<status value="active" /> <publisher value="qhRefer Template Manager" /> <useContext> <code> <code value="R1" /> <display value="Referral form" /> </code> <valueCodeableConcept> <coding> <code value="R1" /> <display value="Referral form" /> </coding> </valueCodeableConcept> </useContext> <jurisdiction> <coding> <code value="PHN306" /> <display value="Central Queensland and Sunshine Coast PHN" /> </coding> </jurisdiction> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"875ce591-3bab-fd21-da46-65efda151c13","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="34e7e29c-f6d6-6a1e-d2c6-3ff332078e91" /> <type value="group" /> <enableWhen id="08659acf-dbb9-8679-7cb2-45e6f46ab60c"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"37e6cc80-1f2d-a8e9-a684-16356354e0f9","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"3ee6a54e-a0ff-143e-6a49-5eaa64a44685","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <linkId value="5087b504-d9cb-56f6-7d51-4aa15fef0c65" /> <text value="Show emergency referral criteria" /> <type value="choice" /> <required value="false" /> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="21b58439-8183-8680-c59f-b7abcc911f78" /> <type value="display" /> <enableWhen id="51ac323f-682e-3ac6-b63e-abacd1d4682e"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="5087b504-d9cb-56f6-7d51-4aa15fef0c65" /> <answerString value="Show" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region** * Diabetic ketoacidosis * Diabetes and severe vomiting * Acute severe hyperglycaemia * Acute severe hypoglycaemia" /> <type value="display" /> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"36565275-e3b0-e184-856f-3a9040330d17","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb" /> <text value="Minimum Referral Criteria" /> <type value="group" /> <enableWhen id="ced21bdd-9f3e-4777-3833-709123bdc834"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="b34a1f8f-5364-799f-8009-b1f1981275c9" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="check-box" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"4575f651-6dcb-8ac2-89ee-350f626d67e1","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"582ec602-2d96-b882-3727-b54889d9291e","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <linkId value="70271412-10e2-8bef-f441-99241915f74d" /> <text value="Minimum referral criteria" /> <type value="choice" /> <required value="true" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"d5c8da9e-a9b1-4fef-e836-86f4a97a126d","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"71aee3ba-edf8-b589-a1ae-4986d801c4ff","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="8826a3af-bcd2-040e-e68a-919e29276b64" /> <text value="Please describe reason(s) for clinical override request" /> <type value="text" /> <enableWhen id="73367e7d-6a9f-8159-debe-539acad1588d"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="70271412-10e2-8bef-f441-99241915f74d" /> <answerString value="Request clinical override of minimum referral criteria" /> </enableWhen> <required value="true" /> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="false" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="9dbe4178-06cf-acff-09f8-def6b16bde96" /> <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/specialty-form-question-definition#cpcUrgency30Days" /> <text value="CPC Clinical Urgency" /> <type value="display" /> <enableWhen id="4cf36b76-5e09-aa8d-89a9-f4a70703c53e"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="b9a11e57-9aed-5d2f-5b3e-854255bc344a" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/alternative-text"> <valueMarkdown value="Category 1 (appointment within 30 calendar days)" /> </extension> <text value="**For optimum care, the patient should be seen within 1 week at maternity service. Please review your 'priority' selection.** **Note: pregnancy in a patient with existing diabetes requires early referral to maternity services**" /> <type value="display" /> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"af8e44cf-abd3-b58b-4ed7-070613d2ed3b","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="8fea745c-6a0d-3140-879d-b37dd0145f23" /> <text value="Referral Indication" /> <type value="group" /> <enableWhen id="ad6fe232-1f24-e383-30da-1712b33b19dc"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="7d15a5df-46da-53d5-482d-87c5e71b7683" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="check-box" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b22e22ea-6bf2-0237-5ef6-1729bf537c6b","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"1b7dec6a-fd38-44d9-278b-eb8b85c53a91","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <linkId value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" /> <text value="Referral indication(s)" /> <type value="choice" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"8812a21f-c0ee-9fcb-31fe-9573286ba816","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"a76500be-bc50-5dcb-bccd-902518d6334e","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="f1df68eb-22a8-d6e9-ca1f-329cd260467b" /> <text value="Please describe" /> <type value="text" /> <enableWhen id="68ec2473-bd95-7bdf-875c-30f293320e75"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" /> <answerString value="Other" /> </enableWhen> <required value="false" /> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="c635d7df-9c38-89bb-a4fc-9146f414d2fb" /> <type value="display" /> <enableWhen id="98ace7a3-801b-3b03-fe39-04ad99cb7fbf"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" /> <answerString value="Gestational diabetes (GDM), or diabetes first recognised during pregnancy" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**For optimum care, the patient should be seen within 1 week at maternity service** **Note: pregnancy in a patient with existing diabetes requires early referral to maternity services**" /> <type value="display" /> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"de878df6-106b-aea7-79d2-19f9417bab2e","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="d22da621-a905-493c-6149-5750a9d8f667" /> <text value="History and Examination" /> <type value="group" /> <enableWhen id="a638e3fa-55d2-2c96-62ec-967c02a346b8"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="80940ffb-7ac9-f26b-fb77-d4b91bf09341" /> <type value="display" /> <enableWhen id="f4d6f20b-a2d0-46a4-21b5-310e43857ae3"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="false" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Essential referral information:** **The most recent blood pressure and BMI recorded in the practice software (PMS) will automatically be included in the referral, please ensure that these are up to date**" /> <type value="display" /> </item> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="f5e998fe-c21b-77f8-851b-fcdbfad1d4d7" /> <type value="display" /> <enableWhen id="4fbd7cfb-ca08-0233-7809-bc42bbf8423e"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Recommended referral information:** **The most recent blood pressure and BMI recorded in the practice software (PMS) will automatically be included in the referral, please ensure that these are up to date**" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="number" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="gravida" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"53decdee-a936-45bd-1458-b3a0d50475af","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="983d02b4-dbe8-62b9-19b2-765170c76247" /> <text value="Gravidity" /> <type value="quantity" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="number" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="para" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"49aa2c6f-fc6f-5114-1845-7fb77709f5b0","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="99b3d1c0-129c-ce65-a073-81ea0910f321" /> <text value="Parity" /> <type value="quantity" /> <enableWhen id="06ede5a9-8898-1b6e-1d6e-27353d6ef373"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value=">=" /> </extension> <question value="983d02b4-dbe8-62b9-19b2-765170c76247" /> <answerDecimal value="1" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="date-picker" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="lnmp" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"4003b677-35d4-bf8d-1534-3b1e4aa4a046","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="469f8b70-88c0-a091-27e2-6ae51d7fa3a9" /> <text value="Last normal menstrual period (LNMP)" /> <type value="date" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="date-picker" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="edb" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"1be32fa2-3a9c-dcb7-1a5e-9c8dc8b7db6c","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="c956e346-1a3e-d3e7-db22-4297c1de1a93" /> <text value="Estimated date of birth (EDB)" /> <type value="date" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"a04886c7-b26d-9490-a1ba-2b3a01823c71","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"6db670df-3b4e-e0c4-aa57-b38c4064e1ea","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="f27f16b3-b1d1-36d5-3d81-45c68c3f2eef" /> <text value="Current pregnancy" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"93388e68-e91f-500f-8ef0-54869f4aa5d2","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"f66ad09e-0c64-8ae2-1781-09d3d12c1ad8","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="e39c5161-0e5f-86bf-089c-a5930fe5beef" /> <text value="Please give details" /> <type value="text" /> <enableWhen id="3fdf5b5f-04da-81b8-484c-240b3ed73a40"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="f27f16b3-b1d1-36d5-3d81-45c68c3f2eef" /> <answerString value="Multiple" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"a04886c7-b26d-9490-a1ba-2b3a01823c71","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"0a02452d-e425-9dba-8dcb-8d6455590e85","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="54fbacf5-1d59-2da8-daa2-df7b60338e87" /> <text value="Details of past obstetric history known" /> <type value="choice" /> <enableWhen id="1b2415d7-e53f-a587-d2f6-71fe965389a8"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value=">=" /> </extension> <question value="983d02b4-dbe8-62b9-19b2-765170c76247" /> <answerDecimal value="1" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="17ad0bc0-775c-5a50-075a-4361ed1fb7a3" /> <type value="display" /> <enableWhen id="2bf54d39-c964-a025-d950-2d34cd84df73"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="54fbacf5-1d59-2da8-daa2-df7b60338e87" /> <answerString value="Yes" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**For each pregnancy, please provide details of outcome:**" /> <type value="display" /> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="repeating-list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/minimum-repeats"> <valueInteger value="1" /> </extension> <linkId value="f8f0ad1e-520a-cc68-9280-cd2223712969" /> <text value="Pregnancy" /> <type value="group" /> <enableWhen id="e9918e20-cf34-dd9a-aaf2-d97509206d9b"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="54fbacf5-1d59-2da8-daa2-df7b60338e87" /> <answerString value="Yes" /> </enableWhen> <repeats value="true" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="radio-button" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"009c1705-bca1-10f4-eee2-0a26ce0d4a6b","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"43d0e94f-be07-1c71-82ae-d801aac14cd6","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <linkId value="3ce5531e-368d-4751-a214-468376afd0ef" /> <text value="Pregnancy" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c764116b-a3f8-46e7-c458-2eb38420c05a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"36ee64ec-8f7f-5c18-945e-6baea968646b","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="9185e3f0-e721-3e92-d3c8-fb6c304c877b" /> <text value="Please give details" /> <type value="text" /> <enableWhen id="99f92755-d68e-f32c-6882-a5cdbfe4d72f"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Miscarriage" /> </enableWhen> <enableWhen id="d0c9cf5d-589a-6293-a4ea-44dff0f2285d"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Ectopic pregnancy" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"4cb7a627-9e70-eec1-e92c-c883683386a4","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="d763c89e-b40c-543e-f5bc-6ede4f9af401" /> <text value="Date of birth" /> <type value="choice" /> <enableWhen id="6f3d7a46-b3bf-0343-2ce7-83396800cc09"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="c9b16745-2923-bfe2-6c51-0081de69fe25"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <enableWhen id="8f531764-c27d-af69-d882-18d074390559"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Stillbirth" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="date-picker" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-date-picker-restriction"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/date-picker-restriction" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"ecb43616-6fa4-2a4e-31c8-c769e78e1b28","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"896f7b29-c947-2038-dbbb-0b715d14a44c","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="24fb0ccd-7a6b-3a70-e84b-8f0b489c972b" /> <text value="Date of birth" /> <type value="date" /> <enableWhen id="4f2689c1-f80e-2991-2d4e-d1d8117d83dc"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d763c89e-b40c-543e-f5bc-6ede4f9af401" /> <answerString value="Known" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"1cb003c1-3288-35a1-4e64-f1c68f751fd3","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="7cb3afc2-66e0-f843-8b11-7674450fec15" /> <text value="Gestation" /> <type value="choice" /> <enableWhen id="4db5d969-409a-3e3f-5de9-7de3d599de0c"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="has-value" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"ce38f846-1fdd-8034-d384-95f850049c22","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="3f33f86e-78e0-a90f-7a4f-10c7bbf70b6f" /> <text value="Gestation" /> <type value="string" /> <enableWhen id="badb2f17-ef08-eb10-3323-41e2b1a39a96"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="7cb3afc2-66e0-f843-8b11-7674450fec15" /> <answerString value="Known" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"7a6cf402-0042-c00d-5391-be786d61f8fb","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="275ea93f-8802-fd8c-8bfb-ad2ed0117163" /> <text value="Mode of birth" /> <type value="choice" /> <enableWhen id="1b6f61a5-76de-1be3-0f4e-244c7037ddd0"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="04607ef0-1b6e-9de4-aa96-b480083b974b"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <enableWhen id="432927fb-5e9a-d483-70c6-073a8c71cfde"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Stillbirth" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"6542b714-7a41-b988-659b-6b567290400e","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="e7ef2f77-f1a0-8254-98c7-7fa06bd3538e" /> <text value="Mode of birth" /> <type value="string" /> <enableWhen id="1258c0c0-b458-3acb-0e37-bbf8885366d1"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="275ea93f-8802-fd8c-8bfb-ad2ed0117163" /> <answerString