Adult Health Questionnaire for EBUS - TTL Representation - Health New Zealand Te Whatu Ora Shared Care FHIR API v1.4.8

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v1.4.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: Adult Health Questionnaire for EBUS - TTL Representation

Active as of 2026-10-19
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/Questionnaire/RespiratoryAdultHealthQuestionnaire> a fhir:Questionnaire ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "RespiratoryAdultHealthQuestionnaire"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire RespiratoryAdultHealthQuestionnaire</b></p><a name=\"RespiratoryAdultHealthQuestionnaire\"> </a><a name=\"hcRespiratoryAdultHealthQuestionnaire\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><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 scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><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 class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> RespiratoryAdultHealthQuestionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questions about respiratory procedure health assessment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RespiratoryAdultHealthQuestionnaire#1.0.0</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.meta-specialty-code\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>meta-specialty-code</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Specialty Code</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"\"/></a><img src=\"icon-qi-hidden.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Initial Value: string = M65</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.meta-specialty-name\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>meta-specialty-name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Specialty Name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"\"/></a><img src=\"icon-qi-hidden.png\" alt=\"\"/></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Initial Value: string = Respiratory Medicine</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section0PatientID\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section0PatientID</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Patient ID</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Surname\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section0PatientID / </span>Surname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Surname</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.FirstNames\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section0PatientID / </span>FirstNames</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">First Names</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.NHI\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section0PatientID / </span>NHI</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">NHI</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DateOfBirth\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section0PatientID / </span>DateOfBirth</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Date of Birth</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.Sex\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section0PatientID / </span>Sex</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Sex</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section1PatientDetails\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section1PatientDetails</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 1 – Patient details</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TodaysDate\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>TodaysDate</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Today's date</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Height\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>Height</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Your height (cm)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Weight\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>Weight</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Your weight (kg)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BMI\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>BMI</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">BMI</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ProposedProcedure\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>ProposedProcedure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Proposed surgery / procedure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Initial Value: string = Endobronchial Ultrasound (EBUS)</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck111.png)\" id=\"item.ContactDetailsGroup\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>ContactDetailsGroup</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If a phone call is required for further information relating to this questionnaire, please provide details on how we can contact you.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.ContactHomePhone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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.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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / ContactDetailsGroup / </span>ContactHomePhone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Home phone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.ContactWorkPhone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / ContactDetailsGroup / </span>ContactWorkPhone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Work phone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1110.png)\" id=\"item.ContactMobilePhone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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.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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / ContactDetailsGroup / </span>ContactMobilePhone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Mobile phone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1100.png)\" id=\"item.ContactEmail\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / ContactDetailsGroup / </span>ContactEmail</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Email</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HappyToLeaveMessage\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>HappyToLeaveMessage</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Are you happy for us to leave a message?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HappyToLeaveMessage\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.MessageWithPerson\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>MessageWithPerson</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">With a person?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HappyToLeaveMessage\">HappyToLeaveMessage</a> = Yes (yes)</span><br/>Options: <a href=\"#opt-item.MessageWithPerson\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.MessageWithPersonName\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>MessageWithPersonName</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, please give person's name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <ul><li><a href=\"#item.HappyToLeaveMessage\">HappyToLeaveMessage</a> = Yes (yes)</li><li><a href=\"#item.MessageWithPerson\">MessageWithPerson</a> = Yes (yes)</li></ul></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.MessageOnAnswerPhone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>MessageOnAnswerPhone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">On answer phone?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HappyToLeaveMessage\">HappyToLeaveMessage</a> = Yes (yes)</span><br/>Options: <a href=\"#opt-item.MessageOnAnswerPhone\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.BestTimeToCall\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section1PatientDetails / </span>BestTimeToCall</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When is the best time for you to receive telephone calls from staff?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section2DHBUseOnly\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section2DHBUseOnly</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 2 – Capital and Coast DHB use only</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AssessorName\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section2DHBUseOnly / </span>AssessorName</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AssessorPosition\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section2DHBUseOnly / </span>AssessorPosition</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Position</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AssessmentDate\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section2DHBUseOnly / </span>AssessmentDate</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Date</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.PreAnaesthesiaRequirements\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section2DHBUseOnly / </span>PreAnaesthesiaRequirements</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pre-anaesthesia Requirements</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.PreAnaesthesiaRequirements\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section3MedicalConditions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section3MedicalConditions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 3 – Medical conditions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HighBloodPressure\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HighBloodPressure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. High blood pressure?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HighBloodPressure\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HighBloodPressureBPAtClinic\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HighBloodPressureBPAtClinic</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">BP at clinic</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HighBloodPressure\">HighBloodPressure</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartConditions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartConditions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">2. Heart conditions (e.g. heart murmur, valve disease, chest pain or discomfort, angina, palpitations or irregular heart beat)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HeartConditions\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartConditionsComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartConditionsComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HeartConditions\">HeartConditions</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartLungSurgery\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartLungSurgery</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">3. Heart/Lung surgery?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HeartLungSurgery\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartLungSurgeryComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartLungSurgeryComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HeartLungSurgery\">HeartLungSurgery</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ICDorPacemaker\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ICDorPacemaker</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">4. Implanted cardiac defibrillator (ICD) or Pacemaker?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ICDorPacemaker\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ICDorPacemakerLastChecked\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ICDorPacemakerLastChecked</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When was it last checked?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ICDorPacemaker\">ICDorPacemaker</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ShortnessOfBreathAtNight\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ShortnessOfBreathAtNight</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">5. Shortness of breath at night?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ShortnessOfBreathAtNight\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ShortnessOfBreathAtNightComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ShortnessOfBreathAtNightComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ShortnessOfBreathAtNight\">ShortnessOfBreathAtNight</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BlackoutsOrFainting\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BlackoutsOrFainting</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">6. Blackouts or fainting?