Preventive Care Guidelines IG
1.0.0 - CI Build
Preventive Care Guidelines IG - Local Development build (v1.0.0). See the Directory of published versions
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="mpc-lung-cancer"/>
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<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 & 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-uspstf</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. The website linked below provides some information from the U.S. Preventive Services Task Force (USPSTF) about the benefits and harms of lung cancer screening. This information can help you prepare to ask questions that are important to you when you visit your doctor.<br/> <br/> <a id="website" value="https://effectivehealthcare.ahrq.gov/decision-aids/lung-cancer-screening/patient.html"></a> </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 low dose CT scan.</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 low dose CT scan.</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 getting a low dose CT scan.</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_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-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 lung 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><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 ("I want to give it more thought")</li><li style="font-size: 11px">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#get-test ("I want to get tested for lung cancer")</li><li style="font-size: 11px">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#do-not-want-test ("I do not want to get tested for lung cancer")</li></ul><a name="opt-item.2.1"> </a><p><b>Answer options for 2.1</b></p><ul><li style="font-size: 11px">null#LA15236-5 ("Strongly disagree")</li><li style="font-size: 11px">null#LA15773-7 ("Disagree")</li><li style="font-size: 11px">null#LA14786-0 ("Neutral")</li><li style="font-size: 11px">null#LA15774-5 ("Agree")</li><li style="font-size: 11px">null#LA15237-3 ("Strongly agree")</li></ul><a name="opt-item.2.2"> </a><p><b>Answer options for 2.2</b></p><ul><li style="font-size: 11px">null#LA15236-5 ("Strongly disagree")</li><li style="font-size: 11px">null#LA15773-7 ("Disagree")</li><li style="font-size: 11px">null#LA14786-0 ("Neutral")</li><li style="font-size: 11px">null#LA15774-5 ("Agree")</li><li style="font-size: 11px">null#LA15237-3 ("Strongly agree")</li></ul><a name="opt-item.2.3"> </a><p><b>Answer options for 2.3</b></p><ul><li style="font-size: 11px">null#LA15236-5 ("Strongly disagree")</li><li style="font-size: 11px">null#LA15773-7 ("Disagree")</li><li style="font-size: 11px">null#LA14786-0 ("Neutral")</li><li style="font-size: 11px">null#LA15774-5 ("Agree")</li><li style="font-size: 11px">null#LA15237-3 ("Strongly agree")</li></ul><a name="opt-item.2.4"> </a><p><b>Answer options for 2.4</b></p><ul><li style="font-size: 11px">null#LA15236-5 ("Strongly disagree")</li><li style="font-size: 11px">null#LA15773-7 ("Disagree")</li><li style="font-size: 11px">null#LA14786-0 ("Neutral")</li><li style="font-size: 11px">null#LA15774-5 ("Agree")</li><li style="font-size: 11px">null#LA15237-3 ("Strongly agree")</li></ul><a name="opt-item.2.5"> </a><p><b>Answer options for 2.5</b></p><ul><li style="font-size: 11px">null#LA15236-5 ("Strongly disagree")</li><li style="font-size: 11px">null#LA15773-7 ("Disagree")</li><li style="font-size: 11px">null#LA14786-0 ("Neutral")</li><li style="font-size: 11px">null#LA15774-5 ("Agree")</li><li style="font-size: 11px">null#LA15237-3 ("Strongly agree")</li></ul></div>
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<title value="Lung Cancer Screening Questionnaire"/>
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<date value="2021-09-03T16:48:06+00:00"/>
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<system
value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
<code value="do-not-want-test"/>
<display value="I do not want to get tested for lung cancer"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2"/>
<code>
<system
value="http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes"/>
<code value="next-step"/>
<display value="What do you want to do next?"/>
</code>
<prefix value="Next Steps"/>
<text value="How do you feel about your decision?"/>
<type value="group"/>
<required value="false"/>
<item>
<linkId value="2.1"/>
<code>
<system value="mpc codesystem"/>
<code value="x"/>
<display value="Know benefits"/>
</code>
<text value="I know the benefits of getting a low dose CT scan."/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="1"/>
</extension>
<valueCoding>
<code value="LA15236-5"/>
<display value="Strongly disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="2"/>
</extension>
<valueCoding>
<code value="LA15773-7"/>
<display value="Disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="3"/>
</extension>
<valueCoding>
<code value="LA14786-0"/>
<display value="Neutral"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="4"/>
</extension>
<valueCoding>
<code value="LA15774-5"/>
<display value="Agree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="5"/>
</extension>
<valueCoding>
<code value="LA15237-3"/>
<display value="Strongly agree"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2.2"/>
<code>
<system value="mpc codesystem"/>
<code value="x"/>
<display value="Know risks"/>
</code>
<text value="I know the risks of getting a low dose CT scan."/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="1"/>
</extension>
<valueCoding>
<code value="LA15236-5"/>
<display value="Strongly disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="2"/>
</extension>
<valueCoding>
<code value="LA15773-7"/>
<display value="Disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="3"/>
</extension>
<valueCoding>
<code value="LA14786-0"/>
<display value="Neutral"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="4"/>
</extension>
<valueCoding>
<code value="LA15774-5"/>
<display value="Agree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="5"/>
</extension>
<valueCoding>
<code value="LA15237-3"/>
<display value="Strongly agree"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2.3"/>
<code>
<system value="mpc codesystem"/>
<code value="x"/>
<display value="Clear on what matters to me"/>
</code>
<text value="I am clear about which benefits and risks matter most to me."/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="1"/>
</extension>
<valueCoding>
<code value="LA15236-5"/>
<display value="Strongly disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="2"/>
</extension>
<valueCoding>
<code value="LA15773-7"/>
<display value="Disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="3"/>
</extension>
<valueCoding>
<code value="LA14786-0"/>
<display value="Neutral"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="4"/>
</extension>
<valueCoding>
<code value="LA15774-5"/>
<display value="Agree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="5"/>
</extension>
<valueCoding>
<code value="LA15237-3"/>
<display value="Strongly agree"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2.4"/>
<code>
<system value="mpc codesystem"/>
<code value="x"/>
<display value="Have support"/>
</code>
<text
value="I have enough support and advice to make a decision about getting a low dose CT scan."/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="1"/>
</extension>
<valueCoding>
<code value="LA15236-5"/>
<display value="Strongly disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="2"/>
</extension>
<valueCoding>
<code value="LA15773-7"/>
<display value="Disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="3"/>
</extension>
<valueCoding>
<code value="LA14786-0"/>
<display value="Neutral"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="4"/>
</extension>
<valueCoding>
<code value="LA15774-5"/>
<display value="Agree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="5"/>
</extension>
<valueCoding>
<code value="LA15237-3"/>
<display value="Strongly agree"/>
</valueCoding>
</answerOption>
</item>
<item>
<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>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="1"/>
</extension>
<valueCoding>
<code value="LA15236-5"/>
<display value="Strongly disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="2"/>
</extension>
<valueCoding>
<code value="LA15773-7"/>
<display value="Disagree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="3"/>
</extension>
<valueCoding>
<code value="LA14786-0"/>
<display value="Neutral"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="4"/>
</extension>
<valueCoding>
<code value="LA15774-5"/>
<display value="Agree"/>
</valueCoding>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
<valueString value="5"/>
</extension>
<valueCoding>
<code value="LA15237-3"/>
<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 lung cancer screening at your next appointment? MyPreventiveCare can let your provider know what you want."/>
<type value="boolean"/>
<required value="true"/>
</item>
</Questionnaire>