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

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

: Private Colposcopy Referral Summary Questionnaire - TTL Representation

Draft as of 2026-07-20

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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/PrivateColposcopyReferralQuestionnaire> a fhir:Questionnaire ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PrivateColposcopyReferralQuestionnaire"] ;
  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 PrivateColposcopyReferralQuestionnaire</b></p><a name=\"PrivateColposcopyReferralQuestionnaire\"> </a><a name=\"hcPrivateColposcopyReferralQuestionnaire\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> PrivateColposcopyReferralQuestionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyReferralQuestionnaire#0.1.1</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.p01-ClinicInformation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p01-ClinicInformation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 01. Clinic Information</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.p01-q01-FacilityID\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p01-q01-FacilityID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 01 question 1. Colposcopy HPI facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.p02-ReferralInformation\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p02-ReferralInformation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02. Referral Information</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" id=\"item.p02-q01-SelfReferral\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> p02-q01-SelfReferral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 1. Self Referral?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" id=\"item.p02-q02.1-SelfReferral\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> p02-q02.1-SelfReferral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 2.1. If your patient has self-referred enter in their GP’s HPI-CPN and HPI Health Facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q02-ReferredByName\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p02-q02-ReferredByName</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 2. Referred by health worker name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q03-ReferredByFacilityID\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> p02-q03-ReferredByFacilityID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 3. Referred by health facility ID</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q04-ReferralDateReceived\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q04-ReferralDateReceived</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 5. Referral received date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q05-ReferralDateAccepted\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q05-ReferralDateAccepted</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 6. Referral accepted date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q06-AppointmentDate\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> p02-q06-AppointmentDate</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 7. Appointment date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q07-FirstVisit\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"boolean\" class=\"hierarchy\"/> p02-q07-FirstVisit</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 8. First colposcopy visit?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.p02-q8-FollowUpType\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p02-q8-FollowUpType</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 9. Follow-up Colposcopy Visit</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p02-q07-FirstVisit\">p02-q07-FirstVisit</a> = false</span><br/>Options: <a href=\"#opt-item.p02-q8-FollowUpType\">4 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.p02-q9-FollowUpTimeFrame\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p02-q9-FollowUpTimeFrame</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 02 question 9. Follow-up timeframe</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p02-q07-FirstVisit\">p02-q07-FirstVisit</a> = false</span><br/>Options: <a href=\"#opt-item.p02-q9-FollowUpTimeFrame\">15 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.p03-RefferalReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> p03-RefferalReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03. Reason for Referral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.p03-q01-AssessmentReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> p03-q01-AssessmentReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03 question 1. Assessment for the reason for referral</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.p03-q01-AssessmentReason\">12 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.p03-q02-OtherReason\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> p03-q02-OtherReason</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">page 03 question 2. Other Reason (if Any)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.p03-q01-AssessmentReason\">p03-q01-AssessmentReason</a> = Other</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.p02-q8-FollowUpType\"> </a><p><b>Answer options for p02-q8-FollowUpType </b></p><ul><li style=\"font-size: 11px\">null#null (\"1st Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"2nd Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"3rd Follow Up Visit\")</li><li style=\"font-size: 11px\">null#null (\"4th or more Follow up Visit\")</li></ul><a name=\"opt-item.p02-q9-FollowUpTimeFrame\"> </a><p><b>Answer options for p02-q9-FollowUpTimeFrame </b></p><ul><li style=\"font-size: 11px\">null#7D (\"7 Days\")</li><li style=\"font-size: 11px\">null#2W (\"2 Weeks\")</li><li style=\"font-size: 11px\">null#6W (\"6 Weeks\")</li><li style=\"font-size: 11px\">null#1M (\"1 Month\")</li><li style=\"font-size: 11px\">null#2M (\"2 Months\")</li><li style=\"font-size: 11px\">null#3M (\"3 Months\")</li><li style=\"font-size: 11px\">null#4M (\"4 Months\")</li><li style=\"font-size: 11px\">null#5M (\"5 Months\")</li><li style=\"font-size: 11px\">null#6M (\"6 Months\")</li><li style=\"font-size: 11px\">null#7M (\"7 Months\")</li><li style=\"font-size: 11px\">null#9M (\"9 Months\")</li><li style=\"font-size: 11px\">null#12M (\"12 Months\")</li><li style=\"font-size: 11px\">null#18M (\"18 Months\")</li><li style=\"font-size: 11px\">null#36M (\"36 Months\")</li><li style=\"font-size: 11px\">null#60M (\"60 Months\")</li></ul><a name=\"opt-item.p03-q01-AssessmentReason\"> </a><p><b>Answer options for p03-q01-AssessmentReason </b></p><ul><li style=\"font-size: 11px\">null#null (\"Any cytological evidence or suspicion of invasion\")</li><li style=\"font-size: 11px\">null#null (\"Any cytological glandular abnormality\")</li><li style=\"font-size: 11px\">null#null (\"HPV 16/18 with or without cytology\")</li><li style=\"font-size: 11px\">null#null (\"HPV other where the participant is immune compromised\")</li><li style=\"font-size: 11px\">null#null (\"HPV other with LSIL on two occasions if over 50 and 3 occasions if under 50\")</li><li style=\"font-size: 11px\">null#null (\"Positive test of cure\")</li><li style=\"font-size: 11px\">null#null (\"Low-grade clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"High-grade clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"Suspicion of an invasive cancer clinical assessment\")</li><li style=\"font-size: 11px\">null#null (\"HPV not detected with high-grade cytology\")</li><li style=\"font-size: 11px\">null#null (\"HPV not detected with suspicion or evidence of cancer on cytology\")</li><li style=\"font-size: 11px\">null#null (\"Other\")</li></ul></div>"
  ] ;
  fhir:Questionnaire.url [ fhir:value "https://build.fhir.org/ig/tewhatuora/cinc-fhir-ig/Questionnaire/PrivateColposcopyReferralQuestionnaire"] ;
  fhir:Questionnaire.identifier [
     fhir:index 0 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.value [ fhir:value "PrivateColposcopyReferralQuestionnaire" ]
  ] ;
  fhir:Questionnaire.version [ fhir:value "0.1.1"] ;
  fhir:Questionnaire.name [ fhir:value "PrivateColposcopyReferralQuestionnaire"] ;
  fhir:Questionnaire.title [ fhir:value "Private Colposcopy Referral Summary Questionnaire"] ;
  fhir:Questionnaire.status [ fhir:value "draft"] ;
  fhir:Questionnaire.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:Questionnaire.subjectType [
     fhir:value "Patient" ;
     fhir:index 0
  ] ;
  fhir:Questionnaire.date [ fhir:value "2026-07-20T04:35:02+00:00"^^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.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 "workflow" ] ;
       fhir:Coding.display [ fhir:value "Workflow Setting" ]
     ] ;
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "Private Colposcopy Visit Summary" ]
     ]
  ] ;
  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 "To gather the referral details of Private colposcopy procedure."] ;
  fhir:Questionnaire.item [
     fhir:index 0 ;
     fhir:Questionnaire.item.linkId [ fhir:value "p01-ClinicInformation" ] ;
     fhir:Questionnaire.item.prefix [ fhir:value "page 01" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Clinic Information" ] ;
     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-referenceResource" ] ;
         fhir:Extension.valueCode [ fhir:value "Location" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p01-q01-FacilityID" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 01 question 1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Colposcopy HPI facility ID" ] ;
       fhir:Questionnaire.item.type [ fhir:value "reference" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Questionnaire.item.linkId [ fhir:value "p02-ReferralInformation" ] ;
     fhir:Questionnaire.item.prefix [ fhir:value "page 02" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Referral Information" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index 0 ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q01-SelfReferral" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Self Referral?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "boolean" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ;
       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 "help" ] ;
               fhir:Coding.display [ fhir:value "Help-Button" ]
             ] ;
             fhir:CodeableConcept.text [ fhir:value "Help-Button" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "p02-q02.1-SelfReferral" ] ;
         fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 2.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "If your patient has self-referred enter in their GP’s HPI-CPN and HPI Health Facility ID" ] ;
         fhir:Questionnaire.item.type [ fhir:value "display" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource" ] ;
         fhir:Extension.valueCode [ fhir:value "Practitioner" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q02-ReferredByName" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 2" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Referred by health worker name" ] ;
       fhir:Questionnaire.item.type [ fhir:value "reference" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 2 ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource" ] ;
         fhir:Extension.valueCode [ fhir:value "Location" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q03-ReferredByFacilityID" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 3" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Referred by health facility ID" ] ;
       fhir:Questionnaire.item.type [ fhir:value "reference" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 3 ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q04-ReferralDateReceived" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 5" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Referral received date" ] ;
       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 "p02-q05-ReferralDateAccepted" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 6" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Referral accepted date" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index 5 ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q06-AppointmentDate" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 7" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Appointment date" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 6 ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q07-FirstVisit" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 8" ] ;
       fhir:Questionnaire.item.text [ fhir:value "First colposcopy visit?" ] ;
       fhir:Questionnaire.item.type [ fhir:value "boolean" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ 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 "drop-down" ] ;
             fhir:Coding.display [ fhir:value "Drop down" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q8-FollowUpType" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 9" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Follow-up Colposcopy Visit" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "p02-q07-FirstVisit" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]