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.BlackoutsOrFainting\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BlackoutsOrFaintingCircumstances\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BlackoutsOrFaintingCircumstances</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Under what circumstances?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.BlackoutsOrFainting\">BlackoutsOrFainting</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SwollenAnkles\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SwollenAnkles</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">7. Swollen ankles?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SwollenAnkles\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SwollenAnklesComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SwollenAnklesComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SwollenAnkles\">SwollenAnkles</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BreathingDifficulties\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BreathingDifficulties</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">8. Breathing difficulties (e.g. asthma, emphysema, C.O.R.D., bronchitis)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.BreathingDifficulties\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BreathingDifficultiesComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BreathingDifficultiesComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">(Please bring peak flow recordings with you if available)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.BreathingDifficulties\">BreathingDifficulties</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SteroidsForBreathing\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SteroidsForBreathing</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">9. Have you taken steroids for your breathing difficulty in the past 5 years?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SteroidsForBreathing\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SteroidsForBreathingLastCourse\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SteroidsForBreathingLastCourse</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When was the last course?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SteroidsForBreathing\">SteroidsForBreathing</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SleepApnoea\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SleepApnoea</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">10. Sleep apnoea (or have you been told you stop breathing while asleep)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SleepApnoea\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SleepApnoeaComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SleepApnoeaComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SleepApnoea\">SleepApnoea</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.KidneyCondition\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>KidneyCondition</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">11. Kidney (Renal) condition?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.KidneyCondition\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.KidneyConditionComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>KidneyConditionComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.KidneyCondition\">KidneyCondition</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Diabetes\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Diabetes</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">12. Diabetes?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Diabetes\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DiabetesType\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>DiabetesType</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Please tick which type</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Diabetes\">Diabetes</a> = Yes (yes)</span><br/>Options: <a href=\"#opt-item.DiabetesType\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DiabetesManagement\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>DiabetesManagement</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Do you currently use (please tick):</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Diabetes\">Diabetes</a> = Yes (yes)</span><br/>Options: <a href=\"#opt-item.DiabetesManagement\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Stroke\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Stroke</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">13. Stroke (Cerebrovascular accident or CVA)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Stroke\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.StrokeComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>StrokeComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Stroke\">Stroke</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SuddenLossVisionSpeechMovement\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SuddenLossVisionSpeechMovement</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">14. Sudden loss of vision, speech or movement?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SuddenLossVisionSpeechMovement\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SuddenLossVisionSpeechMovementComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>SuddenLossVisionSpeechMovementComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SuddenLossVisionSpeechMovement\">SuddenLossVisionSpeechMovement</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BloodClotsOrBleedingDisorder\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BloodClotsOrBleedingDisorder</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">15. Blood clots in lungs or legs or a bleeding disorder (PE, DVT, thrombosis)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.BloodClotsOrBleedingDisorder\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BloodClotsOrBleedingDisorderComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BloodClotsOrBleedingDisorderComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.BloodClotsOrBleedingDisorder\">BloodClotsOrBleedingDisorder</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartburnRefluxHiatusHernia\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartburnRefluxHiatusHernia</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">16. Heartburn/reflux of acid/hiatus hernia?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HeartburnRefluxHiatusHernia\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HeartburnRefluxHiatusHerniaComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HeartburnRefluxHiatusHerniaComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HeartburnRefluxHiatusHernia\">HeartburnRefluxHiatusHernia</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ThyroidProblems\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ThyroidProblems</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">17. Thyroid problems?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ThyroidProblems\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ThyroidProblemsComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ThyroidProblemsComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ThyroidProblems\">ThyroidProblems</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Dementia\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Dementia</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">18. Dementia? (e.g. Alzheimer's, forgetfulness)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Dementia\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DementiaComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>DementiaComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Dementia\">Dementia</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Epilepsy\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Epilepsy</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">19. Epilepsy?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Epilepsy\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.EpilepsySeizureFrequency\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>EpilepsySeizureFrequency</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How often do you have seizures?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Epilepsy\">Epilepsy</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.EpilepsyLastSeizure\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>EpilepsyLastSeizure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When was your last seizure?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Epilepsy\">Epilepsy</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Arthritis\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Arthritis</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">20. Arthritis?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Arthritis\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ArthritisComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>ArthritisComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Arthritis\">Arthritis</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.JointReplacementOrMetalware\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>JointReplacementOrMetalware</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">21. Joint replacement or orthopaedic metalware?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.JointReplacementOrMetalware\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.JointReplacementOrMetalwareType\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>JointReplacementOrMetalwareType</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">What type?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.JointReplacementOrMetalware\">JointReplacementOrMetalware</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.MuscleOrNeurologicalDisease\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>MuscleOrNeurologicalDisease</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">22. Muscle or Neurological disease (e.g. MS, Parkinson's, Muscular dystrophy)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.MuscleOrNeurologicalDisease\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.MuscleOrNeurologicalDiseaseComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>MuscleOrNeurologicalDiseaseComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.MuscleOrNeurologicalDisease\">MuscleOrNeurologicalDisease</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.JawOrNeckProblems\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>JawOrNeckProblems</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">23. Jaw or neck problems?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.JawOrNeckProblems\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.JawOrNeckProblemsComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>JawOrNeckProblemsComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.JawOrNeckProblems\">JawOrNeckProblems</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HepatitisOrLiverCondition\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HepatitisOrLiverCondition</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">24. Hepatitis A, B, C, jaundice or liver condition?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.HepatitisOrLiverCondition\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.HepatitisOrLiverConditionComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>HepatitisOrLiverConditionComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.HepatitisOrLiverCondition\">HepatitisOrLiverCondition</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TransmittableDisease\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>TransmittableDisease</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">25. Transmittable disease (such as MRSA, 'golden staph', boils, skin or other infection, septicaemia, HIV, VRSA)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.TransmittableDisease\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TransmittableDiseaseComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>TransmittableDiseaseComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.TransmittableDisease\">TransmittableDisease</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Tuberculosis\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Tuberculosis</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">26. Tuberculosis (TB)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Tuberculosis\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TuberculosisTreatment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>TuberculosisTreatment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Have you had or are you on treatment for this?