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    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkId for the item">LinkId</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" 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 : 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"/> </td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Display" class="hierarchy"/> learn-more-benefits</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Learn More. &lt;h3&gt;The Benefits&lt;/h3&gt;What Tests Are Used to Screen for Breast Cancer?&lt;br/&gt;&lt;br/&gt;&lt;ul&gt;&lt;li&gt;Mammograms can help find breast cancer early.  You have a better chance of surviving breast cancer and will have fewer complications if you find it early.  Because of the increased use of mammograms and better treatments, more women survive breast cancer today.&lt;/li&gt;&lt;li&gt;If 1,000 women get a mammogram every two years from age 50 to 74 years, we will prevent 8 women from dying from breast cancer.&lt;/li&gt;&lt;li&gt;If 1,000 women get a mammogram every two years from age 50 to 74 years, we will prevent 9 to 10 women from dying from breast cancer.&lt;/li&gt;&lt;ul&gt;.</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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-display.png" alt="." style="background-color: white; background-color: inherit" title="Display" class="hierarchy"/> learn-more-harms</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Learn More. &lt;h3&gt;The Harms&lt;/h3&gt;&lt;ul&gt;&lt;li&gt;The main harm from a mammogram is a “false-positive result.  This means the mammogram is abnormal but there is no cancer.  About half of all women will have a false positive result at some time in their life if they opt for screening every 2 years between the ages of 50 and 74 years.  This can cause anxiety and unnecessary follow-up tests.  Sometimes these tests can be more invasive or even hurt you.&lt;/li&gt;&lt;li&gt;If 1,000 women choose to start screening at age 40 years, instead of age 50 years, there will be an additional 576 false positive mammograms (some women will have more than one false positive) and 67 benign biopsies.&lt;/li&gt;&lt;/ul&gt;.</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Display" class="hierarchy"/> learn-more-video</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Learn More. Mayo Clinic Minute: What women need to know about mammograms. &lt;br/&gt; &lt;br/&gt; &lt;a id=&quot;youtube&quot; value=&quot;Sz1YL4EX2pI&quot;&gt;&lt;/a&gt;</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> 1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Next Steps. What do you want to do next?</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.1">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" 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"/> 2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Next Steps. How do you feel about your decision?</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" 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"/> 2.1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I know the benefits of getting a mammogram now.</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.1">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> 2.2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I know the risks of getting a mammogram now.</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.2">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" 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"/> 2.3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I am clear about which benefits and risks matter most to me.</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.3">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> 2.4</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I have enough support and advice to make a decision about wo start getting mammograms.</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.4">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" 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: white; background-color: inherit" title="Coding" class="hierarchy"/> 2.5</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I feel sure about the best choice for me.</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2.5">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" 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-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Boolean" class="hierarchy"/> 3</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Next Steps. Would you like to discuss breast cancer screening at your next appointment? MyPreventiveCare can let your provider know what you want.</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" 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: white; background-color: inherit" title="Group" class="hierarchy"/> 15</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feedback. Please indicate your level of agreement with the following statement:</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" 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"/> 15.1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Using the MyPreventiveCare tool has helped me begin preparing for a conversation with my provider about making health decisions.</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.15.1">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" 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-text.png" alt="." style="background-color: white; background-color: inherit" title="Text" class="hierarchy"/> 16</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feedback. Do you have any other feedback or thoughts to share on your use of MyPreventiveCare?