Ergebnisse zum Termin mit." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "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." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Si es posible, facilite una copia de los resultados de su(s) prueba(s) de cribado más reciente(s) o traiga una copia de dichos resultados el día de su cita." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Si possible, veuillez fournir une copie des résultats de vos tests de dépistage les plus récents ou apporter une copie de ces résultats le jour de votre rendez-vous." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Se possível, forneça uma cópia dos resultados do(s) seu(s) teste(s) de rastreio mais recente(s) ou traga uma cópia desses resultados consigo no dia da sua consulta." } ] } ] }, "type": "display" } ] } ] }, { "linkId": "5", "text": "ASSOCIATED OR SYSTEMIC SYMPTOMS", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "ASSOZIIERTE ODER SYSTEMISCHE SYMPTOME" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "ASSOCIATED OR SYSTEMIC SYMPTOMS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "SÍNTOMAS ASOCIADOS O SISTÉMICOS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "SYMPTÔMES ASSOCIÉS OU SYSTÉMIQUES" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "SINTOMAS ASSOCIADOS OU SISTÉMICOS" } ] } ] }, "type": "group", "item": [ { "linkId": "5.1", "text": "Do you experience any pelvic pain?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie Schmerzen im Unterleib?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you experience any pelvic pain?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Siente dolor pélvico?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Souffrez-vous de douleurs pelviennes?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sente alguma dor pélvica?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Geben Sie auf einer Skala von 1-10 an, wie Sie diese Schmerzen beschreiben würden (0 = geringe bis keine Schmerzen, 5 = mässige Schmerzen, 10 = starke Schmerzen)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Indicate on the scale of 1-10 how you would describe this pain (0 = Little to no pain, 5 = Moderate Pain, 10 = Severe Pain)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Indique en la escala del 1 al 10 cómo describiría este dolor (0 = Poco o ningún dolor, 5 = Dolor moderado, 10 = Dolor intenso)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Indiquez sur une échelle de 1 à 10 comment vous décririez cette douleur (0 = Peu ou pas de douleur, 5 = Douleur modérée, 10 = Douleur sévère)." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Indique, numa escala de 1 a 10, como descreveria esta dor (0 = Pouca ou nenhuma dor, 5 = Dor moderada, 10 = Dor grave)" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie anormalen Ausfluss aus der Scheide bemerkt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Have you noticed any abnormal vaginal discharge?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Ha notado algún flujo vaginal anormal?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous remarqué des pertes vaginales anormales?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Notou algum corrimento vaginal anormal?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "5.2.1", "text": "Please provide detail", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Einzelheiten an" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide detail" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proporcione detalles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fornecer pormenores" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie derzeit Probleme mit dem Harn- und/oder Stuhlgang?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you currently have any urinary and/or bowel related concerns?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Tiene actualmente algún problema urinario o intestinal?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous actuellement des problèmes urinaires et/ou intestinaux?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem atualmente algum problema urinário e/ou intestinal?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "5.3.1", "text": "Please provide detail (i.e. motion of passing/incontinence issues etc.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Einzelheiten an (z. B. Passagebewegungen, Inkontinenzprobleme usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide detail (i.e. motion of passing/incontinence issues etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proporcione detalles (por ejemplo, movimiento de paso/problemas de incontinencia, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails (par exemple, mouvement de passage/problèmes d'incontinence, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Forneça pormenores (ou seja, movimento de passagem/ problemas de incontinência, 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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie hoch ist Ihr derzeitiges Gewicht?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "What is your current weight?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuál es su peso actual?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quel est votre poids actuel?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Qual é o seu peso atual?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie gross sind Sie?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "What is your height?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuál es su estatura?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Quelle est votre taille?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Qual é a sua altura?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie eine deutliche Gewichtsabnahme oder -zunahme festgestellt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Have you noticed any significant weight loss or gain?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Ha notado alguna pérdida o ganancia de peso significativa?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous remarqué une perte ou une prise de poids significative?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Notou alguma perda ou ganho de peso significativo?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "5.6.1", "text": "Details", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Einzelheiten" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Details" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Detalles" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Détails" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Detalhes" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wurden bei Ihnen in den letzten 12 Monaten Bluttests durchgeführt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Have you had any blood tests done in the past 12 months?