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Tuberculosis\">Tuberculosis</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.FamilyConditions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>FamilyConditions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">27. Are there any conditions that run in your family? (e.g. malignant hyperthermia, thalassaemia, muscular dystrophy)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.FamilyConditions\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.FamilyConditionsComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>FamilyConditionsComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.FamilyConditions\">FamilyConditions</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Anaemia\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Anaemia</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">28. Anaemia?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Anaemia\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AnaemiaComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>AnaemiaComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Anaemia\">Anaemia</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.PreviousBloodTransfusion\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>PreviousBloodTransfusion</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">29. Previous blood transfusion?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.PreviousBloodTransfusion\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.PreviousBloodTransfusionComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>PreviousBloodTransfusionComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When was the last?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.PreviousBloodTransfusion\">PreviousBloodTransfusion</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BloodTransfusionRefusal\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BloodTransfusionRefusal</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">30. Do you have any reasons which might stop you from accepting a blood transfusion?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.BloodTransfusionRefusal\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.BloodTransfusionRefusalComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>BloodTransfusionRefusalComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">What was the reason?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.BloodTransfusionRefusal\">BloodTransfusionRefusal</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.Phobias\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>Phobias</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">31. Phobias (e.g. claustrophobia, anxiety attacks)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.Phobias\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.PhobiasComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>PhobiasComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.Phobias\">Phobias</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TravelledOverseas\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>TravelledOverseas</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">32. Travelled overseas in the last 6 months?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.TravelledOverseas\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.TravelledOverseasHospitalised\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>TravelledOverseasHospitalised</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Were you hospitalised?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.TravelledOverseas\">TravelledOverseas</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.VisualOrHearingImpairment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>VisualOrHearingImpairment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">33. A visual or hearing impairment?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.VisualOrHearingImpairment\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.VisualOrHearingImpairmentComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>VisualOrHearingImpairmentComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.VisualOrHearingImpairment\">VisualOrHearingImpairment</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.CurrentPainProblems\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>CurrentPainProblems</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">34. Do you have any current pain problems?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.CurrentPainProblems\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.CurrentPainProblemsLocation\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>CurrentPainProblemsLocation</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">What is the location of the pain?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.CurrentPainProblems\">CurrentPainProblems</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.OtherRelevantMedicalCondition\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section3MedicalConditions / </span>OtherRelevantMedicalCondition</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">35. Is there any other relevant medical condition that you need to tell us about?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section4HealthProfessionals\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section4HealthProfessionals</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 4 – Health professionals</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck101.png)\" id=\"item.HealthProfessionalsGroup\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section4HealthProfessionals / </span>HealthProfessionalsGroup</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">List the name(s) of the hospital/clinic/doctors/surgeons/nurses you see.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.HealthProfessionalName\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section4HealthProfessionals / HealthProfessionalsGroup / </span>HealthProfessionalName</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Doctor's name</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.HealthProfessionalReason\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section4HealthProfessionals / HealthProfessionalsGroup / </span>HealthProfessionalReason</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Reason you see this doctor</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" id=\"item.HealthProfessionalLastVisit\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-date.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section4HealthProfessionals / HealthProfessionalsGroup / </span>HealthProfessionalLastVisit</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Date of last visit</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section5FitnessAndLifestyle\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section5FitnessAndLifestyle</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 5 – Fitness and lifestyle</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.StairsWithoutStoppingNow\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>StairsWithoutStoppingNow</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. What can you do without stopping or getting breathless?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.StairsWithoutStoppingNow\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ManageAroundHouse\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>ManageAroundHouse</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">2. Can you manage around the house?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ManageAroundHouse\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ChangedInLast6Months\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>ChangedInLast6Months</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">3. Has this changed in the last 6 months?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ChangedInLast6Months\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.StairsWithoutStopping6MonthsAgo\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>StairsWithoutStopping6MonthsAgo</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, what could you do without stopping or getting breathless 6 months ago?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ChangedInLast6Months\">ChangedInLast6Months</a> = Yes (yes)</span><br/>Options: <a href=\"#opt-item.StairsWithoutStopping6MonthsAgo\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.WhatStopsWalking\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>WhatStopsWalking</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">4. What stops or restricts you from walking now? (e.g. getting breathless, pain in joints, pain in calf muscles)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DoYouSmoke\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>DoYouSmoke</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">5. Do you smoke?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.DoYouSmoke\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SmokeHowManyPerDay\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-integer.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>SmokeHowManyPerDay</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How many per day?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.DoYouSmoke\">DoYouSmoke</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.EverSmoked\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>EverSmoked</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">6. Have you ever smoked?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.EverSmoked\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.WhenDidYouStopSmoking\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>WhenDidYouStopSmoking</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If so, when did you stop?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.EverSmoked\">EverSmoked</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.DrinkAlcoholRegularly\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>DrinkAlcoholRegularly</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">7. Do you drink alcohol regularly?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.DrinkAlcoholRegularly\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AlcoholHowMuchPerWeek\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>AlcoholHowMuchPerWeek</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much per week?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.DrinkAlcoholRegularly\">DrinkAlcoholRegularly</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.PregnantOrMayBePregnant\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>PregnantOrMayBePregnant</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">8. Are you or do you think you may be pregnant?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.PregnantOrMayBePregnant\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.PregnancyWeeks\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-integer.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section5FitnessAndLifestyle / </span>PregnancyWeeks</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes – how many weeks?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.PregnantOrMayBePregnant\">PregnantOrMayBePregnant</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section6Allergies\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section6Allergies</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 6 – Allergies</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AllergiesOrReactions\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section6Allergies / </span>AllergiesOrReactions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. Allergies or reactions to medicines (sticking plasters, food, paint, latex / rubber products or x-ray dye)?