value="Known" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"5b66837b-0cf6-40f9-d9e5-6cc43e14514d","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="0927b489-3e49-6c8e-ddc9-2a3292f3746c" /> <text value="Birth weight" /> <type value="choice" /> <enableWhen id="6b581e5e-2342-6b79-ec40-dbc172e86389"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="cd011ef4-329c-66b1-6ac7-43c4769618d3"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"7472ab26-844d-03a8-2980-0348e2064990","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="41505b64-a508-0052-66c6-890441d9bb26" /> <text value="Birth weight" /> <type value="string" /> <enableWhen id="e21916d2-2bec-6506-e1bc-2d9e69c998e1"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="0927b489-3e49-6c8e-ddc9-2a3292f3746c" /> <answerString value="Known" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"a35f170d-3765-6afa-a55c-e33d79d5743a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="53642749-8175-c5b4-0890-e627eccd79a5" /> <text value="Place of birth" /> <type value="choice" /> <enableWhen id="2224c4b2-1fbc-e7e9-7af0-e8bf8194a1f8"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="e15577ae-4290-c521-c849-b9995ea1fc6b"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <enableWhen id="6a2c8859-b38e-9e59-aca7-17f44cc373c7"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Stillbirth" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"9cb7d034-c5ae-5a6f-343e-1c73deca130d","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="0db9552c-6bb5-6329-7663-1b1619ccd988" /> <text value="Place of birth" /> <type value="string" /> <enableWhen id="f87c730c-5edc-9aab-745f-84d724e53f6c"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="53642749-8175-c5b4-0890-e627eccd79a5" /> <answerString value="Known" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"ec9c147b-b756-84e9-d977-f337d8d073d7","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"450e81df-3410-184d-3eb5-4421d9d1de74","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="E.G., Gestational diabetes mellitus (GDM), fetal growth restriction, pre-eclampsia, antepartum haemorrhage (APH)" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="8fde4796-9ed0-d554-e7f7-3143040978f0" /> <text value="Complications of pregnancy" /> <type value="choice" /> <enableWhen id="5b70d9d0-0535-1a6b-9eaa-f6cf714c1121"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="f17ac00d-355c-41a2-dc87-2b27f03a2eb8"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <enableWhen id="bde786c0-5b5c-1821-7eeb-bbc7d2072ba8"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Stillbirth" /> </enableWhen> <enableWhen id="7bee8910-1ab0-e7ef-0e9d-afc92747f85e"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Miscarriage" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c764116b-a3f8-46e7-c458-2eb38420c05a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"a7c7b185-7e06-359e-0fd6-3e48f4f369af","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="fbda17b3-31a1-c8cd-4201-b2507151b3d5" /> <text value="Please give details" /> <type value="text" /> <enableWhen id="28d9eff0-67fb-9d0d-e944-32d66687ef67"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="8fde4796-9ed0-d554-e7f7-3143040978f0" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"ec9c147b-b756-84e9-d977-f337d8d073d7","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"22f615b7-ba73-75fc-7577-d223d0f8edae","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="E.G., postpartum haemorrhage (PPH), preterm birth, stillbirth, pre-existing trauma" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="8966e56a-5fff-c907-5838-a54755d9de9f" /> <text value="Complications of birth" /> <type value="choice" /> <enableWhen id="2700882d-3b9b-ccd9-480b-239ebb3f3fec"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="7e99dd91-fcf4-d438-ee33-c7f76a59cf27"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <enableWhen id="eb667052-8913-2761-ed37-7f58786356ea"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Stillbirth" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"671f07cc-8da8-e37c-d52e-416e94fb2314","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"66eadbeb-9380-6790-0dfb-1c6bd045580c","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="374f88d3-4025-c76b-57bb-82b19c5f6270" /> <text value="Please give details" /> <type value="text" /> <enableWhen id="d641c70d-b3cc-4d95-f843-3a5c4173c405"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="8966e56a-5fff-c907-5838-a54755d9de9f" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"d27c8035-19c9-4440-7976-765e94c379f9","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"019eaa96-4dc1-c5b9-3d0f-c74b1621672a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <linkId value="6b4d61c3-70c0-80a2-b736-256f1006ef84" /> <text value="Previous neonatal admission to SCN/NICU" /> <type value="choice" /> <enableWhen id="dbaf5401-8f3d-5422-696c-7880b34d1a67"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Full term" /> </enableWhen> <enableWhen id="9897b39e-642c-3171-d203-d2d770011596"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3ce5531e-368d-4751-a214-468376afd0ef" /> <answerString value="Preterm" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"27a485eb-04d9-de34-2dfc-17faacc496c3","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"6ea12aea-c87d-5a95-5f6c-1f2637c77b80","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="d720e454-c1b9-6f73-2fd6-3decfd6cd665" /> <text value="Please give details" /> <type value="text" /> <enableWhen id="353b69cc-2377-de4b-71e1-7767de98387d"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="6b4d61c3-70c0-80a2-b736-256f1006ef84" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"4239b6f9-9f1f-60cc-357c-85cea1472e51","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="3c8d1da6-0f16-236a-a2e4-58dffd44424a" /> <type value="group" /> <enableWhen id="45531cbc-eb61-f72a-fa8a-dbb7c9f56e36"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"a7c21c84-da24-0b09-cfb0-79b901407996","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"90966710-150b-4cca-083a-938e97092826","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="Including psychotropic drugs such as sodium valproate, lithium and other medications with recognised fetal implications" /> </extension> <linkId value="5d696252-0c64-7281-c9dd-854e213abced" /> <text value="Current or recent medications with recognised fetal implications" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"54936c8e-08b2-36e3-1004-4325e449e90e","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"e81bd60c-876e-572d-8736-705186fb5eaf","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="58e73534-83fa-26ee-b908-59473b658d79" /> <text value="Please describe" /> <type value="text" /> <enableWhen id="ff14ea41-6cc1-c0e5-3b1c-d4e9741e90ad"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="5d696252-0c64-7281-c9dd-854e213abced" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"37ac3fb0-6ba3-c4e9-4a73-d7220e9a0def","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"e58db0ed-689b-0982-120a-b0a746d15407","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="Including details of any risk factors/comorbidities (e.g. diabetes, obesity, bariatric surgery, asthma, cardiac, renal or liver disease, hypertension, eating disorders, mental health concerns, substance abuse etc.)" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="96c2cef4-a2f2-3ecc-b785-0b28ce147cf6" /> <text value="Relevant medical, surgical and psychosocial history" /> <type value="text" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"531e8dfb-ea63-8c7f-3f07-2c2c0021bdf3","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"3c258484-bffe-4fdf-37f2-b2144b9a8bb3","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="88b4876b-9822-af2a-254c-bd89d5806999" /> <text value="Drug, alcohol, and smoking history" /> <type value="text" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="9123443b-ccf2-f641-2994-4718492d967f" /> <type value="display" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Immunisation History**" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"da654310-f48a-bf9b-2ba0-f4b66834415a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"125c5bd8-f59b-5277-5557-b431b1f3d18c","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="8a755a8f-31bd-87e9-dc72-ea7d3e89f66a" /> <text value="Influenza (this season)" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"9e27acdd-c719-7352-ad1d-cee374fe8bf6","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"2795b4f5-f18c-1874-cb64-2a3f1c1a8bbf","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="fb0c4572-40eb-5270-b897-0467fb6df795" /> <text value="COVID-19 (any vaccinations)" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="check-box" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"8aa2d9ae-9713-3ee6-3c1f-c991803deb23","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"ec0ea86b-2014-a095-a270-f880a3d7f12c","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="27b6a09a-39e3-e748-2525-e32f4b782cf1" /> <text value="COVID vaccination" /> <type value="choice" /> <enableWhen id="02b4ea9d-499b-2cc9-3611-a68519ec765f"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="fb0c4572-40eb-5270-b897-0467fb6df795" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"da654310-f48a-bf9b-2ba0-f4b66834415a","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"ae992c9b-0c7d-da98-347e-c430e95042c1","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="0e92db10-465f-c614-6e37-2145412f726c" /> <text value="Has Pertussis been discussed and planned for after 20 weeks" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="3d1ac29f-6507-6e59-627a-feb89c4a3a9e" /> <type value="display" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Ethnicity:**" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="check-box" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"6e1b9568-a93a-2a15-773e-9a374ae29fcb","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"3832a33f-7248-885a-255d-4ef39bf15307","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="a57cbc74-6287-086d-7144-7be82ad19e9c" /> <text value="Indigenous status" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="drop-down-multiselect" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"2e5c9aba-05bd-8df8-6bdf-6860b047af54","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"84bd6e26-67be-a426-2a9a-f4c68178b0f2","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="Select all that apply" /> </extension> <linkId value="986972f2-be99-465e-3fde-11cd29917ad7" /> <text value="Ethnicity" /> <type value="choice" /> <enableWhen id="0ce342fb-8e18-45c4-8a68-623049cac281"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="a57cbc74-6287-086d-7144-7be82ad19e9c" /> <answerString value="Neither Aboriginal nor Torres Strait Islander" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"67644f18-1b6f-8398-2706-1a1aa00f8e5d","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"6e33c8cb-032e-194b-9e4d-52d8492fe2c2","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="7f6c02b8-93bf-9377-fb1e-bd311e46bcef" /> <text value="Please give details" /> <type value="string" /> <enableWhen id="b727cef2-4d8c-c297-f383-b36566f2df1c"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="986972f2-be99-465e-3fde-11cd29917ad7" /> <answerString value="Other" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"936e494c-b9e8-0fab-4a4d-12fe4bce61da","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"2e91d40d-0d48-bb9a-2324-478b3cd0ffbd","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="b7c98ded-dc9a-d517-a68b-9d22acc09780" /> <text value="Is an interpreter required" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-box" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"512344de-14b4-b904-4015-602c32f64d61","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"851ef12e-362a-58a3-929c-541b63ee5cef","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="14737da5-a430-0f2e-3479-a7b212aef341" /> <text value="Language spoken" /> <type value="string" /> <enableWhen id="e4478a78-e605-b459-691b-03bbb87e3ef2"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="b7c98ded-dc9a-d517-a68b-9d22acc09780" /> <answerString value="Yes" /> </enableWhen> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"fe739a74-636c-5ed9-6794-10de40f28aa7","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"b714dbed-dfcf-d986-9372-48800b3c15e7","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="7754c120-c6e8-ff2a-1eb1-260d6a933a09" /> <text value="Will the child identify as Aboriginal and/or Torres Strait Islander" /> <type value="choice" /> <required value="false"> <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression"> <extension url="language"> <valueString value="text/fhirpath" /> </extension> <extension url="expression"> <valueString value="%Essential" /> </extension> </extension> </required> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="900aa326-ea8c-111d-1bf7-bfec41a9a371" /> <type value="display" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Additional referral information:** * Past history of GDM and previous management * Outcomes associated with previous GDM e.g. stillbirth, macrosomia, shoulder dystocia, fetal hypoglycaemia * Method of conception (either spontaneous or assisted) * Advise if new partner with this pregnancy * Refugee status * Social history including domestic violence, living situation, drug and alcohol use * Identification of Gillick competence and intellectual capacity (where appropriate) * Recognition of sexual orientation i.e. lesbian, gay and bisexual (LGB)" /> <type value="display" /> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"b603dd5e-da70-9a31-7ea9-64e56c16a514","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="f2ed9708-fb1c-f6c1-df85-b3ecb8f426cb" /> <text value="Referral Letter" /> <type value="group" /> <enableWhen id="affee269-b236-0ba0-aa5a-58f54a8cf692"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"65813fa8-6b5f-89d6-3656-26746ebaafbf","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"12ce3b7c-1793-503e-783c-6846d5940216","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="E.g., presenting symptoms (evolution and duration); physical findings; details of previous treatment" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="c95b8944-6af0-7ceb-e0e4-eafd02a8b16b" /> <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/specialty-form-question-definition#referralLetter" /> <text value="Referral letter" /> <type value="text" /> <required value="false" /> <maxLength value="2000" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="readonly-text" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="sex" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="false" /> </extension> <linkId value="00252249-edbf-8052-4b8b-5a64a133437e" /> <text value="Sex" /> <type value="string" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="readonly-text" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="age" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="false" /> </extension> <linkId value="afadbb75-a3bb-15cc-0a94-25e065fa8406" /> <text value="Age" /> <type