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Se ha hecho algún análisis de sangre en los últimos 12 meses?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous effectué des analyses de sang au cours des 12 derniers mois?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fez alguma análise ao sangue nos últimos 12 meses?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "5.7.1", "text": "Date of most recent test", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Datum des letzten Tests" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Date of most recent test" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Fecha de la prueba más reciente" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Date du dernier test" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Data do teste mais recente" } ] } ] }, "type": "date", "enableWhen": [ { "question": "5.7", "operator": "=", "answerCoding": { "code": "373066001", "system": "http://snomed.info/sct" } } ] }, { "linkId": "5.7.2", "text": "Pathology Provider", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Pathologie-Anbieter" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Pathology Provider" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proveedor de patología" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fournisseur de services de pathologie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fornecedor de patologia" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Irgendwelche klinisch bedeutsamen Blutwerte und Ergebnisse?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Any clinically significant blood results & outcomes?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Algún resultado sanguíneo clínicamente significativo?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Résultats sanguins et résultats cliniquement significatifs?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Quaisquer resultados sanguíneos e resultados clinicamente significativos?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wurden bei Ihnen in den letzten 12 Monaten bildgebende Verfahren (z. B. Ultraschall, MRT des Beckens/Unterleibs) durchgeführt?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Have you had any medical imaging (i.e. Ultrasound, MRI - of pelvis/abdomen) done in the past 12 months?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Se ha sometido a alguna prueba de imagen médica (por ejemplo, ecografía, resonancia magnética de pelvis/abdomen) en los últimos 12 meses?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous eu recours à l'imagerie médicale (échographie, IRM du bassin/abdomen) au cours des 12 derniers mois?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fez alguma imagiologia médica (ou seja, ecografia, ressonância magnética da pélvis/abdómen) nos últimos 12 meses?" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no" }, { "linkId": "5.8.1", "text": "Please provide the following imaging details", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie die folgenden Details zur Bildgebung an" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide the following imaging details" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proporcione los siguientes datos de imagen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir les détails d'imagerie suivants" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Forneça os seguintes pormenores relativos à imagiologia" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Art der Bildgebung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Type of Imaging" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Tipo de imagen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Type d'imagerie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tipo de imagiologia" } ] } ] }, "type": "string" }, { "linkId": "5.8.1.2", "text": "Date", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Datum" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Date" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Fecha" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Date" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Data" } ] } ] }, "type": "date" }, { "linkId": "5.8.1.3", "text": "Imaging Provider & Location", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bildgebungsanbieter & Standort" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Imaging Provider & Location" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proveedor de imágenes y ubicación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fournisseur d'imagerie et lieu" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fornecedor de imagiologia e localização" } ] } ] }, "type": "string" }, { "linkId": "5.8.1.4", "text": "Clinical Reason", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Klinischer Grund" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Clinical Reason" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Razón clínica" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Raison clinique" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Motivo clínico" } ] } ] }, "type": "string" }, { "linkId": "5.8.1.5", "text": "Results / Findings", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ergebnisse / Befunde" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Results / Findings" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "RESULTADOS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Résultats / Constatations" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Resultados / Conclusões" } ] } ] }, "type": "string" } ] } ] }, { "linkId": "6", "text": "CURRENT MEDICATIONS", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "AKTUELLE MEDIKAMENTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "CURRENT MEDICATIONS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "MEDICAMENTOS ACTUALES" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "MÉDICAMENTS ACTUELS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "MEDICAMENTOS ATUAIS" } ] } ] }, "type": "group", "item": [ { "linkId": "6.1", "text": "Please provide your current medications", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Ihre derzeitige Medikation an" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide your current medications" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Indique su medicación actual" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez indiquer vos médicaments actuels" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Indique os seus medicamentos actuais" } ] } ] }, "type": "group", "repeats": true, "item": [ { "linkId": "6.1.1", "text": "Medication", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Medikation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Medication" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Medicación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Médicaments" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Medicamentos" } ] } ] }, "type": "string" }, { "linkId": "6.1.2", "text": "Dose", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Dosis" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Dose" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dosis" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Dose" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dose" } ] } ] }, "type": "string" }, { "linkId": "6.1.3", "text": "Frequency", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Frequenz" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Frequency" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Frecuencia" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fréquence" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Frequência" } ] } ] }, "type": "string" }, { "linkId": "6.1.4", "text": "Reason for Medication", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Grund für die Medikation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Reason for Medication" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Motivo de la medicación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Raison de la prise de médicaments" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Motivo da medicação" } ] } ] }, "type": "string" }, { "linkId": "6.1.5", "text": "Duration you have been taking this medication for", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Dauer der Einnahme dieses Medikaments seit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Duration you have been taking this medication for" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Duración del tratamiento" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Durée Vous avez pris ce médicament pendant" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Duração do tratamento com este medicamento" } ] } ] }, "type": "string" } ] } ] }, { "linkId": "7", "text": "FAMILY HISTORY", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "FAMILIENGESCHICHTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "FAMILY HISTORY" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIA FAMILIAR" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "HISTOIRE FAMILIALE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRIA DA FAMÍLIA" } ] } ] }, "type": "group", "item": [ { "linkId": "7.1", "text": "Blood and Clotting Disorders", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Blut- und Gerinnungsstörungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Blood and Clotting Disorders" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Trastornos de la sangre y la coagulación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Troubles du sang et de la coagulation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Perturbações do sangue e da coagulação" } ] } ] }, "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)" } } ], "item": [ { "linkId": "7.1.1", "text": "Please provide details about the blood and clotting disorders selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Details zu den oben ausgewählten Blut- und Gerinnungsstörungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details about the blood and clotting disorders selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor proporcione detalles sobre los trastornos sanguíneos y de coagulación seleccionados arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails sur les troubles sanguins et de coagulation sélectionnés ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Por favor forneça detalhes sobre os distúrbios sanguíneos e de coagulação selecionados acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)" } ] } ] }, "type": "string", "repeats": true, "enableWhen": [ { "question": "7.1", "operator": "=", "answerCoding": { "code": "vwd" } }, { "question": "7.1", "operator": "=", "answerCoding": { "code": "haem" } }, { "question": "7.1", "operator": "=", "answerCoding": { "code": "thromb" } }, { "question": "7.1", "operator": "=", "answerCoding": { "code": "bruising" } }, { "question": "7.1", "operator": "=", "answerCoding": { "code": "clots" } } ], "enableBehavior": "any" } ] }, { "linkId": "7.2", "text": "Endocrine and Hormonal Conditions", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Endokrine und hormonelle Bedingungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Endocrine and Hormonal Conditions" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Enfermedades endocrinas y hormonales" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Conditions endocriniennes et hormonales" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Doenças endócrinas e hormonais" } ] } ] }, "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" } } ], "item": [ { "linkId": "7.2.1", "text": "Please provide details about the endocrine and hormonal conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Details zu den oben ausgewählten endokrinen und hormonellen Erkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details about the endocrine and hormonal conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor proporcione detalles sobre las condiciones endocrinas y hormonales seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails sur les conditions endocriniennes et hormonales sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Por favor forneça detalhes sobre as condições endócrinas e hormonais selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)" } ] } ] }, "type": "string", "repeats": true, "enableWhen": [ { "question": "7.2", "operator": "=", "answerCoding": { "code": "thyroid" } }, { "question": "7.2", "operator": "=", "answerCoding": { "code": "pcos" } }, { "question": "7.2", "operator": "=", "answerCoding": { "code": "diabetes" } }, { "question": "7.2", "operator": "=", "answerCoding": { "code": "menopause" } }, { "question": "7.2", "operator": "=", "answerCoding": { "code": "adrenal" } } ], "enableBehavior": "any" } ] }, { "linkId": "7.3", "text": "Cancer / Malignancy", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Krebs / Malignität" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Cancer / Malignancy" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cáncer / Malignidad" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Cancer / Malignité" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Cancro / Malignidade" } ] } ] }, "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)" } } ], "item": [ { "linkId": "7.3.1", "text": "Please provide details about the cancer/malignancy conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer, affected family member etc.