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.AllergiesOrReactions\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.AllergiesDescription\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section6Allergies / </span>AllergiesDescription</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Please describe what happens to you:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.AllergiesOrReactions\">AllergiesOrReactions</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section7Medications\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section7Medications</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 7 – Medications</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck101.png)\" id=\"item.MedicationsGroup\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section7Medications / </span>MedicationsGroup</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Medication / Therapy</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.MedicationName\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section7Medications / MedicationsGroup / </span>MedicationName</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Name of Medication/Therapy</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.MedicationHowMuch\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section7Medications / MedicationsGroup / </span>MedicationHowMuch</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How much?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" id=\"item.MedicationHowOften\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section7Medications / MedicationsGroup / </span>MedicationHowOften</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How often each day? (Breakfast, lunch, tea)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section8PreviousSurgeryAnaesthesia\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section8PreviousSurgeryAnaesthesia</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 8 – Previous surgery / anaesthesia</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.PreviousSurgeryOrAdmission\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section8PreviousSurgeryAnaesthesia / </span>PreviousSurgeryOrAdmission</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. Have you ever had surgery or been admitted to hospital before? (Including day surgery)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.PreviousSurgeryOrAdmission\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck101.png)\" id=\"item.PreviousSurgeryGroup\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section8PreviousSurgeryAnaesthesia / </span>PreviousSurgeryGroup</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, when, what for and what hospital was that in?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.PreviousSurgeryOrAdmission\">PreviousSurgeryOrAdmission</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.PreviousSurgeryOperationIllness\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section8PreviousSurgeryAnaesthesia / PreviousSurgeryGroup / </span>PreviousSurgeryOperationIllness</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Operation / Illness</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck1010.png)\" id=\"item.PreviousSurgeryYear\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section8PreviousSurgeryAnaesthesia / PreviousSurgeryGroup / </span>PreviousSurgeryYear</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Year</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1000.png)\" id=\"item.PreviousSurgeryHospital\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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_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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section8PreviousSurgeryAnaesthesia / PreviousSurgeryGroup / </span>PreviousSurgeryHospital</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hospital</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section9AnaesthesiaRelatedIssues\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section9AnaesthesiaRelatedIssues</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 9 – Anaesthesia related issues</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ProblemsUnderAnaesthetic\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>ProblemsUnderAnaesthetic</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. Have you had any problems while under an anaesthetic?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ProblemsUnderAnaesthetic\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ProblemsUnderAnaestheticComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>ProblemsUnderAnaestheticComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">(e.g. slow to wake, nausea and vomiting, post surgery confusion, agitation)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ProblemsUnderAnaesthetic\">ProblemsUnderAnaesthetic</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.RelativeProblemsUnderAnaesthetic\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>RelativeProblemsUnderAnaesthetic</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">2. Has any blood relative had problems while under an anaesthetic?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.RelativeProblemsUnderAnaesthetic\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.RelativeProblemsUnderAnaestheticComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>RelativeProblemsUnderAnaestheticComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.RelativeProblemsUnderAnaesthetic\">RelativeProblemsUnderAnaesthetic</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.AttendedPreAnaesthesiaAssessment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>AttendedPreAnaesthesiaAssessment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">3. Have you attended a pre-anaesthesia assessment before?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.AttendedPreAnaesthesiaAssessment\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.AttendedPreAnaesthesiaAssessmentLastTime\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section9AnaesthesiaRelatedIssues / </span>AttendedPreAnaesthesiaAssessmentLastTime</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">When was the last time?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.AttendedPreAnaesthesiaAssessment\">AttendedPreAnaesthesiaAssessment</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.Section10DischargePlanning\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section10DischargePlanning</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 10 – Discharge planning</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.RequirePhysicalSupportOrAids\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>RequirePhysicalSupportOrAids</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">1. Do you require any physical support or aids?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.RequirePhysicalSupportOrAids\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.RequirePhysicalSupportOrAidsDetails\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>RequirePhysicalSupportOrAidsDetails</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If so what?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.RequirePhysicalSupportOrAids\">RequirePhysicalSupportOrAids</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LiveAlone\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>LiveAlone</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">2. Do you live alone?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.LiveAlone\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.LiveAloneComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>LiveAloneComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.LiveAlone\">LiveAlone</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ProblemsWithDailyActivities\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>ProblemsWithDailyActivities</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">3. Do you have any problems with daily activities?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.ProblemsWithDailyActivities\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.ProblemsWithDailyActivitiesComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>ProblemsWithDailyActivitiesComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">(e.g. showering, bathing, dressing)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.ProblemsWithDailyActivities\">ProblemsWithDailyActivities</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.WhoWillTakeYouHome\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>WhoWillTakeYouHome</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">4. Who will be taking you home?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.WhoWillTakeYouHome\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.WhoWillTakeYouHomeComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>WhoWillTakeYouHomeComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.WhoWillTakeYouHome\">WhoWillTakeYouHome</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SomeoneToStayOvernight\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>SomeoneToStayOvernight</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">5. Do you have someone to stay overnight with you when you get home?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SomeoneToStayOvernight\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SomeoneToStayOvernightComment\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>SomeoneToStayOvernightComment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If yes, or not certain, please comment</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SomeoneToStayOvernight\">SomeoneToStayOvernight</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.UsingCommunitySupportServices\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>UsingCommunitySupportServices</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">6. Are you currently using any community support services?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.UsingCommunitySupportServices\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.CommunitySupportServicesList\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>CommunitySupportServicesList</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If so please list:</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.UsingCommunitySupportServices\">UsingCommunitySupportServices</a> = Yes (yes)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SpeakUnderstandEnglish\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>SpeakUnderstandEnglish</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">7. Do you speak and understand English?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item.SpeakUnderstandEnglish\">2 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.FirstLanguage\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>FirstLanguage</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">If not, what is your first language?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Enable When: <span><a href=\"#item.SpeakUnderstandEnglish\">SpeakUnderstandEnglish</a> = No (no)</span></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.AnythingToDiscuss\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-text.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section10DischargePlanning / </span>AnythingToDiscuss</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">8. Is there anything in particular you would like to discuss?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck01.png)\" id=\"item.Section11PatientDeclaration\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / </span>Section11PatientDeclaration</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Section 11 – Patient declaration</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.DeclarationStatement\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section11PatientDeclaration / </span>DeclarationStatement</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">The above health information is a true and accurate account of my health status.</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck010.png)\" id=\"item.PatientSignature\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-string.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section11PatientDeclaration / </span>PatientSignature</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Patient's signature</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck000.png)\" id=\"item.DeclarationDate\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><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-date.