value="string" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"c721d0b2-221c-600a-105a-f5e22ebab670","operator":"or","type":"group","conditions":[{"id":"716af4d0-f61d-bc06-6e04-51de79f660db","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"=","operand":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","coded":false}],"returnType":"boolean"}" /> </extension> <linkId value="b9a11e57-9aed-5d2f-5b3e-854255bc344a" /> <text value="Category 1 text is showing" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"70b3412c-d0d7-1358-9d54-b122d358f63d","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="21bd8740-b710-9b04-111d-e6ff784c5ef5" /> <text value="Pathology and Test Results" /> <type value="group" /> <enableWhen id="15fd3fa5-0765-57ff-2539-ba294323c86a"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="f9e02cf4-c013-9992-7cd9-654f48a2c06a" /> <type value="display" /> <enableWhen id="fae92b98-9909-aff5-30e5-14d3135f7a1b"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="false" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Essential referral information:** Diagnostic test result e.g.: * OGTT * Fasting blood sugar * HbA1c **Additional referral information:** * Any additional BGL data * LFT * U&E * Urine protein creatinine ratio * Any other relevant pathology (please manually attach)" /> <type value="display" /> </item> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="5a0395e7-3f61-42c7-e314-ad259d254463" /> <type value="display" /> <enableWhen id="5d374b6b-23f3-5dd1-3fc7-0abbd0264b47"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Recommended referral information:** Diagnostic test result e.g.: * OGTT * Fasting blood sugar * HbA1c **Additional referral information:** * Any additional BGL data * LFT * U&E * Urine protein creatinine ratio * Any other relevant pathology (please manually attach)" /> <type value="display" /> </item> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="889e6dc6-55b1-5f8a-d77f-e23d886294c9" /> <type value="display" /> <enableWhen id="568dad07-759b-9b14-d0cf-f14eb605a82c"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="a6476ddb-c5c4-775e-f129-e703c0ce25de" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**If any laboratory investigations are listed below, they have NOT been automatically selected by the software. Please manually select or attach**" /> <type value="display" /> </item> </item> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="1978f17f-006f-1928-1c54-f3a8dccffe0f" /> <type value="display" /> <enableWhen id="bce18429-a3af-add2-e36e-adfeaed8d038"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**If any laboratory investigations are listed below, they have NOT been automatically selected by the software. Please manually select or attach if available**" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="auto-select-display" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/auto-select-name"> <valueString value="Gestational diabetes" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/auto-select-type"> <valueString value="Unselected" /> </extension> <linkId value="107ac9df-d9ee-af6d-e648-8b567ea1eb8a" /> <text value="Laboratory investigations NOT found by the software:" /> <type value="string" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="url" /> </coding> </valueCodeableConcept> </extension> <linkId value="1501bcbc-8360-6e0a-2c23-3651a0f8d7bd" /> <text value="Click link to manually select investigations" /> <type value="display" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="url" /> </coding> </valueCodeableConcept> </extension> <linkId value="d8844e3c-0562-cc11-6288-7033d5f9385d" /> <text value="Click link to manually attach investigations" /> <type value="display" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="button-bar" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"45fcb3d7-038f-8bab-421d-2a464e261a67","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text"> <valueString value="Clear selection" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"d9c51c95-599f-1e4a-87aa-a8f412789b6f","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="0bb55b46-9630-ec70-8eb6-2e8559e4b6ae" /> <text value="Request to override essential referral information requirement" /> <type value="choice" /> <enableWhen id="0dd34ee1-7c22-485e-481f-66424d5dbf56"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <answerBoolean value="false" /> </enableWhen> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"3002b990-2ddb-8b4f-3472-43bc355f223b","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"96383d03-377e-b9a0-c700-bddab285f4b9","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="21d9830b-2193-317b-c86e-c64673b7e31c" /> <text value="Please describe reason unable to complete investigations" /> <type value="text" /> <enableWhen id="afb6767a-436c-b6a2-1eb7-6047099c4093"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="0bb55b46-9630-ec70-8eb6-2e8559e4b6ae" /> <answerString value="Yes" /> </enableWhen> <required value="true" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"9044559f-3774-2dea-49b0-7fc249b91f33","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="0a31f22c-628c-c180-e100-3a64c48bb532" /> <text value="Imaging and Reports" /> <type value="group" /> <enableWhen id="8c87be12-2325-7a23-26ac-eec13832e8b4"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <answerBoolean value="true" /> </enableWhen> <item> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <linkId value="383c231a-c6be-f6e3-4c4f-6dc32bcb3e13" /> <type value="display" /> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="inline" /> </coding> </valueCodeableConcept> </extension> <text value="**Additional referral information:** * Fetal ultrasound * Additional relevant imaging" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="check-box" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/choice-list-orientation" /> <code value="vertical" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"0f1e6d90-783c-e08d-881f-36d4a98861ce","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"13eec616-d097-db1d-8c8c-449ca9c99513","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable"> <valueBoolean value="false" /> </extension> <extension url="http://hl7.org/fhir/layout-columns"> <valueString value="3-columns" /> </extension> <linkId value="dca57b0c-89cf-4e92-6067-aa98f0785afe" /> <text value="Imaging performed" /> <type value="choice" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"9cc48fe6-df10-7f47-40cc-9f3a0005ae40","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"6a291717-3609-8555-fa72-d03bb0e5a0e1","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <linkId value="73ed8691-c2c6-9080-60f7-03e9e442cd4b" /> <text value="Please specify other imaging" /> <type value="text" /> <enableWhen id="ccda4834-0387-24f9-6de3-378d6c70ae86"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="dca57b0c-89cf-4e92-6067-aa98f0785afe" /> <answerString value="Other" /> </enableWhen> <required value="true" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="url" /> </coding> </valueCodeableConcept> </extension> <linkId value="a937daf7-a4d0-e229-6129-b6f01afe0537" /> <text value="Click link to manually select imaging" /> <type value="display" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="url" /> </coding> </valueCodeableConcept> </extension> <linkId value="30844639-0361-9e88-8a53-3ecbc3660d61" /> <text value="Click link to manually attach imaging" /> <type value="display" /> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"b5c33dbe-dd7b-6dfe-deba-a2bb859a0d6a","operator":"or","type":"group","conditions":[{"id":"d6e4107f-8b7f-e26b-70ce-04ff999441ab","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"has-value","operand":null,"coded":false}],"returnType":"boolean"}" /> </extension> <linkId value="e39bd053-7f95-de4a-8411-9397dc7e4d46" /> <text value="Minimum ciriteria has value" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"ef313dab-9ba5-6b28-1661-f569425147b3","operator":"or","type":"group","conditions":[{"id":"b3e14169-1cd2-bff9-f995-6d5b085938c1","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"operator":"=","operand":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6","coded":true},{"id":"817240e1-f7c9-8e88-81e4-cfe58aa24684","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"=","operand":"Request clinical override of minimum referral criteria","coded":false}],"returnType":"boolean"}" /> </extension> <linkId value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" /> <text value="Private or Clinical override" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="readonly-text" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="funding" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="false" /> </extension> <linkId value="8e59fb06-066d-2d00-7a90-ae55e0bc5e72" /> <text value="Provider" /> <type value="string" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"bf6cdcfb-49ad-41fe-9787-cbc45f8d598c","operator":"or","type":"group","conditions":[{"id":"a34e8202-07b0-25e3-cf58-edc8383f74db","type":"condition","item":{"text":"Imaging performed","value":"dca57b0c-89cf-4e92-6067-aa98f0785afe","dataType":"choice","container":{"type":"list","id":"0a31f22c-628c-c180-e100-3a64c48bb532"},"operators":"equality","options":[{"display":"Ultrasound","value":"Ultrasound"},{"display":"Other","value":"Other"}],"showEligibleWhenOption":true},"coded":false,"operator":"has-value","operand":null}],"returnType":"boolean"}" /> </extension> <linkId value="7cac472b-7e56-4546-da9d-f4c57d9ff7ae" /> <text value="Imaging performed public has value" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"7f719cc3-997d-b0c6-e137-b06c4a38bc39","operator":"or","type":"group","conditions":[{"id":"a8b80522-eff2-b52f-a01c-747617a4a29b","operator":"and","type":"group","conditions":[{"id":"cd13c968-1614-8470-c17c-efac50ba4b5a","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"has-value","operand":null,"coded":false},{"id":"8b34e46e-382e-f4e1-6291-77c71fd9f701","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"!=","operand":"Request clinical override of minimum referral criteria","coded":false}]},{"id":"3a28ac85-2d80-0722-dfd4-1d1c36c6e743","operator":"and","type":"group","conditions":[{"id":"3d278ddd-c6bd-1415-b6eb-d18f96077b4a","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"operator":"=","operand":"7BEEBDA2-2DD5-4812-98DB-330011333617","coded":true},{"id":"641afc38-0c11-66e0-2df7-5e2a5daf00b1","type":"condition","item":{"text":"Minimum ciriteria has value","value":"e39bd053-7f95-de4a-8411-9397dc7e4d46","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"operator":"=","operand":false,"coded":false}]}],"returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover"> <valueString value="This was created when using variable Private or Clinical override as False to display essential information wasn't working as expected. This can be used to forced the display of text when No value has been selected." /> </extension> <linkId value="a6476ddb-c5c4-775e-f129-e703c0ce25de" /> <text value="Show essential Labs/Imaging" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="readonly-text" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item"> <valueString value="referralType" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable"> <valueBoolean value="false" /> </extension> <linkId value="e6904c02-7ffe-ef4f-3783-d77861dc74f6" /> <text value="Referral type" /> <type value="string" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"93fa12ff-c882-5b8e-cca9-2d1d7a90f568","operator":"or","type":"group","returnType":"boolean","conditions":[{"id":"7806f475-79a2-19a3-2833-a993af3ff9c6","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"id":"7203d2e7-f7a8-4362-97a8-cbdaab0d17ab","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"id":"b8fe49cc-d32e-8b77-3b72-cacc4dfb77df","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"9AA2003F-EDB9-43C1-A943-249B78858295"}]}" /> </extension> <linkId value="3976b0fa-3f13-8745-b9be-b32e8251e84c" /> <text value="Referral type New, Continuation or Update" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"b2a61f3c-cc20-d518-42b1-eb7d5a811bb0","operator":"and","type":"group","returnType":"boolean","conditions":[{"id":"9f875eb4-5557-b96f-0a5f-98d48218cf1a","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"id":"67e16b58-3294-d64a-99c8-d453f1192439","type":"condition","item":{"text":"Referral type New, Continuation or Update","value":"3976b0fa-3f13-8745-b9be-b32e8251e84c","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"coded":false,"operator":"=","operand":true}]}" /> </extension> <linkId value="b34a1f8f-5364-799f-8009-b1f1981275c9" /> <text value="Public and referral type New, Continuation or Update" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="calculated-field" /> </coding> </valueCodeableConcept> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden"> <valueBoolean value="true" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions"> <valueString value="{"id":"7beb2bdc-c991-1e8c-a942-e9ef8ff1fea3","operator":"and","type":"group","returnType":"boolean","conditions":[{"id":"56ff9c34-bae3-a2f7-4527-87ee5b9a735b","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"id":"7242e194-3f52-47a3-05a5-1497862260ed","type":"condition","item":{"text":"Referral type New, Continuation or Update","value":"3976b0fa-3f13-8745-b9be-b32e8251e84c","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"coded":false,"operator":"=","operand":true}]}" /> </extension> <linkId value="7d15a5df-46da-53d5-482d-87c5e71b7683" /> <text value="Private and referral type New, Continuation or Update" /> <type value="boolean" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="list" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"d7321024-4d8e-1fda-5b43-ea7bf13eb186","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="01ad97fd-2051-68d4-e9a0-5accabc802b0" /> <text value="Request for Advice" /> <type value="group" /> <enableWhen id="4bdeb8bf-9dfa-c6fb-34ce-0bdb481db45a"> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator"> <valueString value="=" /> </extension> <question value="e6904c02-7ffe-ef4f-3783-d77861dc74f6" /> <answerCoding> <code value="075A3553-46AE-43FB-8DE6-AC623FFF7763" /> <display value="Request for advice" /> </answerCoding> </enableWhen> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://hl7.org/fhir/questionnaire-item-control" /> <code value="text-area" /> </coding> </valueCodeableConcept> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions"> <valueString value="{"id":"c6bc8297-b474-8b97-6a5b-946663635991","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows"> <valueInteger value="4" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows"> <valueInteger value="16" /> </extension> <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions"> <valueString value="{"id":"1d16fb00-a11a-df7a-1d73-b3fde943eee9","operator":"or","type":"group","returnType":"boolean"}" /> </extension> <linkId value="e3fc3f0c-ee7f-4e16-1e3e-859cbf35a307" /> <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/referral-model-for-merging#referralDetails.referralManagement.replies.replyText" /> <text value="Request for advice - clinical question" /> <type value="text" /> <required value="true" /> </item> </item> </Questionnaire>