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Details zu den oben ausgewählten Krebs-/Tumorerkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, Art des Krebses, betroffenes Familienmitglied usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details about the cancer/malignancy conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, type of cancer, affected family member etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor proporcione detalles sobre las condiciones de cáncer/malignidad seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, tipo de cáncer, miembro de la familia afectado, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails sur les conditions de cancer/malignité sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, type de cancer, membre de la famille affecté, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Por favor forneça detalhes sobre as condições de câncer/malignidade selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, tipo de câncer, membro da família afetado, etc.)" } ] } ] }, "type": "string", "repeats": true, "enableWhen": [ { "question": "7.3", "operator": "=", "answerCoding": { "code": "breast" } }, { "question": "7.3", "operator": "=", "answerCoding": { "code": "ovarian" } }, { "question": "7.3", "operator": "=", "answerCoding": { "code": "uterine" } }, { "question": "7.3", "operator": "=", "answerCoding": { "code": "cervical" } }, { "question": "7.3", "operator": "=", "answerCoding": { "code": "colon" } }, { "question": "7.3", "operator": "=", "answerCoding": { "code": "hereditary" } } ], "enableBehavior": "any" } ] }, { "linkId": "7.4", "text": "Other relevant conditions", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Andere relevante Bedingungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Other relevant conditions" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Otras condiciones pertinentes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Autres conditions pertinentes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Outras condições relevantes" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Herz-Kreislauf-Erkrankungen <55 Jahre" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Cardiovascular disease <55 yrs" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Enfermedad cardiovascular <55 años" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Maladie cardiovasculaire <55 ans" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Doença cardiovascular <55 anos" } ] } ] }, "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" } ] } } ], "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-no", "enableWhen": [ { "question": "7.4", "operator": "=", "answerCoding": { "code": "cardio" } } ] }, { "linkId": "7.4.2", "text": "Please provide details about the other relevant conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Details zu den oben ausgewählten anderen relevanten Erkrankungen an (d.h. Datum & Alter bei Diagnose, Ergebnis der Diagnose, betroffenes Familienmitglied usw.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details about the other relevant conditions selected above (i.e. date & age at diagnosis, outcome of diagnosis, affected family member etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Por favor proporcione detalles sobre las otras condiciones relevantes seleccionadas arriba (ej. fecha y edad al diagnóstico, resultado del diagnóstico, miembro de la familia afectado, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails sur les autres conditions pertinentes sélectionnées ci-dessus (c.-à-d. date et âge au diagnostic, résultat du diagnostic, membre de la famille affecté, etc.)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Por favor forneça detalhes sobre as outras condições relevantes selecionadas acima (ou seja, data e idade no diagnóstico, resultado do diagnóstico, membro da família afetado, etc.)" } ] } ] }, "type": "string", "repeats": true, "enableWhen": [ { "question": "7.4", "operator": "=", "answerCoding": { "code": "endometriosis" } }, { "question": "7.4", "operator": "=", "answerCoding": { "code": "fibroids" } }, { "question": "7.4", "operator": "=", "answerCoding": { "code": "osteoporosis" } }, { "question": "7.4", "operator": "=", "answerCoding": { "code": "cardio" } }, { "question": "7.4", "operator": "=", "answerCoding": { "code": "autoimmune" } }, { "question": "7.4", "operator": "=", "answerCoding": { "code": "genetic" } } ], "enableBehavior": "any" } ] } ] }, { "linkId": "8", "text": "SOCIAL HISTORY", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "SOZIALGESCHICHTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "SOCIAL HISTORY" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIA SOCIAL" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "HISTOIRE SOCIALE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRIA SOCIAL" } ] } ] }, "type": "group", "item": [ { "linkId": "8.1", "text": "Do you currently have a partner(s)?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Haben Sie derzeit einen Partner oder mehrere Partner?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you currently have a partner(s)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Tiene pareja(s) actualmente?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Avez-vous actuellement un (des) partenaire(s)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tem atualmente um parceiro(s)?" } ] } ] }, "type": "choice", "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wenn Sie es uns mitteilen möchten, wie lautet der Name Ihres Partners/ihrer Partnerin und Geschlecht/Alter?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "If you are comfortable to share, what is your partner/s' name and sex/gender/age?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Si no tiene inconveniente en decirlo, ¿cómo se llama su pareja y cuál es su sexo, género y edad?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Si vous vous sentez à l'aise pour le dire, quel est le nom de votre/vos partenaire(s) et quel est son/leur sexe/genre/âge?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Se se sentir à vontade para partilhar, qual é o nome e o sexo/género/idade do(s) seu(s) parceiro(s)?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie derzeit berufstätig?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Are you currently working?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Trabaja actualmente?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Travaillez-vous actuellement?