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RespiratoryAdultHealthQuestionnaire / Section11PatientDeclaration / </span>DeclarationDate</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Date</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr><td colspan=\"6\" 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.HappyToLeaveMessage\"> </a><p><b>Answer options for HappyToLeaveMessage </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.MessageWithPerson\"> </a><p><b>Answer options for MessageWithPerson </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.MessageOnAnswerPhone\"> </a><p><b>Answer options for MessageOnAnswerPhone </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.PreAnaesthesiaRequirements\"> </a><p><b>Answer options for PreAnaesthesiaRequirements </b></p><ul><li style=\"font-size: 11px\">null#nurse-telephone-call (\"Nurse telephone call\")</li><li style=\"font-size: 11px\">null#routine (\"Routine\")</li><li style=\"font-size: 11px\">null#complex (\"Complex\")</li><li style=\"font-size: 11px\">null#high-risk (\"High risk\")</li><li style=\"font-size: 11px\">null#paediatric-specialist (\"Paediatric specialist\")</li></ul><a name=\"opt-item.HighBloodPressure\"> </a><p><b>Answer options for HighBloodPressure </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.HeartConditions\"> </a><p><b>Answer options for HeartConditions </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.HeartLungSurgery\"> </a><p><b>Answer options for HeartLungSurgery </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ICDorPacemaker\"> </a><p><b>Answer options for ICDorPacemaker </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ShortnessOfBreathAtNight\"> </a><p><b>Answer options for ShortnessOfBreathAtNight </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.BlackoutsOrFainting\"> </a><p><b>Answer options for BlackoutsOrFainting </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SwollenAnkles\"> </a><p><b>Answer options for SwollenAnkles </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.BreathingDifficulties\"> </a><p><b>Answer options for BreathingDifficulties </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SteroidsForBreathing\"> </a><p><b>Answer options for SteroidsForBreathing </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SleepApnoea\"> </a><p><b>Answer options for SleepApnoea </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.KidneyCondition\"> </a><p><b>Answer options for KidneyCondition </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Diabetes\"> </a><p><b>Answer options for Diabetes </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.DiabetesType\"> </a><p><b>Answer options for DiabetesType </b></p><ul><li style=\"font-size: 11px\">null#type-1 (\"Type 1\")</li><li style=\"font-size: 11px\">null#type-2 (\"Type 2\")</li></ul><a name=\"opt-item.DiabetesManagement\"> </a><p><b>Answer options for DiabetesManagement </b></p><ul><li style=\"font-size: 11px\">null#insulin (\"Insulin\")</li><li style=\"font-size: 11px\">null#tablets (\"Tablets\")</li><li style=\"font-size: 11px\">null#diet-control (\"Diet control\")</li></ul><a name=\"opt-item.Stroke\"> </a><p><b>Answer options for Stroke </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SuddenLossVisionSpeechMovement\"> </a><p><b>Answer options for SuddenLossVisionSpeechMovement </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.BloodClotsOrBleedingDisorder\"> </a><p><b>Answer options for BloodClotsOrBleedingDisorder </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.HeartburnRefluxHiatusHernia\"> </a><p><b>Answer options for HeartburnRefluxHiatusHernia </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ThyroidProblems\"> </a><p><b>Answer options for ThyroidProblems </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Dementia\"> </a><p><b>Answer options for Dementia </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Epilepsy\"> </a><p><b>Answer options for Epilepsy </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Arthritis\"> </a><p><b>Answer options for Arthritis </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.JointReplacementOrMetalware\"> </a><p><b>Answer options for JointReplacementOrMetalware </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.MuscleOrNeurologicalDisease\"> </a><p><b>Answer options for MuscleOrNeurologicalDisease </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.JawOrNeckProblems\"> </a><p><b>Answer options for JawOrNeckProblems </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.HepatitisOrLiverCondition\"> </a><p><b>Answer options for HepatitisOrLiverCondition </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.TransmittableDisease\"> </a><p><b>Answer options for TransmittableDisease </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Tuberculosis\"> </a><p><b>Answer options for Tuberculosis </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.FamilyConditions\"> </a><p><b>Answer options for FamilyConditions </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Anaemia\"> </a><p><b>Answer options for Anaemia </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.PreviousBloodTransfusion\"> </a><p><b>Answer options for PreviousBloodTransfusion </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.BloodTransfusionRefusal\"> </a><p><b>Answer options for BloodTransfusionRefusal </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.Phobias\"> </a><p><b>Answer options for Phobias </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.TravelledOverseas\"> </a><p><b>Answer options for TravelledOverseas </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.VisualOrHearingImpairment\"> </a><p><b>Answer options for VisualOrHearingImpairment </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.CurrentPainProblems\"> </a><p><b>Answer options for CurrentPainProblems </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.StairsWithoutStoppingNow\"> </a><p><b>Answer options for StairsWithoutStoppingNow </b></p><ul><li style=\"font-size: 11px\">null#10-stairs (\"10 stairs\")</li><li style=\"font-size: 11px\">null#20-stairs (\"20 stairs\")</li><li style=\"font-size: 11px\">null#30-stairs (\"30 stairs\")</li><li style=\"font-size: 11px\">null#40-stairs (\"40 stairs\")</li></ul><a name=\"opt-item.ManageAroundHouse\"> </a><p><b>Answer options for ManageAroundHouse </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ChangedInLast6Months\"> </a><p><b>Answer options for ChangedInLast6Months </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.StairsWithoutStopping6MonthsAgo\"> </a><p><b>Answer options for StairsWithoutStopping6MonthsAgo </b></p><ul><li style=\"font-size: 11px\">null#10-stairs (\"10 stairs\")</li><li style=\"font-size: 11px\">null#20-stairs (\"20 stairs\")</li><li style=\"font-size: 11px\">null#30-stairs (\"30 stairs\")</li><li style=\"font-size: 11px\">null#40-stairs (\"40 stairs\")</li></ul><a name=\"opt-item.DoYouSmoke\"> </a><p><b>Answer options for DoYouSmoke </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.EverSmoked\"> </a><p><b>Answer options for EverSmoked </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.DrinkAlcoholRegularly\"> </a><p><b>Answer options for DrinkAlcoholRegularly </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.PregnantOrMayBePregnant\"> </a><p><b>Answer options for PregnantOrMayBePregnant </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.AllergiesOrReactions\"> </a><p><b>Answer options for AllergiesOrReactions </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.PreviousSurgeryOrAdmission\"> </a><p><b>Answer options for PreviousSurgeryOrAdmission </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ProblemsUnderAnaesthetic\"> </a><p><b>Answer options for ProblemsUnderAnaesthetic </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.RelativeProblemsUnderAnaesthetic\"> </a><p><b>Answer options for RelativeProblemsUnderAnaesthetic </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.AttendedPreAnaesthesiaAssessment\"> </a><p><b>Answer options for AttendedPreAnaesthesiaAssessment </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.RequirePhysicalSupportOrAids\"> </a><p><b>Answer options for RequirePhysicalSupportOrAids </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.LiveAlone\"> </a><p><b>Answer options for LiveAlone </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.ProblemsWithDailyActivities\"> </a><p><b>Answer options for ProblemsWithDailyActivities </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.WhoWillTakeYouHome\"> </a><p><b>Answer options for WhoWillTakeYouHome </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SomeoneToStayOvernight\"> </a><p><b>Answer options for SomeoneToStayOvernight </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.UsingCommunitySupportServices\"> </a><p><b>Answer options for UsingCommunitySupportServices </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul><a name=\"opt-item.SpeakUnderstandEnglish\"> </a><p><b>Answer options for SpeakUnderstandEnglish </b></p><ul><li style=\"font-size: 11px\">null#yes (\"Yes\")</li><li style=\"font-size: 11px\">null#no (\"No\")</li></ul></div>"
  ] ;
  fhir:Questionnaire.url [ fhir:value "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/RespiratoryAdultHealthQuestionnaire"] ;
  fhir:Questionnaire.identifier [
     fhir:index 0 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.value [ fhir:value "RespiratoryAdultHealthQuestionnaire" ]
  ] ;
  fhir:Questionnaire.version [ fhir:value "1.0.0"] ;
  fhir:Questionnaire.name [ fhir:value "RespiratoryAdultHealthQuestionnaire"] ;
  fhir:Questionnaire.title [
     fhir:value "Adult Health Questionnaire for EBUS" ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/rendering-xhtml" ] ;
       fhir:Extension.valueString [ fhir:value "<div><h1 style=\"margin:0 0 12px 0;font-size:30px;line-height:1.2;color:#007d8a;font-weight:700;\">Adult Health Questionnaire for EBUS</h1><div style=\"margin:0 0 18px 0;padding:12px 16px;background-color:#f0f9fa;border-left:4px solid #007d8a;border-radius:4px;\"><p style=\"margin:0 0 4px 0;font-size:18px;line-height:1.4;color:#005f68;font-weight:700;\">Proposed surgery / procedure: Endobronchial Ultrasound (EBUS)</p><p style=\"margin:0;font-size:15px;line-height:1.5;color:#5f6b76;\">Please complete this questionnaire before your procedure. The information helps the Respiratory Service and the anaesthetic team assess your health and plan your care safely.</p></div></div>" ]
     ]
  ] ;
  fhir:Questionnaire.status [ fhir:value "active"] ;
  fhir:Questionnaire.subjectType [
     fhir:value "Patient" ;
     fhir:index 0
  ] ;
  fhir:Questionnaire.date [ fhir:value "2026-10-19T00:00:00.000Z"^^xsd:dateTime] ;
  fhir:Questionnaire.publisher [ fhir:value "Te Whatu Ora"] ;
  fhir:Questionnaire.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "Te Whatu Ora" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.tewhatuora.govt.nz/" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "Te Whatu Ora Integration Team" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "integration@tewhatuora.govt.nz" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ]
  ] ;
  fhir:Questionnaire.description [ fhir:value "Questions about respiratory procedure health assessment"] ;
  fhir:Questionnaire.useContext [
     fhir:index 0 ;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ] ;
       fhir:Coding.code [ fhir:value "focus" ] ;
       fhir:Coding.display [ fhir:value "Clinical Focus" ]
     ] ;
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "M65 Respiratory Medicine" ]
     ]
  ] ;
  fhir:Questionnaire.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "NZ" ] ;
       fhir:Coding.display [ fhir:value "New Zealand" ]
     ]
  ] ;
  fhir:Questionnaire.purpose [ fhir:value "Respiratory procedure health assessment"] ;
  fhir:Questionnaire.item [
     fhir:index 0 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ] ;
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-claims-extract" ] ;
       fhir:Extension.valueString [ fhir:value "specialtyCode" ]
     ] ;
     fhir:Questionnaire.item.linkId [ fhir:value "meta-specialty-code" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Specialty Code" ] ;
     fhir:Questionnaire.item.type [ fhir:value "string" ] ;
     fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
     fhir:Questionnaire.item.initial [
       fhir:index 0 ;
       fhir:Questionnaire.item.initial.valueString [ fhir:value "M65" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden" ] ;
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-claims-extract" ] ;
       fhir:Extension.valueString [ fhir:value "specialtyName" ]
     ] ;
     fhir:Questionnaire.item.linkId [ fhir:value "meta-specialty-name" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Specialty Name" ] ;
     fhir:Questionnaire.item.type [ fhir:value "string" ] ;
     fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
     fhir:Questionnaire.item.initial [
       fhir:index 0 ;
       fhir:Questionnaire.item.initial.valueString [ fhir:value "Respiratory Medicine" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section0PatientID" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Patient ID" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "Surname" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Surname" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "FirstNames" ] ;