    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
    
      
      
    
  
  
    
  
  
    
      
    
    
      
        
          
        
        
      
    
    
      
        
          
        
        
      
    
    
      
        
          
        
        
      
    
    
      
        
          
        
        
      
    
    
      
        
          
        
        
      
    
    
      
        
          
        
        
      
    
  
  
    
  
  
    
      
        
          
            
            
            
          
        
        
          
            
            
            
          
        
      
    
  
  
    
      
        
      
      
        
      
      
        
      
      
        
      
    
  
  
    
  
  
  
  <status value="active" />
  <publisher value="qhRefer Template Manager" />
  <useContext>
    <code>
      <code value="R1" />
      <display value="Referral form" />
    </code>
    <valueCodeableConcept>
      <coding>
        <code value="R1" />
        <display value="Referral form" />
      </coding>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <code value="PHN306" />
      <display value="Central Queensland and Sunshine Coast PHN" />
    </coding>
  </jurisdiction>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"875ce591-3bab-fd21-da46-65efda151c13","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="34e7e29c-f6d6-6a1e-d2c6-3ff332078e91" />
    <type value="group" />
    <enableWhen id="08659acf-dbb9-8679-7cb2-45e6f46ab60c">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"37e6cc80-1f2d-a8e9-a684-16356354e0f9","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"3ee6a54e-a0ff-143e-6a49-5eaa64a44685","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <linkId value="5087b504-d9cb-56f6-7d51-4aa15fef0c65" />
      <text value="Show emergency referral criteria" />
      <type value="choice" />
      <required value="false" />
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="21b58439-8183-8680-c59f-b7abcc911f78" />
      <type value="display" />
      <enableWhen id="51ac323f-682e-3ac6-b63e-abacd1d4682e">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="5087b504-d9cb-56f6-7d51-4aa15fef0c65" />
        <answerString value="Show" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region**

