Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.5 - release

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : Private Colposcopy Referral Summary Questionnaire - TTL Representation

Draft as of 2026-03-03

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Questionnaire ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire PrivateColposcopyReferralQuestionnaire</b></p><a name=\"PrivateColposcopyReferralQuestionnaire\"> </a><a name=\"hcPrivateColposcopyReferralQuestionnaire\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> PrivateColposcopyReferralQuestionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyReferralQuestionnaire#0.1.1</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.p01-ClinicInformation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p01-ClinicInformation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 01. Clinic Information</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.p01-q01-FacilityID\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p01-q01-FacilityID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 01 question 1. Colposcopy HPI facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.p02-ReferralInformation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p02-ReferralInformation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02. Referral Information</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" id=\"item.p02-q01-SelfReferral\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> p02-q01-SelfReferral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 1. Self Referral?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" id=\"item.p02-q02.1-SelfReferral\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> p02-q02.1-SelfReferral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 2.1. If your patient has self-referred enter in their GP’s HPI-CPN and HPI Health Facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q02-ReferredByName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p02-q02-ReferredByName</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 2. Referred by health worker name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q03-ReferredByFacilityID\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p02-q03-ReferredByFacilityID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 3. Referred by health facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q04-ReferralDateReceived\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q04-ReferralDateReceived</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 5. Referral received date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q05-ReferralDateAccepted\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q05-ReferralDateAccepted</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 6. Referral accepted date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q06-AppointmentDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q06-AppointmentDate</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 7. Appointment date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q07-FirstVisit\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> p02-q07-FirstVisit</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 8. First colposcopy visit?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q8-FollowUpType\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p02-q8-FollowUpType</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 9. Follow-up Colposcopy Visit</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p02-q07-FirstVisit\">p02-q07-FirstVisit</a> = </span><br/>Options: <a href=\"#opt-item.p02-q8-FollowUpType\">4 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.p02-q9-FollowUpTimeFrame\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p02-q9-FollowUpTimeFrame</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 9. Follow-up timeframe</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p02-q07-FirstVisit\">p02-q07-FirstVisit</a> = </span><br/>Options: <a href=\"#opt-item.p02-q9-FollowUpTimeFrame\">15 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.p03-RefferalReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p03-RefferalReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03. Reason for Referral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p03-q01-AssessmentReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p03-q01-AssessmentReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03 