       fhir:Questionnaire.item.text [ fhir:value "First Names" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Questionnaire.item.linkId [ fhir:value "NHI" ] ;
       fhir:Questionnaire.item.text [ fhir:value "NHI" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Questionnaire.item.linkId [ fhir:value "DateOfBirth" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Date of Birth" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 4 ;
       fhir:Questionnaire.item.linkId [ fhir:value "Sex" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Sex" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 3 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section1PatientDetails" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 1 – Patient details" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "TodaysDate" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Today's date" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Height" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Your height (cm)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "decimal" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Weight" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Your weight (kg)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "decimal" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "BMI" ] ;
       fhir:Questionnaire.item.text [ fhir:value "BMI" ] ;
       fhir:Questionnaire.item.type [ fhir:value "decimal" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 4 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ProposedProcedure" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Proposed surgery / procedure" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.initial [
         fhir:index 0 ;
         fhir:Questionnaire.item.initial.valueString [ fhir:value "Endobronchial Ultrasound (EBUS)" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ContactDetailsGroup" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If a phone call is required for further information relating to this questionnaire, please provide details on how we can contact you." ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index 0 ;
         fhir:Questionnaire.item.linkId [ fhir:value "ContactHomePhone" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Home phone" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "ContactWorkPhone" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Work phone" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.linkId [ fhir:value "ContactMobilePhone" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Mobile phone" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.linkId [ fhir:value "ContactEmail" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Email" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HappyToLeaveMessage" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Are you happy for us to leave a message?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "MessageWithPerson" ] ;
       fhir:Questionnaire.item.text [ fhir:value "With a person?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HappyToLeaveMessage" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Questionnaire.item.linkId [ fhir:value "MessageWithPersonName" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, please give person's name" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HappyToLeaveMessage" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "MessageWithPerson" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 9 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "MessageOnAnswerPhone" ] ;
       fhir:Questionnaire.item.text [ fhir:value "On answer phone?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HappyToLeaveMessage" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Questionnaire.item.linkId [ fhir:value "BestTimeToCall" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When is the best time for you to receive telephone calls from staff?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 4 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section2DHBUseOnly" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 2 – Capital and Coast DHB use only" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AssessorName" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Name" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AssessorPosition" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Position" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AssessmentDate" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Date" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "check-box" ] ;
             fhir:Coding.display [ fhir:value "Check-box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "PreAnaesthesiaRequirements" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Pre-anaesthesia Requirements" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "nurse-telephone-call" ] ;
           fhir:Coding.display [ fhir:value "Nurse telephone call" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "routine" ] ;
           fhir:Coding.display [ fhir:value "Routine" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "complex" ] ;
           fhir:Coding.display [ fhir:value "Complex" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "high-risk" ] ;
           fhir:Coding.display [ fhir:value "High risk" ]
         ]
       ], [
         fhir:index 4 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "paediatric-specialist" ] ;
           fhir:Coding.display [ fhir:value "Paediatric specialist" ]
         ]
       ]
     ]
  ], [
     fhir:index 5 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section3MedicalConditions" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 3 – Medical conditions" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HighBloodPressure" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. High blood pressure?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HighBloodPressureBPAtClinic" ] ;
       fhir:Questionnaire.item.text [ fhir:value "BP at clinic" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HighBloodPressure" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartConditions" ] ;
       fhir:Questionnaire.item.text [ fhir:value "2. Heart conditions (e.g. heart murmur, valve disease, chest pain or discomfort, angina, palpitations or irregular heart beat)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartConditionsComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HeartConditions" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartLungSurgery" ] ;
       fhir:Questionnaire.item.text [ fhir:value "3. Heart/Lung surgery?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartLungSurgeryComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HeartLungSurgery" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ICDorPacemaker" ] ;
       fhir:Questionnaire.item.text [ fhir:value "4. Implanted cardiac defibrillator (ICD) or Pacemaker?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ICDorPacemakerLastChecked" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When was it last checked?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ICDorPacemaker" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 8 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ShortnessOfBreathAtNight" ] ;
       fhir:Questionnaire.item.text [ fhir:value "5. Shortness of breath at night?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ShortnessOfBreathAtNightComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ShortnessOfBreathAtNight" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 10 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "BlackoutsOrFainting" ] ;
       fhir:Questionnaire.item.text [ fhir:value "6. Blackouts or fainting?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Questionnaire.item.linkId [ fhir:value "BlackoutsOrFaintingCircumstances" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Under what circumstances?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "BlackoutsOrFainting" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 12 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SwollenAnkles" ] ;
       fhir:Questionnaire.item.text [ fhir:value "7. Swollen ankles?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Questionnaire.item.linkId [ fhir:value "SwollenAnklesComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SwollenAnkles" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 14 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "BreathingDifficulties" ] ;
       fhir:Questionnaire.item.text [ fhir:value "8. Breathing difficulties (e.g. asthma, emphysema, C.O.R.D., bronchitis)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Questionnaire.item.linkId [ fhir:value "BreathingDifficultiesComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "(Please bring peak flow recordings with you if available)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreathingDifficulties" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 16 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SteroidsForBreathing" ] ;
       fhir:Questionnaire.item.text [ fhir:value "9. Have you taken steroids for your breathing difficulty in the past 5 years?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Questionnaire.item.linkId [ fhir:value "SteroidsForBreathingLastCourse" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When was the last course?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SteroidsForBreathing" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 18 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SleepApnoea" ] ;
       fhir:Questionnaire.item.text [ fhir:value "10. Sleep apnoea (or have you been told you stop breathing while asleep)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Questionnaire.item.linkId [ fhir:value "SleepApnoeaComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SleepApnoea" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 20 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "KidneyCondition" ] ;
       fhir:Questionnaire.item.text [ fhir:value "11. Kidney (Renal) condition?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 21 ;
       fhir:Questionnaire.item.linkId [ fhir:value "KidneyConditionComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "KidneyCondition" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 22 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Diabetes" ] ;
       fhir:Questionnaire.item.text [ fhir:value "12. Diabetes?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 23 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "DiabetesType" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Please tick which type" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Diabetes" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "type-1" ] ;
           fhir:Coding.display [ fhir:value "Type 1" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "type-2" ] ;
           fhir:Coding.display [ fhir:value "Type 2" ]
         ]
       ]
     ], [
       fhir:index 24 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "check-box" ] ;
             fhir:Coding.display [ fhir:value "Check-box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "DiabetesManagement" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Do you currently use (please tick):" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Diabetes" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "insulin" ] ;
           fhir:Coding.display [ fhir:value "Insulin" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "tablets" ] ;
           fhir:Coding.display [ fhir:value "Tablets" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "diet-control" ] ;
           fhir:Coding.display [ fhir:value "Diet control" ]
         ]
       ]
     ], [
       fhir:index 25 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Stroke" ] ;
       fhir:Questionnaire.item.text [ fhir:value "13. Stroke (Cerebrovascular accident or CVA)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 26 ;
       fhir:Questionnaire.item.linkId [ fhir:value "StrokeComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Stroke" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 27 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SuddenLossVisionSpeechMovement" ] ;
       fhir:Questionnaire.item.text [ fhir:value "14. Sudden loss of vision, speech or movement?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 28 ;