* Diabetic ketoacidosis
* Diabetes and severe vomiting
* Acute severe hyperglycaemia
* Acute severe hypoglycaemia" />
        <type value="display" />
      </item>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"36565275-e3b0-e184-856f-3a9040330d17","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb" />
    <text value="Minimum Referral Criteria" />
    <type value="group" />
    <enableWhen id="ced21bdd-9f3e-4777-3833-709123bdc834">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="b34a1f8f-5364-799f-8009-b1f1981275c9" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="check-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"4575f651-6dcb-8ac2-89ee-350f626d67e1","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"582ec602-2d96-b882-3727-b54889d9291e","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <linkId value="70271412-10e2-8bef-f441-99241915f74d" />
      <text value="Minimum referral criteria" />
      <type value="choice" />
      <required value="true" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"d5c8da9e-a9b1-4fef-e836-86f4a97a126d","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"71aee3ba-edf8-b589-a1ae-4986d801c4ff","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="8826a3af-bcd2-040e-e68a-919e29276b64" />
      <text value="Please describe reason(s) for clinical override request" />
      <type value="text" />
      <enableWhen id="73367e7d-6a9f-8159-debe-539acad1588d">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="70271412-10e2-8bef-f441-99241915f74d" />
        <answerString value="Request clinical override of minimum referral criteria" />
      </enableWhen>
      <required value="true" />
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="false" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="9dbe4178-06cf-acff-09f8-def6b16bde96" />
      <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/specialty-form-question-definition#cpcUrgency30Days" />
      <text value="CPC Clinical Urgency" />
      <type value="display" />
      <enableWhen id="4cf36b76-5e09-aa8d-89a9-f4a70703c53e">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="b9a11e57-9aed-5d2f-5b3e-854255bc344a" />
        <answerBoolean value="true" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/alternative-text">
          <valueMarkdown value="Category 1 (appointment within 30 calendar days)" />
        </extension>
        <text value="**For optimum care, the patient should be seen within 1 week at maternity service. Please review your 'priority' selection.**

**Note: pregnancy in a patient with existing diabetes requires early referral to maternity services**" />
        <type value="display" />
      </item>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"af8e44cf-abd3-b58b-4ed7-070613d2ed3b","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="8fea745c-6a0d-3140-879d-b37dd0145f23" />
    <text value="Referral Indication" />
    <type value="group" />
    <enableWhen id="ad6fe232-1f24-e383-30da-1712b33b19dc">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="7d15a5df-46da-53d5-482d-87c5e71b7683" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="check-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b22e22ea-6bf2-0237-5ef6-1729bf537c6b","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"1b7dec6a-fd38-44d9-278b-eb8b85c53a91","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <linkId value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" />
      <text value="Referral indication(s)" />
      <type value="choice" />
      <required value="false" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"8812a21f-c0ee-9fcb-31fe-9573286ba816","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"a76500be-bc50-5dcb-bccd-902518d6334e","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="f1df68eb-22a8-d6e9-ca1f-329cd260467b" />
      <text value="Please describe" />
      <type value="text" />
      <enableWhen id="68ec2473-bd95-7bdf-875c-30f293320e75">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" />
        <answerString value="Other" />
      </enableWhen>
      <required value="false" />
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="c635d7df-9c38-89bb-a4fc-9146f414d2fb" />
      <type value="display" />
      <enableWhen id="98ace7a3-801b-3b03-fe39-04ad99cb7fbf">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="10a72e9a-e541-016d-0a80-c4fc3cb1e96e" />
        <answerString value="Gestational diabetes (GDM), or diabetes first recognised during pregnancy" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**For optimum care, the patient should be seen within 1 week at maternity service**

**Note: pregnancy in a patient with existing diabetes requires early referral to maternity services**" />
        <type value="display" />
      </item>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"de878df6-106b-aea7-79d2-19f9417bab2e","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="d22da621-a905-493c-6149-5750a9d8f667" />
    <text value="History and Examination" />
    <type value="group" />
    <enableWhen id="a638e3fa-55d2-2c96-62ec-967c02a346b8">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="80940ffb-7ac9-f26b-fb77-d4b91bf09341" />
      <type value="display" />
      <enableWhen id="f4d6f20b-a2d0-46a4-21b5-310e43857ae3">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="false" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Essential referral information:**

**The most recent blood pressure and BMI recorded in the practice software (PMS) will automatically be included in the referral, please ensure that these are up to date**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="f5e998fe-c21b-77f8-851b-fcdbfad1d4d7" />
      <type value="display" />
      <enableWhen id="4fbd7cfb-ca08-0233-7809-bc42bbf8423e">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="true" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Recommended referral information:**