</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text">text</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Option Sets</b></p><a name="opt-item.1"> </a><p><b>Answer options for 1</b></p><ul><li style="font-size: 11px">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#more-thought (&quot;I want to give it more thought&quot;)</li><li style="font-size: 11px">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#get-test (&quot;I want to get a mammogram now&quot;)</li><li style="font-size: 11px">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#do-not-want-test (&quot;I want to wait to get a mammogram when I am older&quot;)</li></ul><a name="opt-item.2.1"> </a><p><b>Answer options for 2.1</b></p><ul><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Neutral&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Agree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly agree&quot;)</li></ul><a name="opt-item.2.2"> </a><p><b>Answer options for 2.2</b></p><ul><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Neutral&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Agree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly agree&quot;)</li></ul><a name="opt-item.2.3"> </a><p><b>Answer options for 2.3</b></p><ul><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Neutral&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Agree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly agree&quot;)</li></ul><a name="opt-item.2.4"> </a><p><b>Answer options for 2.4</b></p><ul><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Neutral&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Agree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly agree&quot;)</li></ul><a name="opt-item.2.5"> </a><p><b>Answer options for 2.5</b></p><ul><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Disagree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Neutral&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Agree&quot;)</li><li style="font-size: 11px"><a href="http://terminology.hl7.org/2.1.0/CodeSystem-v3-loinc.html">LOINC</a>: x (&quot;Strongly agree&quot;)</li></ul><a name="opt-item.15.1"> </a><p><b>Answer options for 15.1</b></p><ul><li style="font-size: 11px">https://loinc.org/LL1606-4/#LA15238-1 (&quot;Disagree a lot&quot;)</li><li style="font-size: 11px">https://loinc.org/LL1606-4/#LA15239-9 (&quot;Disagree a little&quot;)</li><li style="font-size: 11px">https://loinc.org/LL1606-4/#LA15240-7 (&quot;Neither agree nor disagree&quot;)</li><li style="font-size: 11px">https://loinc.org/LL1606-4/#LA15241-5 (&quot;Agree a little&quot;)</li><li style="font-size: 11px">https://loinc.org/LL1606-4/#LA15242-3 (&quot;Agree a lot&quot;)</li></ul></div>
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        <code value="x"/>
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        <display value="Have support"/>
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      <text value="I have enough support and advice to make a decision about wo start getting mammograms."/>
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        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Strongly disagree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Disagree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Neutral"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Agree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Strongly agree"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
          <text value="Drop down"/>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
        <valueCanonical value="http://loinc.org/vs/LL2949-7"/>
      </extension>
      <linkId value="2.5"/>
      <code>
        <system value="mpc codesystem"/>
        <code value="x"/>
        <display value="Sure about choice"/>
      </code>
      <text value="I feel sure about the best choice for me."/>
      <type value="choice"/>
      <required value="false"/>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Strongly disagree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Disagree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Neutral"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Agree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="x"/>
          <display value="Strongly agree"/>
        </valueCoding>
      </answerOption>
    </item>
  </item>
  <item>
    <linkId value="3"/>
    <code>
      <system value="http://example.org/questionnaires"/>
      <code value="Discuss at next appointment"/>
    </code>
    <prefix value="Next Steps"/>
    <text value="Would you like to discuss breast cancer screening at your next appointment? MyPreventiveCare can let your provider know what you want."/>
    <type value="boolean"/>
    <required value="true"/>
  </item>
  <item>
    <linkId value="15"/>
    <code>
      <system value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
      <code value="mpc-feedback"/>
      <display value="Feedback about your use of MyPreventiveCare"/>
    </code>
    <prefix value="Feedback"/>
    <text value="Please indicate your level of agreement with the following statement:"/>
    <type value="group"/>
    <required value="false"/>
    <item>
      <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="drop-down"/>
            <display value="Drop down"/>
          </coding>
          <text value="Drop down"/>
        </valueCodeableConcept>
      </extension>
      <extension url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
        <valueCanonical value="http://loinc.org/vs/LL1606-4"/>
      </extension>
      <linkId value="15.1"/>
      <code>
        <system value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
        <code value="mpq-1063"/>
        <display value="Please indicate your level of agreement with the following statement: Using the MyPreventiveCare tool has helped me begin preparing for a conversation with my provider about making health decisions."/>
      </code>
      <text value="Using the MyPreventiveCare tool has helped me begin preparing for a conversation with my provider about making health decisions."/>
      <type value="choice"/>
      <required value="false"/>
      <answerOption>
        <valueCoding>
          <system value="https://loinc.org/LL1606-4/"/>
          <code value="LA15238-1"/>
          <display value="Disagree a lot"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="https://loinc.org/LL1606-4/"/>
          <code value="LA15239-9"/>
          <display value="Disagree a little"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="https://loinc.org/LL1606-4/"/>
          <code value="LA15240-7"/>
          <display value="Neither agree nor disagree"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="https://loinc.org/LL1606-4/"/>
          <code value="LA15241-5"/>
          <display value="Agree a little"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system value="https://loinc.org/LL1606-4/"/>
          <code value="LA15242-3"/>
          <display value="Agree a lot"/>
        </valueCoding>
      </answerOption>
    </item>
  </item>
  <item>
    <linkId value="16"/>
    <code>
      <system value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
      <code value="mpq-1064"/>
      <display value="Do you have any other feedback or thoughts to share on your use of MyPreventiveCare?"/>
    </code>
    <code>
      <system value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
      <code value="mpc-feedback"/>
      <display value="Feedback on your use of MyPreventiveCare"/>
    </code>
    <prefix value="Feedback"/>
    <text value="Do you have any other feedback or thoughts to share on your use of MyPreventiveCare?"/>
    <type value="text"/>
    <required value="false"/>
  </item>
</Questionnaire>