question 1. Assessment for the reason for referral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.p03-q01-AssessmentReason\">12 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.p03-q02-OtherReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> p03-q02-OtherReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03 question 2. Other Reason (if Any)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p03-q01-AssessmentReason\">p03-q01-AssessmentReason</a> = </span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.p02-q8-FollowUpType\"> </a><p><b>Answer options for p02-q8-FollowUpType </b></p><ul><li style=\"font-size: 11px\">null#null (\"1st Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"2nd Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"3rd Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"4th or more Follow up Visit\")</li></ul><a name=\"opt-item.p02-q9-FollowUpTimeFrame\"> </a><p><b>Answer options for p02-q9-FollowUpTimeFrame </b></p><ul><li style=\"font-size: 11px\">null#7D (\"7 Days\")</li><li style=\"font-size: 11px\">null#2W (\"2 Weeks\")</li><li style=\"font-size: 11px\">null#6W (\"6 Weeks\")</li><li style=\"font-size: 11px\">null#1M (\"1 Month\")</li><li style=\"font-size: 11px\">null#2M (\"2 Months\")</li><li style=\"font-size: 11px\">null#3M (\"3 Months\")</li><li style=\"font-size: 11px\">null#4M (\"4 Months\")</li><li style=\"font-size: 11px\">null#5M (\"5 Months\")</li><li style=\"font-size: 11px\">null#6M (\"6 Months\")</li><li style=\"font-size: 11px\">null#7M (\"7 Months\")</li><li style=\"font-size: 11px\">null#9M (\"9 Months\")</li><li style=\"font-size: 11px\">null#12M (\"12 Months\")</li><li style=\"font-size: 11px\">null#18M (\"18 Months\")</li><li style=\"font-size: 11px\">null#36M (\"36 Months\")</li><li style=\"font-size: 11px\">null#60M (\"60 Months\")</li></ul><a name=\"opt-item.p03-q01-AssessmentReason\"> </a><p><b>Answer options for p03-q01-AssessmentReason </b></p><ul><li style=\"font-size: 11px\">null#null (\"Any cytological evidence or suspicion of invasion\")</li><li style=\"font-size: 11px\">null#null (\"Any cytological glandular abnormality\")</li><li style=\"font-size: 11px\">null#null (\"HPV 16/18 with or without cytology\")</li><li style=\"font-size: 11px\">null#null (\"HPV other where the participant is immune compromised\")</li><li style=\"font-size: 11px\">null#null (\"HPV other with LSIL on two occasions if over 50 and 3 occasions if under 50\")</li><li style=\"font-size: 11px\">null#null (\"Positive test of cure\")</li><li style=\"font-size: 11px\">null#null (\"Low-grade clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"High-grade clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"Suspicion of an invasive cancer clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"HPV not detected with high-grade cytology\")</li><li style=\"font-size: 11px\">null#null (\"HPV not detected with suspicion or evidence of cancer on cytology\")</li><li style=\"font-size: 11px\">null#null (\"Other\")</li></ul></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:url [ fhir:v "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyReferralQuestionnaire"^^xsd:anyURI] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:value [ fhir:v "PrivateColposcopyReferralQuestionnaire" ]
      ] ) ; #
      fhir:version [ fhir:v "0.1.1"] ; #
      fhir:name [ fhir:v "PrivateColposcopyReferralQuestionnaire"] ; #
      fhir:title [ fhir:v "Private Colposcopy Referral Summary Questionnaire"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:subjectType ( [ fhir:v "Patient"] ) ; #
      fhir:date [ fhir:v "2026-03-03T21:51:04+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "Te Whatu Ora"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "Te Whatu Ora" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.tewhatuora.govt.nz/" ]     ] )
      ] [
    fhir:name [ fhir:v "Te Whatu Ora Integration Team" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "integration@tewhatuora.govt.nz" ] ;
    fhir:use [ fhir:v "work" ]     ] )
      ] ) ; #
      fhir:useContext ( [
    fhir:code [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "workflow" ] ;
    fhir:display [ fhir:v "Workflow Setting" ]     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
    fhir:text [ fhir:v "Private Colposcopy Visit Summary" ]     ]
      ] ) ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "NZ" ] ;
    fhir:display [ fhir:v "New Zealand" ]     ] )
      ] ) ; #
      fhir:purpose [ fhir:v "To gather the referral details of Private colposcopy procedure."] ; #
      fhir:item ( [
    fhir:linkId [ fhir:v "p01-ClinicInformation" ] ;
    fhir:prefix [ fhir:v "page 01" ] ;
    fhir:text [ fhir:v "Clinic Information" ] ;
    fhir:type [ fhir:v "group" ] ;
        ( fhir:item [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "Location"         ]       ] ) ;
    fhir:linkId [ fhir:v "p01-q01-FacilityID" ] ;
    fhir:prefix [ fhir:v "page 01 question 1" ] ;
    fhir:text [ fhir:v "Colposcopy HPI facility ID" ] ;
    fhir:type [ fhir:v "reference" ] ;
    fhir:required [ fhir:v true ]     ] )
      ] [
    fhir:linkId [ fhir:v "p02-ReferralInformation" ] ;
    fhir:prefix [ fhir:v "page 02" ] ;
    fhir:text [ fhir:v "Referral Information" ] ;
    fhir:type [ fhir:v "group" ] ;
        ( fhir:item [
    fhir:linkId [ fhir:v "p02-q01-SelfReferral" ] ;
    fhir:prefix [ fhir:v "page 02 question 1" ] ;
    fhir:text [ fhir:v "Self Referral?" ] ;
    fhir:type [ fhir:v "boolean" ] ;
    fhir:required [ fhir:v true ] ;
          ( fhir:item [
            ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
                ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "help" ] ;
    fhir:display [ fhir:v "Help-Button" ]             ] ) ;
    fhir:text [ fhir:v "Help-Button" ]           ]         ] ) ;
    fhir:linkId [ fhir:v "p02-q02.1-SelfReferral" ] ;
    fhir:prefix [ fhir:v "page 02 question 2.1" ] ;
    fhir:text [ fhir:v "If your patient has self-referred enter in their GP’s HPI-CPN and HPI Health Facility ID" ] ;
    fhir:type [ fhir:v "display" ]       ] )     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "Practitioner"         ]       ] ) ;
    fhir:linkId [ fhir:v "p02-q02-ReferredByName" ] ;
    fhir:prefix [ fhir:v "page 02 question 2" ] ;
    fhir:text [ fhir:v "Referred by health worker name" ] ;
    fhir:type [ fhir:v "reference" ] ;
    fhir:required [ fhir:v true ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "Location"         ]       ] ) ;
    fhir:linkId [ fhir:v "p02-q03-ReferredByFacilityID" ] ;
    fhir:prefix [ fhir:v "page 02 question 3" ] ;
    fhir:text [ fhir:v "Referred by health facility ID" ] ;
    fhir:type [ fhir:v "reference" ] ;
    fhir:required [ fhir:v true ]     ] [
    fhir:linkId [ fhir:v "p02-q04-ReferralDateReceived" ] ;
    fhir:prefix [ fhir:v "page 02 question 5" ] ;
    fhir:text [ fhir:v "Referral received date" ] ;
    fhir:type [ fhir:v "date" ] ;
    fhir:required [ fhir:v false ]     ] [
    fhir:linkId [ fhir:v "p02-q05-ReferralDateAccepted" ] ;
    fhir:prefix [ fhir:v "page 02 question 6" ] ;
    fhir:text [ fhir:v "Referral accepted date" ] ;
    fhir:type [ fhir:v "date" ] ;
    fhir:required [ fhir:v true ]     ] [
    fhir:linkId [ fhir:v "p02-q06-AppointmentDate" ] ;
    fhir:prefix [ fhir:v "page 02 question 7" ] ;
    fhir:text [ fhir:v "Appointment date" ] ;
    fhir:type [ fhir:v "date" ] ;
    fhir:required [ fhir:v false ]     ] [
    fhir:linkId [ fhir:v "p02-q07-FirstVisit" ] ;
    fhir:prefix [ fhir:v "page 02 question 8" ] ;
    fhir:text [ fhir:v "First colposcopy visit?" ] ;
    fhir:type [ fhir:v "boolean" ] ;
    fhir:required [ fhir:v true ] ;
    fhir:repeats [ fhir:v false ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]           ] )         ]       ] ) ;
    fhir:linkId [ fhir:v "p02-q8-FollowUpType" ] ;
    fhir:prefix [ fhir:v "page 02 question 9" ] ;
    fhir:text [ fhir:v "Follow-up Colposcopy Visit" ] ;
    fhir:type [ fhir:v "choice" ] ;
          ( fhir:enableWhen [
    fhir:question [ fhir:v "p02-q07-FirstVisit" ] ;
    fhir:operator [ fhir:v "=" ] ;
    fhir:answer [
    a fhir:boolean ;
    fhir:v false         ]       ] ) ;
    fhir:enableBehavior [ fhir:v "all" ] ;
    fhir:required [ fhir:v true ] ;
    fhir:repeats [ fhir:v false ] ;
          ( fhir:answerOption [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "1st Follow Up Visit" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "2nd Follow Up Visit" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "3rd Follow Up Visit" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "4th or more Follow up Visit" ]         ]       ] )     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]           ] )         ]       ] ) ;