**The most recent blood pressure and BMI recorded in the practice software (PMS) will automatically be included in the referral, please ensure that these are up to date**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="number" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
        <valueString value="gravida" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"53decdee-a936-45bd-1458-b3a0d50475af","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
        <valueBoolean value="true" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="983d02b4-dbe8-62b9-19b2-765170c76247" />
      <text value="Gravidity" />
      <type value="quantity" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="number" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
        <valueString value="para" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"49aa2c6f-fc6f-5114-1845-7fb77709f5b0","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
        <valueBoolean value="true" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="99b3d1c0-129c-ce65-a073-81ea0910f321" />
      <text value="Parity" />
      <type value="quantity" />
      <enableWhen id="06ede5a9-8898-1b6e-1d6e-27353d6ef373">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value=">=" />
        </extension>
        <question value="983d02b4-dbe8-62b9-19b2-765170c76247" />
        <answerDecimal value="1" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="date-picker" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
        <valueString value="lnmp" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"4003b677-35d4-bf8d-1534-3b1e4aa4a046","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
        <valueBoolean value="true" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="469f8b70-88c0-a091-27e2-6ae51d7fa3a9" />
      <text value="Last normal menstrual period (LNMP)" />
      <type value="date" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="date-picker" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
        <valueString value="edb" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"1be32fa2-3a9c-dcb7-1a5e-9c8dc8b7db6c","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
        <valueBoolean value="true" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="c956e346-1a3e-d3e7-db22-4297c1de1a93" />
      <text value="Estimated date of birth (EDB)" />
      <type value="date" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"a04886c7-b26d-9490-a1ba-2b3a01823c71","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"6db670df-3b4e-e0c4-aa57-b38c4064e1ea","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="f27f16b3-b1d1-36d5-3d81-45c68c3f2eef" />
      <text value="Current pregnancy" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"93388e68-e91f-500f-8ef0-54869f4aa5d2","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"f66ad09e-0c64-8ae2-1781-09d3d12c1ad8","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="e39c5161-0e5f-86bf-089c-a5930fe5beef" />
      <text value="Please give details" />
      <type value="text" />
      <enableWhen id="3fdf5b5f-04da-81b8-484c-240b3ed73a40">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="f27f16b3-b1d1-36d5-3d81-45c68c3f2eef" />
        <answerString value="Multiple" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"a04886c7-b26d-9490-a1ba-2b3a01823c71","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"0a02452d-e425-9dba-8dcb-8d6455590e85","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="54fbacf5-1d59-2da8-daa2-df7b60338e87" />
      <text value="Details of past obstetric history known" />
      <type value="choice" />
      <enableWhen id="1b2415d7-e53f-a587-d2f6-71fe965389a8">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value=">=" />
        </extension>
        <question value="983d02b4-dbe8-62b9-19b2-765170c76247" />
        <answerDecimal value="1" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="17ad0bc0-775c-5a50-075a-4361ed1fb7a3" />
      <type value="display" />
      <enableWhen id="2bf54d39-c964-a025-d950-2d34cd84df73">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="54fbacf5-1d59-2da8-daa2-df7b60338e87" />
        <answerString value="Yes" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**For each pregnancy, please provide details of outcome:**" />
        <type value="display" />
      </item>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="repeating-list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/minimum-repeats">
      <valueInteger value="1" />
    </extension>
    <linkId value="f8f0ad1e-520a-cc68-9280-cd2223712969" />
    <text value="Pregnancy" />
    <type value="group" />
    <enableWhen id="e9918e20-cf34-dd9a-aaf2-d97509206d9b">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="54fbacf5-1d59-2da8-daa2-df7b60338e87" />
      <answerString value="Yes" />
    </enableWhen>
    <repeats value="true" />
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="radio-button" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"009c1705-bca1-10f4-eee2-0a26ce0d4a6b","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"43d0e94f-be07-1c71-82ae-d801aac14cd6","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <linkId value="3ce5531e-368d-4751-a214-468376afd0ef" />
      <text value="Pregnancy" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c764116b-a3f8-46e7-c458-2eb38420c05a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"36ee64ec-8f7f-5c18-945e-6baea968646b","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="9185e3f0-e721-3e92-d3c8-fb6c304c877b" />
      <text value="Please give details" />
      <type value="text" />
      <enableWhen id="99f92755-d68e-f32c-6882-a5cdbfe4d72f">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Miscarriage" />
      </enableWhen>
      <enableWhen id="d0c9cf5d-589a-6293-a4ea-44dff0f2285d">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Ectopic pregnancy" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"4cb7a627-9e70-eec1-e92c-c883683386a4","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="d763c89e-b40c-543e-f5bc-6ede4f9af401" />
      <text value="Date of birth" />
      <type value="choice" />
      <enableWhen id="6f3d7a46-b3bf-0343-2ce7-83396800cc09">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="c9b16745-2923-bfe2-6c51-0081de69fe25">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <enableWhen id="8f531764-c27d-af69-d882-18d074390559">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Stillbirth" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="date-picker" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-date-picker-restriction">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/date-picker-restriction" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"ecb43616-6fa4-2a4e-31c8-c769e78e1b28","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"896f7b29-c947-2038-dbbb-0b715d14a44c","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="24fb0ccd-7a6b-3a70-e84b-8f0b489c972b" />
      <text value="Date of birth" />
      <type value="date" />
      <enableWhen id="4f2689c1-f80e-2991-2d4e-d1d8117d83dc">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d763c89e-b40c-543e-f5bc-6ede4f9af401" />
        <answerString value="Known" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"1cb003c1-3288-35a1-4e64-f1c68f751fd3","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="7cb3afc2-66e0-f843-8b11-7674450fec15" />
      <text value="Gestation" />
      <type value="choice" />
      <enableWhen id="4db5d969-409a-3e3f-5de9-7de3d599de0c">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="has-value" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"ce38f846-1fdd-8034-d384-95f850049c22","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="3f33f86e-78e0-a90f-7a4f-10c7bbf70b6f" />
      <text value="Gestation" />
      <type value="string" />
      <enableWhen id="badb2f17-ef08-eb10-3323-41e2b1a39a96">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="7cb3afc2-66e0-f843-8b11-7674450fec15" />
        <answerString value="Known" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"7a6cf402-0042-c00d-5391-be786d61f8fb","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="275ea93f-8802-fd8c-8bfb-ad2ed0117163" />
      <text value="Mode of birth" />
      <type value="choice" />
      <enableWhen id="1b6f61a5-76de-1be3-0f4e-244c7037ddd0">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="04607ef0-1b6e-9de4-aa96-b480083b974b">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <enableWhen id="432927fb-5e9a-d483-70c6-073a8c71cfde">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Stillbirth" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"6542b714-7a41-b988-659b-6b567290400e","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="e7ef2f77-f1a0-8254-98c7-7fa06bd3538e" />
      <text value="Mode of birth" />
      <type value="string" />
      <enableWhen id="1258c0c0-b458-3acb-0e37-bbf8885366d1">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="275ea93f-8802-fd8c-8bfb-ad2ed0117163" />
        <answerString value="Known" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"5b66837b-0cf6-40f9-d9e5-6cc43e14514d","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="0927b489-3e49-6c8e-ddc9-2a3292f3746c" />
      <text value="Birth weight" />
      <type value="choice" />
      <enableWhen id="6b581e5e-2342-6b79-ec40-dbc172e86389">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="cd011ef4-329c-66b1-6ac7-43c4769618d3">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"7472ab26-844d-03a8-2980-0348e2064990","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="41505b64-a508-0052-66c6-890441d9bb26" />
      <text value="Birth weight" />
      <type value="string" />
      <enableWhen id="e21916d2-2bec-6506-e1bc-2d9e69c998e1">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="0927b489-3e49-6c8e-ddc9-2a3292f3746c" />
        <answerString value="Known" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"b36d8596-51df-ca45-bc07-f64a22095653","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"a35f170d-3765-6afa-a55c-e33d79d5743a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="53642749-8175-c5b4-0890-e627eccd79a5" />
      <text value="Place of birth" />
      <type value="choice" />
      <enableWhen id="2224c4b2-1fbc-e7e9-7af0-e8bf8194a1f8">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="e15577ae-4290-c521-c849-b9995ea1fc6b">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <enableWhen id="6a2c8859-b38e-9e59-aca7-17f44cc373c7">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Stillbirth" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c1e9e8be-da62-5abf-d522-f566cc4e9a41","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"9cb7d034-c5ae-5a6f-343e-1c73deca130d","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="0db9552c-6bb5-6329-7663-1b1619ccd988" />
      <text value="Place of birth" />
      <type value="string" />
      <enableWhen id="f87c730c-5edc-9aab-745f-84d724e53f6c">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="53642749-8175-c5b4-0890-e627eccd79a5" />
        <answerString value="Known" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"ec9c147b-b756-84e9-d977-f337d8d073d7","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"450e81df-3410-184d-3eb5-4421d9d1de74","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="E.G., Gestational diabetes mellitus (GDM), fetal growth restriction, pre-eclampsia, antepartum haemorrhage (APH)" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="8fde4796-9ed0-d554-e7f7-3143040978f0" />
      <text value="Complications of pregnancy" />
      <type value="choice" />
      <enableWhen id="5b70d9d0-0535-1a6b-9eaa-f6cf714c1121">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="f17ac00d-355c-41a2-dc87-2b27f03a2eb8">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <enableWhen id="bde786c0-5b5c-1821-7eeb-bbc7d2072ba8">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Stillbirth" />
      </enableWhen>
      <enableWhen id="7bee8910-1ab0-e7ef-0e9d-afc92747f85e">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Miscarriage" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c764116b-a3f8-46e7-c458-2eb38420c05a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"a7c7b185-7e06-359e-0fd6-3e48f4f369af","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="fbda17b3-31a1-c8cd-4201-b2507151b3d5" />
      <text value="Please give details" />
      <type value="text" />
      <enableWhen id="28d9eff0-67fb-9d0d-e944-32d66687ef67">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="8fde4796-9ed0-d554-e7f7-3143040978f0" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"ec9c147b-b756-84e9-d977-f337d8d073d7","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"22f615b7-ba73-75fc-7577-d223d0f8edae","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="E.G., postpartum haemorrhage (PPH), preterm birth, stillbirth, pre-existing trauma" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="8966e56a-5fff-c907-5838-a54755d9de9f" />
      <text value="Complications of birth" />
      <type value="choice" />