       fhir:Questionnaire.item.linkId [ fhir:value "SuddenLossVisionSpeechMovementComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SuddenLossVisionSpeechMovement" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 29 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "BloodClotsOrBleedingDisorder" ] ;
       fhir:Questionnaire.item.text [ fhir:value "15. Blood clots in lungs or legs or a bleeding disorder (PE, DVT, thrombosis)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 30 ;
       fhir:Questionnaire.item.linkId [ fhir:value "BloodClotsOrBleedingDisorderComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "BloodClotsOrBleedingDisorder" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 31 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartburnRefluxHiatusHernia" ] ;
       fhir:Questionnaire.item.text [ fhir:value "16. Heartburn/reflux of acid/hiatus hernia?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 32 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HeartburnRefluxHiatusHerniaComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HeartburnRefluxHiatusHernia" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 33 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ThyroidProblems" ] ;
       fhir:Questionnaire.item.text [ fhir:value "17. Thyroid problems?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 34 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ThyroidProblemsComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ThyroidProblems" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 35 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Dementia" ] ;
       fhir:Questionnaire.item.text [ fhir:value "18. Dementia? (e.g. Alzheimer's, forgetfulness)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 36 ;
       fhir:Questionnaire.item.linkId [ fhir:value "DementiaComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Dementia" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 37 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Epilepsy" ] ;
       fhir:Questionnaire.item.text [ fhir:value "19. Epilepsy?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 38 ;
       fhir:Questionnaire.item.linkId [ fhir:value "EpilepsySeizureFrequency" ] ;
       fhir:Questionnaire.item.text [ fhir:value "How often do you have seizures?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Epilepsy" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 39 ;
       fhir:Questionnaire.item.linkId [ fhir:value "EpilepsyLastSeizure" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When was your last seizure?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Epilepsy" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 40 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Arthritis" ] ;
       fhir:Questionnaire.item.text [ fhir:value "20. Arthritis?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 41 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ArthritisComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Arthritis" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 42 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "JointReplacementOrMetalware" ] ;
       fhir:Questionnaire.item.text [ fhir:value "21. Joint replacement or orthopaedic metalware?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 43 ;
       fhir:Questionnaire.item.linkId [ fhir:value "JointReplacementOrMetalwareType" ] ;
       fhir:Questionnaire.item.text [ fhir:value "What type?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "JointReplacementOrMetalware" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 44 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "MuscleOrNeurologicalDisease" ] ;
       fhir:Questionnaire.item.text [ fhir:value "22. Muscle or Neurological disease (e.g. MS, Parkinson's, Muscular dystrophy)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 45 ;
       fhir:Questionnaire.item.linkId [ fhir:value "MuscleOrNeurologicalDiseaseComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "MuscleOrNeurologicalDisease" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 46 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "JawOrNeckProblems" ] ;
       fhir:Questionnaire.item.text [ fhir:value "23. Jaw or neck problems?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 47 ;
       fhir:Questionnaire.item.linkId [ fhir:value "JawOrNeckProblemsComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "JawOrNeckProblems" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 48 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "HepatitisOrLiverCondition" ] ;
       fhir:Questionnaire.item.text [ fhir:value "24. Hepatitis A, B, C, jaundice or liver condition?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 49 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HepatitisOrLiverConditionComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "HepatitisOrLiverCondition" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 50 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "TransmittableDisease" ] ;
       fhir:Questionnaire.item.text [ fhir:value "25. Transmittable disease (such as MRSA, 'golden staph', boils, skin or other infection, septicaemia, HIV, VRSA)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 51 ;
       fhir:Questionnaire.item.linkId [ fhir:value "TransmittableDiseaseComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "TransmittableDisease" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 52 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Tuberculosis" ] ;
       fhir:Questionnaire.item.text [ fhir:value "26. Tuberculosis (TB)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 53 ;
       fhir:Questionnaire.item.linkId [ fhir:value "TuberculosisTreatment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Have you had or are you on treatment for this?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Tuberculosis" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 54 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "FamilyConditions" ] ;
       fhir:Questionnaire.item.text [ fhir:value "27. Are there any conditions that run in your family? (e.g. malignant hyperthermia, thalassaemia, muscular dystrophy)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 55 ;
       fhir:Questionnaire.item.linkId [ fhir:value "FamilyConditionsComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "FamilyConditions" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 56 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Anaemia" ] ;
       fhir:Questionnaire.item.text [ fhir:value "28. Anaemia?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 57 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AnaemiaComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Anaemia" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 58 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "PreviousBloodTransfusion" ] ;
       fhir:Questionnaire.item.text [ fhir:value "29. Previous blood transfusion?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 59 ;
       fhir:Questionnaire.item.linkId [ fhir:value "PreviousBloodTransfusionComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When was the last?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "PreviousBloodTransfusion" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 60 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "BloodTransfusionRefusal" ] ;
       fhir:Questionnaire.item.text [ fhir:value "30. Do you have any reasons which might stop you from accepting a blood transfusion?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 61 ;
       fhir:Questionnaire.item.linkId [ fhir:value "BloodTransfusionRefusalComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "What was the reason?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "BloodTransfusionRefusal" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 62 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "Phobias" ] ;
       fhir:Questionnaire.item.text [ fhir:value "31. Phobias (e.g. claustrophobia, anxiety attacks)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 63 ;
       fhir:Questionnaire.item.linkId [ fhir:value "PhobiasComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "Phobias" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 64 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "TravelledOverseas" ] ;
       fhir:Questionnaire.item.text [ fhir:value "32. Travelled overseas in the last 6 months?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 65 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "TravelledOverseasHospitalised" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Were you hospitalised?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "TravelledOverseas" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 66 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "VisualOrHearingImpairment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "33. A visual or hearing impairment?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 67 ;
       fhir:Questionnaire.item.linkId [ fhir:value "VisualOrHearingImpairmentComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "VisualOrHearingImpairment" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 68 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "CurrentPainProblems" ] ;
       fhir:Questionnaire.item.text [ fhir:value "34. Do you have any current pain problems?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 69 ;
       fhir:Questionnaire.item.linkId [ fhir:value "CurrentPainProblemsLocation" ] ;
       fhir:Questionnaire.item.text [ fhir:value "What is the location of the pain?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "CurrentPainProblems" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 70 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "text-box" ] ;
             fhir:Coding.display [ fhir:value "Text Box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "OtherRelevantMedicalCondition" ] ;
       fhir:Questionnaire.item.text [ fhir:value "35. Is there any other relevant medical condition that you need to tell us about?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 6 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section4HealthProfessionals" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 4 – Health professionals" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "HealthProfessionalsGroup" ] ;
       fhir:Questionnaire.item.text [ fhir:value "List the name(s) of the hospital/clinic/doctors/surgeons/nurses you see." ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.item [
         fhir:index 0 ;
         fhir:Questionnaire.item.linkId [ fhir:value "HealthProfessionalName" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Doctor's name" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "HealthProfessionalReason" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Reason you see this doctor" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.linkId [ fhir:value "HealthProfessionalLastVisit" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Date of last visit" ] ;
         fhir:Questionnaire.item.type [ fhir:value "date" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ]
     ]
  ], [
     fhir:index 7 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section5FitnessAndLifestyle" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 5 – Fitness and lifestyle" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "StairsWithoutStoppingNow" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. What can you do without stopping or getting breathless?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "10-stairs" ] ;
           fhir:Coding.display [ fhir:value "10 stairs" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "20-stairs" ] ;
           fhir:Coding.display [ fhir:value "20 stairs" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "30-stairs" ] ;
           fhir:Coding.display [ fhir:value "30 stairs" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "40-stairs" ] ;
           fhir:Coding.display [ fhir:value "40 stairs" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ManageAroundHouse" ] ;
       fhir:Questionnaire.item.text [ fhir:value "2. Can you manage around the house?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ChangedInLast6Months" ] ;
       fhir:Questionnaire.item.text [ fhir:value "3. Has this changed in the last 6 months?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "StairsWithoutStopping6MonthsAgo" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, what could you do without stopping or getting breathless 6 months ago?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ChangedInLast6Months" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "10-stairs" ] ;