    fhir:linkId [ fhir:v "p02-q9-FollowUpTimeFrame" ] ;
    fhir:prefix [ fhir:v "page 02 question 9" ] ;
    fhir:text [ fhir:v "Follow-up timeframe" ] ;
    fhir:type [ fhir:v "choice" ] ;
          ( fhir:enableWhen [
    fhir:question [ fhir:v "p02-q07-FirstVisit" ] ;
    fhir:operator [ fhir:v "=" ] ;
    fhir:answer [
    a fhir:boolean ;
    fhir:v false         ]       ] ) ;
    fhir:enableBehavior [ fhir:v "all" ] ;
    fhir:required [ fhir:v true ] ;
    fhir:repeats [ fhir:v false ] ;
          ( fhir:answerOption [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "7D" ] ;
    fhir:display [ fhir:v "7 Days" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "2W" ] ;
    fhir:display [ fhir:v "2 Weeks" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "6W" ] ;
    fhir:display [ fhir:v "6 Weeks" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "1M" ] ;
    fhir:display [ fhir:v "1 Month" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "2M" ] ;
    fhir:display [ fhir:v "2 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "3M" ] ;
    fhir:display [ fhir:v "3 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "4M" ] ;
    fhir:display [ fhir:v "4 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "5M" ] ;
    fhir:display [ fhir:v "5 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "6M" ] ;
    fhir:display [ fhir:v "6 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "7M" ] ;
    fhir:display [ fhir:v "7 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "9M" ] ;
    fhir:display [ fhir:v "9 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "12M" ] ;
    fhir:display [ fhir:v "12 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "18M" ] ;
    fhir:display [ fhir:v "18 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "36M" ] ;
    fhir:display [ fhir:v "36 Months" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:code [ fhir:v "60M" ] ;
    fhir:display [ fhir:v "60 Months" ]         ]       ] )     ] )
      ] [
    fhir:linkId [ fhir:v "p03-RefferalReason" ] ;
    fhir:prefix [ fhir:v "page 03" ] ;
    fhir:text [ fhir:v "Reason for Referral" ] ;
    fhir:type [ fhir:v "group" ] ;
    fhir:required [ fhir:v true ] ;
    fhir:repeats [ fhir:v false ] ;
        ( fhir:item [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]           ] )         ]       ] ) ;
    fhir:linkId [ fhir:v "p03-q01-AssessmentReason" ] ;
    fhir:prefix [ fhir:v "page 03 question 1" ] ;
    fhir:text [ fhir:v "Assessment for the reason for referral" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
    fhir:repeats [ fhir:v false ] ;
          ( fhir:answerOption [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Any cytological evidence or suspicion of invasion" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Any cytological glandular abnormality" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "HPV 16/18 with or without cytology" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "HPV other where the participant is immune compromised" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "HPV other with LSIL on two occasions if over 50 and 3 occasions if under 50" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Positive test of cure" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Low-grade clinical assessment" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "High-grade clinical assessment" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Suspicion of an invasive cancer clinical assessment" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "HPV not detected with high-grade cytology" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "HPV not detected with suspicion or evidence of cancer on cytology" ]         ]       ] [
    fhir:value [
    a fhir:Coding ;
    fhir:display [ fhir:v "Other" ]         ]       ] )     ] [
    fhir:linkId [ fhir:v "p03-q02-OtherReason" ] ;
    fhir:prefix [ fhir:v "page 03 question 2" ] ;
    fhir:text [ fhir:v "Other Reason (if Any)" ] ;
    fhir:type [ fhir:v "string" ] ;
          ( fhir:enableWhen [
    fhir:question [ fhir:v "p03-q01-AssessmentReason" ] ;
    fhir:operator [ fhir:v "=" ] ;
    fhir:answer [
    a fhir:Coding ;
    fhir:display [ fhir:v "Other" ]         ]       ] ) ;
    fhir:enableBehavior [ fhir:v "all" ]     ] )
      ] ) . #