      <enableWhen id="2700882d-3b9b-ccd9-480b-239ebb3f3fec">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="7e99dd91-fcf4-d438-ee33-c7f76a59cf27">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <enableWhen id="eb667052-8913-2761-ed37-7f58786356ea">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Stillbirth" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"671f07cc-8da8-e37c-d52e-416e94fb2314","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"66eadbeb-9380-6790-0dfb-1c6bd045580c","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="374f88d3-4025-c76b-57bb-82b19c5f6270" />
      <text value="Please give details" />
      <type value="text" />
      <enableWhen id="d641c70d-b3cc-4d95-f843-3a5c4173c405">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="8966e56a-5fff-c907-5838-a54755d9de9f" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"d27c8035-19c9-4440-7976-765e94c379f9","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"019eaa96-4dc1-c5b9-3d0f-c74b1621672a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <linkId value="6b4d61c3-70c0-80a2-b736-256f1006ef84" />
      <text value="Previous neonatal admission to SCN/NICU" />
      <type value="choice" />
      <enableWhen id="dbaf5401-8f3d-5422-696c-7880b34d1a67">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Full term" />
      </enableWhen>
      <enableWhen id="9897b39e-642c-3171-d203-d2d770011596">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="3ce5531e-368d-4751-a214-468376afd0ef" />
        <answerString value="Preterm" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"27a485eb-04d9-de34-2dfc-17faacc496c3","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"6ea12aea-c87d-5a95-5f6c-1f2637c77b80","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="d720e454-c1b9-6f73-2fd6-3decfd6cd665" />
      <text value="Please give details" />
      <type value="text" />
      <enableWhen id="353b69cc-2377-de4b-71e1-7767de98387d">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="6b4d61c3-70c0-80a2-b736-256f1006ef84" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"4239b6f9-9f1f-60cc-357c-85cea1472e51","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="3c8d1da6-0f16-236a-a2e4-58dffd44424a" />
    <type value="group" />
    <enableWhen id="45531cbc-eb61-f72a-fa8a-dbb7c9f56e36">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"a7c21c84-da24-0b09-cfb0-79b901407996","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"90966710-150b-4cca-083a-938e97092826","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="Including psychotropic drugs such as sodium valproate, lithium and other medications with recognised fetal implications" />
      </extension>
      <linkId value="5d696252-0c64-7281-c9dd-854e213abced" />
      <text value="Current or recent medications with recognised fetal implications" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"54936c8e-08b2-36e3-1004-4325e449e90e","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"e81bd60c-876e-572d-8736-705186fb5eaf","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="58e73534-83fa-26ee-b908-59473b658d79" />
      <text value="Please describe" />
      <type value="text" />
      <enableWhen id="ff14ea41-6cc1-c0e5-3b1c-d4e9741e90ad">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="5d696252-0c64-7281-c9dd-854e213abced" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"37ac3fb0-6ba3-c4e9-4a73-d7220e9a0def","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"e58db0ed-689b-0982-120a-b0a746d15407","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="Including details of any risk factors/comorbidities (e.g. diabetes, obesity, bariatric surgery, asthma, cardiac, renal or liver disease, hypertension, eating disorders, mental health concerns, substance abuse etc.)" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="96c2cef4-a2f2-3ecc-b785-0b28ce147cf6" />
      <text value="Relevant medical, surgical and psychosocial history" />
      <type value="text" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"531e8dfb-ea63-8c7f-3f07-2c2c0021bdf3","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"3c258484-bffe-4fdf-37f2-b2144b9a8bb3","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="88b4876b-9822-af2a-254c-bd89d5806999" />
      <text value="Drug, alcohol, and smoking history" />
      <type value="text" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="9123443b-ccf2-f641-2994-4718492d967f" />
      <type value="display" />
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Immunisation History**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"da654310-f48a-bf9b-2ba0-f4b66834415a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"125c5bd8-f59b-5277-5557-b431b1f3d18c","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="8a755a8f-31bd-87e9-dc72-ea7d3e89f66a" />
      <text value="Influenza (this season)" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"9e27acdd-c719-7352-ad1d-cee374fe8bf6","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"2795b4f5-f18c-1874-cb64-2a3f1c1a8bbf","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="fb0c4572-40eb-5270-b897-0467fb6df795" />
      <text value="COVID-19 (any vaccinations)" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="check-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"8aa2d9ae-9713-3ee6-3c1f-c991803deb23","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"ec0ea86b-2014-a095-a270-f880a3d7f12c","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="27b6a09a-39e3-e748-2525-e32f4b782cf1" />
      <text value="COVID vaccination" />
      <type value="choice" />
      <enableWhen id="02b4ea9d-499b-2cc9-3611-a68519ec765f">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="fb0c4572-40eb-5270-b897-0467fb6df795" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"da654310-f48a-bf9b-2ba0-f4b66834415a","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"ae992c9b-0c7d-da98-347e-c430e95042c1","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="0e92db10-465f-c614-6e37-2145412f726c" />
      <text value="Has Pertussis been discussed and planned for after 20 weeks" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="3d1ac29f-6507-6e59-627a-feb89c4a3a9e" />
      <type value="display" />
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Ethnicity:**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="check-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"6e1b9568-a93a-2a15-773e-9a374ae29fcb","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"3832a33f-7248-885a-255d-4ef39bf15307","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="a57cbc74-6287-086d-7144-7be82ad19e9c" />
      <text value="Indigenous status" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="drop-down-multiselect" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"2e5c9aba-05bd-8df8-6bdf-6860b047af54","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"84bd6e26-67be-a426-2a9a-f4c68178b0f2","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="Select all that apply" />
      </extension>
      <linkId value="986972f2-be99-465e-3fde-11cd29917ad7" />
      <text value="Ethnicity" />
      <type value="choice" />
      <enableWhen id="0ce342fb-8e18-45c4-8a68-623049cac281">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="a57cbc74-6287-086d-7144-7be82ad19e9c" />
        <answerString value="Neither Aboriginal nor Torres Strait Islander" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"67644f18-1b6f-8398-2706-1a1aa00f8e5d","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"6e33c8cb-032e-194b-9e4d-52d8492fe2c2","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="7f6c02b8-93bf-9377-fb1e-bd311e46bcef" />
      <text value="Please give details" />
      <type value="string" />
      <enableWhen id="b727cef2-4d8c-c297-f383-b36566f2df1c">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="986972f2-be99-465e-3fde-11cd29917ad7" />
        <answerString value="Other" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"936e494c-b9e8-0fab-4a4d-12fe4bce61da","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"2e91d40d-0d48-bb9a-2324-478b3cd0ffbd","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="b7c98ded-dc9a-d517-a68b-9d22acc09780" />
      <text value="Is an interpreter required" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"512344de-14b4-b904-4015-602c32f64d61","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"851ef12e-362a-58a3-929c-541b63ee5cef","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="14737da5-a430-0f2e-3479-a7b212aef341" />
      <text value="Language spoken" />
      <type value="string" />
      <enableWhen id="e4478a78-e605-b459-691b-03bbb87e3ef2">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="b7c98ded-dc9a-d517-a68b-9d22acc09780" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"fe739a74-636c-5ed9-6794-10de40f28aa7","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"b714dbed-dfcf-d986-9372-48800b3c15e7","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="7754c120-c6e8-ff2a-1eb1-260d6a933a09" />
      <text value="Will the child identify as Aboriginal and/or Torres Strait Islander" />
      <type value="choice" />
      <required value="false">
        <extension url="http://hl7.org/fhir/StructureDefinition/cqf-expression">
          <extension url="language">
            <valueString value="text/fhirpath" />
          </extension>
          <extension url="expression">
            <valueString value="%Essential" />
          </extension>
        </extension>
      </required>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="900aa326-ea8c-111d-1bf7-bfec41a9a371" />
      <type value="display" />
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Additional referral information:**
* Past history of GDM and previous management
* Outcomes associated with previous GDM e.g. stillbirth, macrosomia, shoulder dystocia, fetal hypoglycaemia
* Method of conception (either spontaneous or assisted)
* Advise if new partner with this pregnancy
* Refugee status
* Social history including domestic violence, living situation, drug and alcohol use
* Identification of Gillick competence and intellectual capacity (where appropriate)
* Recognition of sexual orientation i.e. lesbian, gay and bisexual (LGB)" />
        <type value="display" />
      </item>
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"b603dd5e-da70-9a31-7ea9-64e56c16a514","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="f2ed9708-fb1c-f6c1-df85-b3ecb8f426cb" />
    <text value="Referral Letter" />
    <type value="group" />
    <enableWhen id="affee269-b236-0ba0-aa5a-58f54a8cf692">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"65813fa8-6b5f-89d6-3656-26746ebaafbf","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"12ce3b7c-1793-503e-783c-6846d5940216","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
        <valueString value="E.g., presenting symptoms (evolution and duration); physical findings; details of previous treatment" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="c95b8944-6af0-7ceb-e0e4-eafd02a8b16b" />
      <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/specialty-form-question-definition#referralLetter" />
      <text value="Referral letter" />
      <type value="text" />
      <required value="false" />
      <maxLength value="2000" />
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="readonly-text" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
      <valueString value="sex" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
      <valueBoolean value="false" />
    </extension>
    <linkId value="00252249-edbf-8052-4b8b-5a64a133437e" />
    <text value="Sex" />
    <type value="string" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="readonly-text" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
      <valueString value="age" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
      <valueBoolean value="false" />
    </extension>
    <linkId value="afadbb75-a3bb-15cc-0a94-25e065fa8406" />
    <text value="Age" />
    <type value="string" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"c721d0b2-221c-600a-105a-f5e22ebab670","operator":"or","type":"group","conditions":[{"id":"716af4d0-f61d-bc06-6e04-51de79f660db","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"=","operand":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","coded":false}],"returnType":"boolean"}" />
    </extension>
    <linkId value="b9a11e57-9aed-5d2f-5b3e-854255bc344a" />
    <text value="Category 1 text is showing" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"70b3412c-d0d7-1358-9d54-b122d358f63d","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="21bd8740-b710-9b04-111d-e6ff784c5ef5" />
    <text value="Pathology and Test Results" />
    <type value="group" />
    <enableWhen id="15fd3fa5-0765-57ff-2539-ba294323c86a">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="f9e02cf4-c013-9992-7cd9-654f48a2c06a" />
      <type value="display" />
      <enableWhen id="fae92b98-9909-aff5-30e5-14d3135f7a1b">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="false" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Essential referral information:** 