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Está atualmente a trabalhar?" } ] } ] }, "type": "choice", "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Einzelheiten zu Ihrer Arbeit an" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details about your work" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Proporcione detalles sobre su trabajo" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez fournir des détails sur votre travail" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Forneça pormenores sobre o seu trabalho" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Beschäftigungsart (TZ, VZ, Aushilfe)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Employment Type (PT, FT, Casual)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Tipo de empleo (TC, TP, Casual)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Type d'emploi (TP, TT, Occasionnel)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Tipo de emprego (MI, TI, Casual)" } ] } ] }, "type": "string" }, { "linkId": "8.2.1.2", "text": "Occupation", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Beruf" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Occupation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Ocupación" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Profession" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Ocupação" } ] } ] }, "type": "string" } ] } ] }, { "linkId": "8.3", "text": "Are you currently studying?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Studieren Sie derzeit?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Are you currently studying?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Está estudiando actualmente?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Êtes-vous en train d'étudier?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Está atualmente a estudar?" } ] } ] }, "type": "choice", "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Einrichtung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Institution" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Institución" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Institution" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Instituição" } ] } ] }, "type": "string", "enableWhen": [ { "question": "8.3", "operator": "=", "answerCoding": { "code": "373066001", "system": "http://snomed.info/sct" } } ] }, { "linkId": "8.3.2", "text": "Level & Area of study", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Niveau und Fachrichtung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Level & Area of study" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nivel y área de estudio" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Niveau et domaine d'études" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Nível e área de estudo" } ] } ] }, "type": "string", "enableWhen": [ { "question": "8.3", "operator": "=", "answerCoding": { "code": "373066001", "system": "http://snomed.info/sct" } } ] } ] }, { "linkId": "8.4", "text": "Lifestyle", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Lebensstil" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Lifestyle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Estilo de vida" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Mode de vie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Estilo de vida" } ] } ] }, "type": "group", "item": [ { "linkId": "8.4.1", "text": "Do you currently smoke?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Rauchen Sie derzeit?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you currently smoke?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Fuma actualmente?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fumez-vous actuellement?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Fuma atualmente?" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Nimmst du irgendwelche Freizeitdrogen?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Do you take any recreational drugs?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Tomas alguna droga recreativa?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Prenez-vous des drogues récréatives?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Consome drogas recreativas?" } ] } ] }, "type": "choice", "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie oft trinken Sie Alkohol?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "How often do you drink Alcohol?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Con qué frecuencia bebe alcohol?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "A quelle fréquence consommez-vous de l'alcool?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Com que frequência bebe álcool?" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie viel trinken Sie normalerweise bei jeder Gelegenheit? (1 Drink = 1 Dose Bier, 1 Glas Wein oder 1 Schnaps)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "On each occasion, how much do you normally drink? (1 drink = 1 can of beer, 1 glass of wine, or 1 shot of spirits)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "En cada ocasión, ¿cuánto bebe normalmente? (1 trago = 1 lata de cerveza, 1 copa de vino o 1 shot de licor)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "À chaque occasion, combien buvez-vous normalement? (1 verre = 1 canette de bière, 1 verre de vin ou 1 shot d'alcool fort)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Em cada ocasião, quanto você normalmente bebe? (1 drink = 1 lata de cerveja, 1 copo de vinho ou 1 dose de destilados)" } ] } ] }, "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?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Wie viele Stunden bewegen Sie sich im Durchschnitt pro Woche?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "How many hours of physical activity do you do on an average week?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Cuántas horas de actividad física realiza de media a la semana?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Combien d'heures d'activité physique pratiquez-vous en moyenne par semaine?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Quantas horas de atividade física pratica em média por semana?" } ] } ] }, "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)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Häufigkeit (Mal pro Woche)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Frequency (times per week)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Frecuencia (veces por semana)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fréquence (fois par semaine)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Frequência (vezes por semana)" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Intensität" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Intensity" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Intensidad" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Intensité" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Intensidade" } ] } ] }, "type": "string" } ] } ] } ] }, { "linkId": "9", "text": "SURGICAL HISTORY", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "CHIRURGISCHE VORGESCHICHTE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "SURGICAL HISTORY" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "HISTORIAL