           fhir:Coding.display [ fhir:value "10 stairs" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "20-stairs" ] ;
           fhir:Coding.display [ fhir:value "20 stairs" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "30-stairs" ] ;
           fhir:Coding.display [ fhir:value "30 stairs" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "40-stairs" ] ;
           fhir:Coding.display [ fhir:value "40 stairs" ]
         ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "text-box" ] ;
             fhir:Coding.display [ fhir:value "Text Box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "WhatStopsWalking" ] ;
       fhir:Questionnaire.item.text [ fhir:value "4. What stops or restricts you from walking now? (e.g. getting breathless, pain in joints, pain in calf muscles)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 5 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "DoYouSmoke" ] ;
       fhir:Questionnaire.item.text [ fhir:value "5. Do you smoke?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SmokeHowManyPerDay" ] ;
       fhir:Questionnaire.item.text [ fhir:value "How many per day?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "integer" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "DoYouSmoke" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 7 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "EverSmoked" ] ;
       fhir:Questionnaire.item.text [ fhir:value "6. Have you ever smoked?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Questionnaire.item.linkId [ fhir:value "WhenDidYouStopSmoking" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If so, when did you stop?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "EverSmoked" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 9 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "DrinkAlcoholRegularly" ] ;
       fhir:Questionnaire.item.text [ fhir:value "7. Do you drink alcohol regularly?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AlcoholHowMuchPerWeek" ] ;
       fhir:Questionnaire.item.text [ fhir:value "How much per week?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "DrinkAlcoholRegularly" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 11 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "PregnantOrMayBePregnant" ] ;
       fhir:Questionnaire.item.text [ fhir:value "8. Are you or do you think you may be pregnant?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 12 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "PregnancyWeeks" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes – how many weeks?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "integer" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "PregnantOrMayBePregnant" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 8 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section6Allergies" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 6 – Allergies" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "AllergiesOrReactions" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. Allergies or reactions to medicines (sticking plasters, food, paint, latex / rubber products or x-ray dye)?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "text-box" ] ;
             fhir:Coding.display [ fhir:value "Text Box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "AllergiesDescription" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Please describe what happens to you:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "AllergiesOrReactions" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 9 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section7Medications" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 7 – Medications" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "MedicationsGroup" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Medication / Therapy" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.item [
         fhir:index 0 ;
         fhir:Questionnaire.item.linkId [ fhir:value "MedicationName" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Name of Medication/Therapy" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "MedicationHowMuch" ] ;
         fhir:Questionnaire.item.text [ fhir:value "How much?" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.linkId [ fhir:value "MedicationHowOften" ] ;
         fhir:Questionnaire.item.text [ fhir:value "How often each day? (Breakfast, lunch, tea)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ]
     ]
  ], [
     fhir:index 10 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section8PreviousSurgeryAnaesthesia" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 8 – Previous surgery / anaesthesia" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "PreviousSurgeryOrAdmission" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. Have you ever had surgery or been admitted to hospital before? (Including day surgery)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "PreviousSurgeryGroup" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, when, what for and what hospital was that in?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "PreviousSurgeryOrAdmission" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.item [
         fhir:index 0 ;
         fhir:Questionnaire.item.linkId [ fhir:value "PreviousSurgeryOperationIllness" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Operation / Illness" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "PreviousSurgeryYear" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Year" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.linkId [ fhir:value "PreviousSurgeryHospital" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Hospital" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
       ]
     ]
  ], [
     fhir:index 11 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section9AnaesthesiaRelatedIssues" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 9 – Anaesthesia related issues" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ProblemsUnderAnaesthetic" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. Have you had any problems while under an anaesthetic?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ProblemsUnderAnaestheticComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "(e.g. slow to wake, nausea and vomiting, post surgery confusion, agitation)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ProblemsUnderAnaesthetic" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "RelativeProblemsUnderAnaesthetic" ] ;
       fhir:Questionnaire.item.text [ fhir:value "2. Has any blood relative had problems while under an anaesthetic?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Questionnaire.item.linkId [ fhir:value "RelativeProblemsUnderAnaestheticComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "RelativeProblemsUnderAnaesthetic" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "AttendedPreAnaesthesiaAssessment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "3. Have you attended a pre-anaesthesia assessment before?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Questionnaire.item.linkId [ fhir:value "AttendedPreAnaesthesiaAssessmentLastTime" ] ;
       fhir:Questionnaire.item.text [ fhir:value "When was the last time?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "AttendedPreAnaesthesiaAssessment" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 12 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section10DischargePlanning" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 10 – Discharge planning" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "RequirePhysicalSupportOrAids" ] ;
       fhir:Questionnaire.item.text [ fhir:value "1. Do you require any physical support or aids?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "RequirePhysicalSupportOrAidsDetails" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If so what?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "RequirePhysicalSupportOrAids" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "LiveAlone" ] ;
       fhir:Questionnaire.item.text [ fhir:value "2. Do you live alone?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Questionnaire.item.linkId [ fhir:value "LiveAloneComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "LiveAlone" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 4 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "ProblemsWithDailyActivities" ] ;
       fhir:Questionnaire.item.text [ fhir:value "3. Do you have any problems with daily activities?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Questionnaire.item.linkId [ fhir:value "ProblemsWithDailyActivitiesComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "(e.g. showering, bathing, dressing)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "ProblemsWithDailyActivities" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 6 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "WhoWillTakeYouHome" ] ;
       fhir:Questionnaire.item.text [ fhir:value "4. Who will be taking you home?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Questionnaire.item.linkId [ fhir:value "WhoWillTakeYouHomeComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "WhoWillTakeYouHome" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SomeoneToStayOvernight" ] ;
       fhir:Questionnaire.item.text [ fhir:value "5. Do you have someone to stay overnight with you when you get home?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Questionnaire.item.linkId [ fhir:value "SomeoneToStayOvernightComment" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If yes, or not certain, please comment" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SomeoneToStayOvernight" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "UsingCommunitySupportServices" ] ;
       fhir:Questionnaire.item.text [ fhir:value "6. Are you currently using any community support services?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Questionnaire.item.linkId [ fhir:value "CommunitySupportServicesList" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If so please list:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "UsingCommunitySupportServices" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 12 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "radio-button" ] ;
             fhir:Coding.display [ fhir:value "Radio Button" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "SpeakUnderstandEnglish" ] ;
       fhir:Questionnaire.item.text [ fhir:value "7. Do you speak and understand English?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index 0 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "yes" ] ;
           fhir:Coding.display [ fhir:value "Yes" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Questionnaire.item.linkId [ fhir:value "FirstLanguage" ] ;
       fhir:Questionnaire.item.text [ fhir:value "If not, what is your first language?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "SpeakUnderstandEnglish" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.code [ fhir:value "no" ] ;
           fhir:Coding.display [ fhir:value "No" ]
         ]
       ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 14 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "text-box" ] ;
             fhir:Coding.display [ fhir:value "Text Box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "AnythingToDiscuss" ] ;
       fhir:Questionnaire.item.text [ fhir:value "8. Is there anything in particular you would like to discuss?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "text" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ], [
     fhir:index 13 ;
     fhir:Questionnaire.item.linkId [ fhir:value "Section11PatientDeclaration" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Section 11 – Patient declaration" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "DeclarationStatement" ] ;
       fhir:Questionnaire.item.text [ fhir:value "The above health information is a true and accurate account of my health status." ] ;
       fhir:Questionnaire.item.type [ fhir:value "display" ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "PatientSignature" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Patient's signature" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Questionnaire.item.linkId [ fhir:value "DeclarationDate" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Date" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/RespiratoryAdultHealthQuestionnaire.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Questionnaire/RespiratoryAdultHealthQuestionnaire.ttl> .