Diagnostic test result e.g.:

* OGTT
* Fasting blood sugar
* HbA1c

**Additional referral information:**
* Any additional BGL data
* LFT
* U&E
* Urine protein creatinine ratio
* Any other relevant pathology (please manually attach)" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="5a0395e7-3f61-42c7-e314-ad259d254463" />
      <type value="display" />
      <enableWhen id="5d374b6b-23f3-5dd1-3fc7-0abbd0264b47">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="true" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Recommended referral information:** 

Diagnostic test result e.g.:

* OGTT
* Fasting blood sugar
* HbA1c

**Additional referral information:**
* Any additional BGL data
* LFT
* U&E
* Urine protein creatinine ratio
* Any other relevant pathology (please manually attach)" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="889e6dc6-55b1-5f8a-d77f-e23d886294c9" />
      <type value="display" />
      <enableWhen id="568dad07-759b-9b14-d0cf-f14eb605a82c">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="a6476ddb-c5c4-775e-f129-e703c0ce25de" />
        <answerBoolean value="true" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**If any laboratory investigations are listed below, they have NOT been automatically selected by the software. Please manually select or attach**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="1978f17f-006f-1928-1c54-f3a8dccffe0f" />
      <type value="display" />
      <enableWhen id="bce18429-a3af-add2-e36e-adfeaed8d038">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="true" />
      </enableWhen>
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**If any laboratory investigations are listed below, they have NOT been automatically selected by the software. Please manually select or attach if available**" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="auto-select-display" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/auto-select-name">
        <valueString value="Gestational diabetes" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/auto-select-type">
        <valueString value="Unselected" />
      </extension>
      <linkId value="107ac9df-d9ee-af6d-e648-8b567ea1eb8a" />
      <text value="Laboratory investigations NOT found by the software:" />
      <type value="string" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="url" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="1501bcbc-8360-6e0a-2c23-3651a0f8d7bd" />
      <text value="Click link to manually select investigations" />
      <type value="display" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="url" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="d8844e3c-0562-cc11-6288-7033d5f9385d" />
      <text value="Click link to manually attach investigations" />
      <type value="display" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="button-bar" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"45fcb3d7-038f-8bab-421d-2a464e261a67","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable-text">
        <valueString value="Clear selection" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"d9c51c95-599f-1e4a-87aa-a8f412789b6f","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="0bb55b46-9630-ec70-8eb6-2e8559e4b6ae" />
      <text value="Request to override essential referral information requirement" />
      <type value="choice" />
      <enableWhen id="0dd34ee1-7c22-485e-481f-66424d5dbf56">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
        <answerBoolean value="false" />
      </enableWhen>
      <required value="false" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"3002b990-2ddb-8b4f-3472-43bc355f223b","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"96383d03-377e-b9a0-c700-bddab285f4b9","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="21d9830b-2193-317b-c86e-c64673b7e31c" />
      <text value="Please describe reason unable to complete investigations" />
      <type value="text" />
      <enableWhen id="afb6767a-436c-b6a2-1eb7-6047099c4093">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="0bb55b46-9630-ec70-8eb6-2e8559e4b6ae" />
        <answerString value="Yes" />
      </enableWhen>
      <required value="true" />
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"9044559f-3774-2dea-49b0-7fc249b91f33","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="0a31f22c-628c-c180-e100-3a64c48bb532" />
    <text value="Imaging and Reports" />
    <type value="group" />
    <enableWhen id="8c87be12-2325-7a23-26ac-eec13832e8b4">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
      <answerBoolean value="true" />
    </enableWhen>
    <item>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-form-only">
        <valueBoolean value="true" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="inline" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="383c231a-c6be-f6e3-4c4f-6dc32bcb3e13" />
      <type value="display" />
      <item>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control" />
              <code value="inline" />
            </coding>
          </valueCodeableConcept>
        </extension>
        <text value="**Additional referral information:**
* Fetal ultrasound
* Additional relevant imaging" />
        <type value="display" />
      </item>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="check-box" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/choice-list-orientation" />
            <code value="vertical" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"0f1e6d90-783c-e08d-881f-36d4a98861ce","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"13eec616-d097-db1d-8c8c-449ca9c99513","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/clearable">
        <valueBoolean value="false" />
      </extension>
      <extension url="http://hl7.org/fhir/layout-columns">
        <valueString value="3-columns" />
      </extension>
      <linkId value="dca57b0c-89cf-4e92-6067-aa98f0785afe" />
      <text value="Imaging performed" />
      <type value="choice" />
      <required value="false" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"9cc48fe6-df10-7f47-40cc-9f3a0005ae40","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"6a291717-3609-8555-fa72-d03bb0e5a0e1","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <linkId value="73ed8691-c2c6-9080-60f7-03e9e442cd4b" />
      <text value="Please specify other imaging" />
      <type value="text" />
      <enableWhen id="ccda4834-0387-24f9-6de3-378d6c70ae86">
        <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
          <valueString value="=" />
        </extension>
        <question value="dca57b0c-89cf-4e92-6067-aa98f0785afe" />
        <answerString value="Other" />
      </enableWhen>
      <required value="true" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="url" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="a937daf7-a4d0-e229-6129-b6f01afe0537" />
      <text value="Click link to manually select imaging" />
      <type value="display" />
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="url" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <linkId value="30844639-0361-9e88-8a53-3ecbc3660d61" />
      <text value="Click link to manually attach imaging" />
      <type value="display" />
    </item>
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"b5c33dbe-dd7b-6dfe-deba-a2bb859a0d6a","operator":"or","type":"group","conditions":[{"id":"d6e4107f-8b7f-e26b-70ce-04ff999441ab","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"has-value","operand":null,"coded":false}],"returnType":"boolean"}" />
    </extension>
    <linkId value="e39bd053-7f95-de4a-8411-9397dc7e4d46" />
    <text value="Minimum ciriteria has value" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"ef313dab-9ba5-6b28-1661-f569425147b3","operator":"or","type":"group","conditions":[{"id":"b3e14169-1cd2-bff9-f995-6d5b085938c1","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"operator":"=","operand":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6","coded":true},{"id":"817240e1-f7c9-8e88-81e4-cfe58aa24684","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"=","operand":"Request clinical override of minimum referral criteria","coded":false}],"returnType":"boolean"}" />
    </extension>
    <linkId value="d0bd7ce7-4981-a213-97aa-bb5a86b342ac" />
    <text value="Private or Clinical override" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="readonly-text" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
      <valueString value="funding" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
      <valueBoolean value="false" />
    </extension>
    <linkId value="8e59fb06-066d-2d00-7a90-ae55e0bc5e72" />
    <text value="Provider" />
    <type value="string" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"bf6cdcfb-49ad-41fe-9787-cbc45f8d598c","operator":"or","type":"group","conditions":[{"id":"a34e8202-07b0-25e3-cf58-edc8383f74db","type":"condition","item":{"text":"Imaging performed","value":"dca57b0c-89cf-4e92-6067-aa98f0785afe","dataType":"choice","container":{"type":"list","id":"0a31f22c-628c-c180-e100-3a64c48bb532"},"operators":"equality","options":[{"display":"Ultrasound","value":"Ultrasound"},{"display":"Other","value":"Other"}],"showEligibleWhenOption":true},"coded":false,"operator":"has-value","operand":null}],"returnType":"boolean"}" />
    </extension>
    <linkId value="7cac472b-7e56-4546-da9d-f4c57d9ff7ae" />
    <text value="Imaging performed public has value" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"7f719cc3-997d-b0c6-e137-b06c4a38bc39","operator":"or","type":"group","conditions":[{"id":"a8b80522-eff2-b52f-a01c-747617a4a29b","operator":"and","type":"group","conditions":[{"id":"cd13c968-1614-8470-c17c-efac50ba4b5a","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"has-value","operand":null,"coded":false},{"id":"8b34e46e-382e-f4e1-6291-77c71fd9f701","type":"condition","item":{"text":"Minimum referral criteria","value":"70271412-10e2-8bef-f441-99241915f74d","dataType":"choice","container":{"type":"list","id":"c1cf9c5d-ac72-1ffe-8746-d14a25ed4cfb"},"operators":"equality","options":[{"display":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy","value":"Gestational diabetes (GDM), or diabetes first recognised during pregnancy"},{"display":"Request clinical override of minimum referral criteria","value":"Request clinical override of minimum referral criteria"}],"showEligibleWhenOption":true},"operator":"!=","operand":"Request clinical override of minimum referral criteria","coded":false}]},{"id":"3a28ac85-2d80-0722-dfd4-1d1c36c6e743","operator":"and","type":"group","conditions":[{"id":"3d278ddd-c6bd-1415-b6eb-d18f96077b4a","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"operator":"=","operand":"7BEEBDA2-2DD5-4812-98DB-330011333617","coded":true},{"id":"641afc38-0c11-66e0-2df7-5e2a5daf00b1","type":"condition","item":{"text":"Minimum ciriteria has value","value":"e39bd053-7f95-de4a-8411-9397dc7e4d46","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"operator":"=","operand":false,"coded":false}]}],"returnType":"boolean"}" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-information-hover">
      <valueString value="This was created when using variable Private or Clinical override as False to display essential information wasn't working as expected. This can be used to forced the display of text when No value has been selected." />
    </extension>
    <linkId value="a6476ddb-c5c4-775e-f129-e703c0ce25de" />
    <text value="Show essential Labs/Imaging" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="readonly-text" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-selected-external-data-item">
      <valueString value="referralType" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/data-overridable">
      <valueBoolean value="false" />
    </extension>
    <linkId value="e6904c02-7ffe-ef4f-3783-d77861dc74f6" />
    <text value="Referral type" />
    <type value="string" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"93fa12ff-c882-5b8e-cca9-2d1d7a90f568","operator":"or","type":"group","returnType":"boolean","conditions":[{"id":"7806f475-79a2-19a3-2833-a993af3ff9c6","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"id":"7203d2e7-f7a8-4362-97a8-cbdaab0d17ab","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"id":"b8fe49cc-d32e-8b77-3b72-cacc4dfb77df","type":"condition","item":{"text":"Referral type","value":"e6904c02-7ffe-ef4f-3783-d77861dc74f6","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"New referral","value":"2203A2DB-916F-472F-89EB-698706BF9FE1"},{"display":"MBS update","value":"3EAB1B26-7E35-48B9-B5BC-0AFB244B37C1"},{"display":"Request for advice","value":"075A3553-46AE-43FB-8DE6-AC623FFF7763"},{"display":"Clinical Update","value":"3D607CAD-D613-4635-AE69-3CD52DCE2A88"},{"display":"Update","value":"BFBF853D-0652-488E-AFA7-54BD8097B4A3"},{"display":"Continuation","value":"9AA2003F-EDB9-43C1-A943-249B78858295"},{"display":"Other","value":"6949CD1D-C966-4272-81AA-54DFEF825790"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"9AA2003F-EDB9-43C1-A943-249B78858295"}]}" />
    </extension>
    <linkId value="3976b0fa-3f13-8745-b9be-b32e8251e84c" />
    <text value="Referral type New, Continuation or Update" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"b2a61f3c-cc20-d518-42b1-eb7d5a811bb0","operator":"and","type":"group","returnType":"boolean","conditions":[{"id":"9f875eb4-5557-b96f-0a5f-98d48218cf1a","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"id":"67e16b58-3294-d64a-99c8-d453f1192439","type":"condition","item":{"text":"Referral type New, Continuation or Update","value":"3976b0fa-3f13-8745-b9be-b32e8251e84c","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"coded":false,"operator":"=","operand":true}]}" />
    </extension>
    <linkId value="b34a1f8f-5364-799f-8009-b1f1981275c9" />
    <text value="Public and referral type New, Continuation or Update" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="calculated-field" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="true" />
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/calculated-field-conditions">
      <valueString value="{"id":"7beb2bdc-c991-1e8c-a942-e9ef8ff1fea3","operator":"and","type":"group","returnType":"boolean","conditions":[{"id":"56ff9c34-bae3-a2f7-4527-87ee5b9a735b","type":"condition","item":{"text":"Provider","value":"8e59fb06-066d-2d00-7a90-ae55e0bc5e72","dataType":"choice","container":{"type":"none","id":null},"operators":"equality","options":[{"display":"Private","value":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"display":"Public","value":"7BEEBDA2-2DD5-4812-98DB-330011333617"},{"display":"SCC","value":"9863C554-031C-4319-92B2-A16E80A87C73"},{"display":"CCC","value":"62F5779F-A428-4DFE-9AFA-DDEF951E17EF"},{"display":"MBS","value":"A9A8EE09-E605-4F6E-9ABD-6EDF4D0B9E8D"}],"showEligibleWhenOption":false},"coded":true,"operator":"=","operand":"DDE394C1-CC0C-4A54-A1B3-3B2B1E7F82D6"},{"id":"7242e194-3f52-47a3-05a5-1497862260ed","type":"condition","item":{"text":"Referral type New, Continuation or Update","value":"3976b0fa-3f13-8745-b9be-b32e8251e84c","dataType":"boolean","container":{"type":"none","id":null},"operators":"boolean","options":[{"display":"true","value":true},{"display":"false","value":false}],"showEligibleWhenOption":false},"coded":false,"operator":"=","operand":true}]}" />
    </extension>
    <linkId value="7d15a5df-46da-53d5-482d-87c5e71b7683" />
    <text value="Private and referral type New, Continuation or Update" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control" />
          <code value="list" />
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
      <valueString value="{"id":"d7321024-4d8e-1fda-5b43-ea7bf13eb186","operator":"or","type":"group","returnType":"boolean"}" />
    </extension>
    <linkId value="01ad97fd-2051-68d4-e9a0-5accabc802b0" />
    <text value="Request for Advice" />
    <type value="group" />
    <enableWhen id="4bdeb8bf-9dfa-c6fb-34ce-0bdb481db45a">
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/questionnaire-item-enable-when-operator">
        <valueString value="=" />
      </extension>
      <question value="e6904c02-7ffe-ef4f-3783-d77861dc74f6" />
      <answerCoding>
        <code value="075A3553-46AE-43FB-8DE6-AC623FFF7763" />
        <display value="Request for advice" />
      </answerCoding>
    </enableWhen>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control" />
            <code value="text-area" />
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/eligible-when-conditions">
        <valueString value="{"id":"c6bc8297-b474-8b97-6a5b-946663635991","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/rows">
        <valueInteger value="4" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/max-rows">
        <valueInteger value="16" />
      </extension>
      <extension url="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/valid-when-conditions">
        <valueString value="{"id":"1d16fb00-a11a-df7a-1d73-b3fde943eee9","operator":"or","type":"group","returnType":"boolean"}" />
      </extension>
      <linkId value="e3fc3f0c-ee7f-4e16-1e3e-859cbf35a307" />
      <definition value="https://qhr-devops.health.qld.gov.au/fhir/StructureDefinition/referral-model-for-merging#referralDetails.referralManagement.replies.replyText" />
      <text value="Request for advice - clinical question" />
      <type value="text" />
      <required value="true" />
    </item>
  </item>
</Questionnaire>