QUIRÚRGICO" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "ANTÉCÉDENTS CHIRURGICAUX" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "HISTÓRICO CIRÚRGICO" } ] } ] }, "type": "group", "item": [ { "linkId": "9.1", "text": "Please provide details for each surgery you have had", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte geben Sie Einzelheiten zu jeder Operation an, die Sie hatten" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Please provide details for each surgery you have had" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Indique los detalles de cada intervención quirúrgica a la que se haya sometido" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez indiquer les détails de chaque intervention chirurgicale que vous avez subie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Indique os pormenores de cada cirurgia a que foi submetido" } ] } ] }, "type": "group", "repeats": true, "item": [ { "linkId": "9.1.1", "text": "Year", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Jahr" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Year" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Año" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Année" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Ano" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ort der Operation" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Place of Surgery" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Lugar de la intervención" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Lieu de l'intervention chirurgicale" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Local da cirurgia" } ] } ] }, "type": "string" }, { "linkId": "9.1.3", "text": "Details (Surgeon, Type of Procedure, any complications or issues?, findings)", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Details (Chirurg, Art des Eingriffs, Komplikationen oder Probleme?, Befunde)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Details (Surgeon, Type of Procedure, any complications or issues?, findings)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Detalles (cirujano, tipo de intervención, complicaciones o problemas, resultados)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Détails (chirurgien, type d'intervention, complications ou problèmes éventuels, résultats)" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Detalhes (cirurgião, tipo de procedimento, quaisquer complicações ou problemas?, resultados)" } ] } ] }, "type": "string" } ] } ] }, { "linkId": "10", "text": "MENOPAUSE", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "MENOPAUSE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "MENOPAUSE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "MENOPAUSIA" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "MÉNOPAUSE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "MENOPAUSA" } ] } ] }, "type": "group", "item": [ { "linkId": "10.1", "text": "Does this section apply to you (menopausal or perimenopausal)?", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Trifft dieser Abschnitt auf Sie zu (menopausal oder perimenopausal)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Does this section apply to you (menopausal or perimenopausal)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "¿Esta sección se aplica a usted (menopáusica o perimenopáusica)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Cette section vous concerne-t-elle (ménopause ou périménopause)?" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Esta secção aplica-se a si (menopausa ou perimenopausa)?" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/yes-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.", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Beurteilen Sie auf der nachstehenden modifizierten Greene-Skala den Schweregrad Ihrer Symptome und notieren Sie den Wert." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "On the Modified Greene Scale below, judge the severity of your symptoms and record the score." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "En la escala de Greene modificada que aparece a continuación, juzgue la gravedad de sus síntomas y anote la puntuación." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Sur l'échelle de Greene modifiée ci-dessous, évaluez la gravité de vos symptômes et notez le résultat." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Na Escala de Greene Modificada abaixo, avalie a gravidade dos seus sintomas e registe a pontuação." } ] } ] }, "type": "group", "enableWhen": [ { "question": "10.1", "operator": "=", "answerCoding": { "code": "373066001", "system": "http://snomed.info/sct" } } ], "item": [ { "linkId": "10.1.1.1", "text": "Hot flushes", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Hitzewallungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Hot flushes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Sofocos" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Bouffées de chaleur" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Afrontamentos" } ] } ] }, "code": [ { "code": "198436008", "system": "http://snomed.info/sct", "display": "Menopausal flushing (finding)" } ], "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Schwindelgefühle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Lightheaded feelings" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Sensación de mareo" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Sensations de tête légère" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sensação de tonturas" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Kopfschmerzen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Headaches" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dolores de cabeza" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Maux de tête" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dores de cabeça" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Reizbarkeit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Irritability" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Irritabilidad" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Irritabilité" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Irritabilidade" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Depression" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Depression" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Depresión" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Dépression" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Depressão" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ungeliebte Gefühle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Unloved feelings" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Sentimientos no queridos" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Sentiments de mal-aimé" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sentimentos