       ] ;
       fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^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.display [ fhir:value "1st Follow Up Visit" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "2nd Follow Up Visit" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "3rd Follow Up Visit" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "4th or more Follow up Visit" ]
         ]
       ]
     ], [
       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 "drop-down" ] ;
             fhir:Coding.display [ fhir:value "Drop down" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p02-q9-FollowUpTimeFrame" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 02 question 9" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Follow-up timeframe" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "p02-q07-FirstVisit" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "false"^^xsd:boolean ]
       ] ;
       fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^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 "7D" ] ;
           fhir:Coding.display [ fhir:value "7 Days" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "2W" ] ;
           fhir:Coding.display [ fhir:value "2 Weeks" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "6W" ] ;
           fhir:Coding.display [ fhir:value "6 Weeks" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "1M" ] ;
           fhir:Coding.display [ fhir:value "1 Month" ]
         ]
       ], [
         fhir:index 4 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "2M" ] ;
           fhir:Coding.display [ fhir:value "2 Months" ]
         ]
       ], [
         fhir:index 5 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "3M" ] ;
           fhir:Coding.display [ fhir:value "3 Months" ]
         ]
       ], [
         fhir:index 6 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "4M" ] ;
           fhir:Coding.display [ fhir:value "4 Months" ]
         ]
       ], [
         fhir:index 7 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "5M" ] ;
           fhir:Coding.display [ fhir:value "5 Months" ]
         ]
       ], [
         fhir:index 8 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "6M" ] ;
           fhir:Coding.display [ fhir:value "6 Months" ]
         ]
       ], [
         fhir:index 9 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "7M" ] ;
           fhir:Coding.display [ fhir:value "7 Months" ]
         ]
       ], [
         fhir:index 10 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "9M" ] ;
           fhir:Coding.display [ fhir:value "9 Months" ]
         ]
       ], [
         fhir:index 11 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "12M" ] ;
           fhir:Coding.display [ fhir:value "12 Months" ]
         ]
       ], [
         fhir:index 12 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "18M" ] ;
           fhir:Coding.display [ fhir:value "18 Months" ]
         ]
       ], [
         fhir:index 13 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "36M" ] ;
           fhir:Coding.display [ fhir:value "36 Months" ]
         ]
       ], [
         fhir:index 14 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.code [ fhir:value "60M" ] ;
           fhir:Coding.display [ fhir:value "60 Months" ]
         ]
       ]
     ]
  ], [
     fhir:index 2 ;
     fhir:Questionnaire.item.linkId [ fhir:value "p03-RefferalReason" ] ;
     fhir:Questionnaire.item.prefix [ fhir:value "page 03" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Reason for Referral" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ;
     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 "drop-down" ] ;
             fhir:Coding.display [ fhir:value "Drop down" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "p03-q01-AssessmentReason" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Assessment for the reason for referral" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^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.display [ fhir:value "Any cytological evidence or suspicion of invasion" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "Any cytological glandular abnormality" ]
         ]
       ], [
         fhir:index 2 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "HPV 16/18 with or without cytology" ]
         ]
       ], [
         fhir:index 3 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "HPV other where the participant is immune compromised" ]
         ]
       ], [
         fhir:index 4 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "HPV other with LSIL on two occasions if over 50 and 3 occasions if under 50" ]
         ]
       ], [
         fhir:index 5 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "Positive test of cure" ]
         ]
       ], [
         fhir:index 6 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "Low-grade clinical assessment" ]
         ]
       ], [
         fhir:index 7 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "High-grade clinical assessment" ]
         ]
       ], [
         fhir:index 8 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "Suspicion of an invasive cancer clinical assessment" ]
         ]
       ], [
         fhir:index 9 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "HPV not detected with high-grade cytology" ]
         ]
       ], [
         fhir:index 10 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "HPV not detected with suspicion or evidence of cancer on cytology" ]
         ]
       ], [
         fhir:index 11 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.display [ fhir:value "Other" ]
         ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "p03-q02-OtherReason" ] ;
       fhir:Questionnaire.item.prefix [ fhir:value "page 03 question 2" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Other Reason (if Any)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.enableWhen [
         fhir:index 0 ;
         fhir:Questionnaire.item.enableWhen.question [ fhir:value "p03-q01-AssessmentReason" ] ;
         fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
         fhir:Questionnaire.item.enableWhen.answerCoding [
           fhir:Coding.display [ fhir:value "Other" ]
         ]
       ] ;
       fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ]
     ]
  ] .

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

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