não amados" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ängste" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Anxiety" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Ansiedad" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Anxiété" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Ansiedade" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Stimmungsschwankungen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Mood changes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cambios de humor" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Changements d'humeur" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Alterações de humor" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Schlaflosigkeit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Sleeplessness" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Insomnio" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Insomnie" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Insónias" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ungewöhnliche Müdigkeit" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Unusual tiredness" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cansancio inusual" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Fatigue inhabituelle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Cansaço invulgar" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Rückenschmerzen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Backache" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dolor de espalda" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Mal de dos" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dor nas costas" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Gelenkbeschwerden" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Joint pains" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dolores articulares" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Douleurs articulaires" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dores nas articulações" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Muskelschmerzen" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Muscle pains" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Dolores musculares" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Douleurs musculaires" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Dores musculares" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Neue Gesichtsbehaarung" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "New facial hair" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Nuevo vello facial" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Nouvelle pilosité faciale" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Novos pêlos faciais" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Trockene Haut" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Dry skin" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Piel seca" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Peau sèche" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Pele seca" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Krabbelnde Gefühle unter der Haut" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Crawling feelings under the skin" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Sensación de arrastre bajo la piel" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Sensations de reptation sous la peau" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Sensações de rastejamento sob a pele" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Weniger sexuelle Gefühle" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Less sexual feelings" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Menos sentimientos sexuales" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Moins de sentiments sexuels" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Menos sentimentos sexuais" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Trockene Vagina" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Dry vagina" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Vagina seca" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Vagin sec" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Vagina seca" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Unbequemer Geschlechtsverkehr" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Uncomfortable intercourse" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Relaciones sexuales incómodas" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Rapports sexuels inconfortables" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Relações sexuais incómodas" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Veränderungen der Harnfrequenz" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "Urinary frequency changes" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Cambios en la frecuencia urinaria" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Modifications de la fréquence urinaire" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Alterações da frequência urinária" } ] } ] }, "type": "choice", "required": true, "answerValueSet": "https://simplifier.net/guide/hmb-fhir-ig/ValueSet/severity", "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "WEITERE HINWEISE" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "OTHER NOTES" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "OTRAS NOTAS" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "AUTRES REMARQUES" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "OUTRAS NOTAS" } ] } ] }, "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", "_text": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte nutzen Sie das nachstehende Feld, um uns mitzuteilen, was wir sonst noch tun können oder was wir beachten müssen, um Ihre Gesundheitsreise bestmöglich zu unterstützen." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en" }, { "url": "content", "valueString": "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" } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "es" }, { "url": "content", "valueString": "Utilice el espacio que aparece a continuación para comunicarnos cualquier otra cosa que podamos hacer o que debamos tener en cuenta para ayudarle en su proceso de salud." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "fr" }, { "url": "content", "valueString": "Veuillez utiliser l'espace ci-dessous pour nous faire part de toute autre chose que nous pourrions faire ou que nous devrions noter pour soutenir au mieux votre parcours de santé." } ] }, { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "pt" }, { "url": "content", "valueString": "Utilize o espaço abaixo para nos informar de qualquer outra coisa que possamos fazer ou que precisemos de registar para melhor apoiar o seu percurso de saúde" } ] } ] }, "type": "text" } ] } ] }