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

## : Colon Cancer Screening Questionnaire - JSON Representation

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    {
      "resourceType" : "Questionnaire",
      "id" : "mpc-colon-cancer",
      "meta" : {
        "versionId" : "0.1.0",
        "profile" : [
          "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|2.7",
          "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-shareablequestionnaire"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>\r\n<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-colon</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;h4&gt;Tests That Look at Your Colon&lt;/h4&gt;There are three tests that look at your colon: a colonoscopy, a flexible sigmoidoscopy, and a CT colonography (virtual colonoscopy).&lt;ul&gt;&lt;li&gt;A &lt;em&gt;colonoscopy&lt;/em&gt; is a long tube put in your rectum to look for growths in the colon. It has the advantage of being done less frequently &amp;ndash; often every 10 years. It does require medicine to clean out your bowels, anesthesia, and a ride to and from the test.&lt;/li&gt;&lt;li&gt;A &lt;em&gt;sigmoidoscopy&lt;/em&gt; is like a colonoscopy, but it is a shorter tube that only looks at the first three feet of your colon. It is done every 5 to 10 years. It still requires medicine to clean out your bowels but does not use anesthesia. It is not available in many communities.&lt;/li&gt;&lt;li&gt;A &lt;em&gt;CT colonoscopy&lt;/em&gt; is a CT scan to look at your colon. It can find polyps and cancer and is done every 5 years. It does require medicine to clean out your bowels. Sometimes if finds things outside the colon and we not sure if this helps or hurts people.&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>\r\n<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-stool</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;h4&gt;Tests That Look at Your Stool&lt;/h4&gt;There are two types of tests that look at your stool: tests that look for microscopic blood or tests that look for abnormal DNA changes. If the results are abnormal, you need a colonoscopy to follow-up.&lt;ul&gt;&lt;li&gt;A &lt;em&gt;FIT or FOBT&lt;/em&gt; test look for microscopic blood in your stool. They can be done at home and are generally quick and easy. They need to be done every year and you have to collect a small stool sample.&lt;/li&gt;&lt;li&gt;A &lt;em&gt;stool DNA test&lt;/em&gt; looks for microscopic blood and changes in the DNA in your stool. It can find more cancers than the stool blood tests but may not be better over time. They have more false positives, so you are more likely to need a follow-up colonoscopy. They need to be done every 1 to 3 years and you have to collect an entire bowel movement.&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>\r\n<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-choice</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;ul&gt;&lt;li&gt;Some patients like to do the tests that look at the colon, like the colonoscopy, because they can do the test less frequently and feel good that polyps are removed.&lt;/li&gt;&lt;li&gt;Other patients prefer the stool tests, because they are easy, save the same number of lives, and don’t mind doing a test every year.&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>\r\n<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>\r\n<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>\r\n<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 the different tests.</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>\r\n<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 drawbacks of the different tests.</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>\r\n<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 drawbacks 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>\r\n<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 which test I want.</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>\r\n<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>\r\n<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 colon 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>\r\n<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>\r\n<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>\r\n<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>\r\n<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-colon-test (&quot;I want to get a test to look at the colon, like a colonoscopy&quot;)</li><li style=\"font-size: 11px\">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#get-stool-test (&quot;I want to get a stool test&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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
          "valueString" : "shareable"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
          "valueString" : "publishable"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
          "valueString" : "narrative"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
          "valueString" : "computable"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
          "valueString" : "structured"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
          "valueString" : "executable"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
          "valueString" : "executable"
        }
      ],
      "url" : "http://fhir.org/guides/preventive-care/Questionnaire/mpc-colon-cancer",
      "version" : "1.0.0",
      "title" : "Colon Cancer Screening Questionnaire",
      "status" : "active",
      "date" : "2021-09-03T16:48:06+00:00",
      "publisher" : "U.S. Preventive Services Task Force (USPSTF)",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "https://www.uspreventiveservicestaskforce.org/uspstf/"
            }
          ]
        }
      ],
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001"
            }
          ]
        }
      ],
      "item" : [
        {
          "linkId" : "learn-more-colon",
          "prefix" : "Learn More",
          "text" : "<h4>Tests That Look at Your Colon</h4>There are three tests that look at your colon: a colonoscopy, a flexible sigmoidoscopy, and a CT colonography (virtual colonoscopy).<ul><li>A <em>colonoscopy</em> is a long tube put in your rectum to look for growths in the colon. It has the advantage of being done less frequently &ndash; often every 10 years. It does require medicine to clean out your bowels, anesthesia, and a ride to and from the test.</li><li>A <em>sigmoidoscopy</em> is like a colonoscopy, but it is a shorter tube that only looks at the first three feet of your colon. It is done every 5 to 10 years. It still requires medicine to clean out your bowels but does not use anesthesia. It is not available in many communities.</li><li>A <em>CT colonoscopy</em> is a CT scan to look at your colon. It can find polyps and cancer and is done every 5 years. It does require medicine to clean out your bowels. Sometimes if finds things outside the colon and we not sure if this helps or hurts people.</li></ul>",
          "type" : "display"
        },
        {
          "linkId" : "learn-more-stool",
          "prefix" : "Learn More",
          "text" : "<h4>Tests That Look at Your Stool</h4>There are two types of tests that look at your stool: tests that look for microscopic blood or tests that look for abnormal DNA changes. If the results are abnormal, you need a colonoscopy to follow-up.<ul><li>A <em>FIT or FOBT</em> test look for microscopic blood in your stool. They can be done at home and are generally quick and easy. They need to be done every year and you have to collect a small stool sample.</li><li>A <em>stool DNA test</em> looks for microscopic blood and changes in the DNA in your stool. It can find more cancers than the stool blood tests but may not be better over time. They have more false positives, so you are more likely to need a follow-up colonoscopy. They need to be done every 1 to 3 years and you have to collect an entire bowel movement.</li></ul>",
          "type" : "display"
        },
        {
          "linkId" : "learn-more-choice",
          "prefix" : "Learn More",
          "text" : "<ul><li>Some patients like to do the tests that look at the colon, like the colonoscopy, because they can do the test less frequently and feel good that polyps are removed.</li><li>Other patients prefer the stool tests, because they are easy, save the same number of lives, and don’t mind doing a test every year.</li></ul>",
          "type" : "display"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/StructureDefinition/cpg-answerValueSetSource",
              "valueCanonical" : "http://fhir.org/guides/preventive-care/ValueSet/next-step-types"
            }
          ],
          "linkId" : "1",
          "code" : [
            {
              "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
              "code" : "mpc-do-next",
              "display" : "What do you want to do next?"
            }
          ],
          "prefix" : "Next Steps",
          "text" : "What do you want to do next?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
                "code" : "more-thought",
                "display" : "I want to give it more thought"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
                "code" : "get-colon-test",
                "display" : "I want to get a test to look at the colon, like a colonoscopy"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
                "code" : "get-stool-test",
                "display" : "I want to get a stool test"
              }
            }
          ]
        },
        {
          "linkId" : "2",
          "code" : [
            {
              "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
              "code" : "next-step",
              "display" : "What do you want to do next?"
            }
          ],
          "prefix" : "Next Steps",
          "text" : "How do you feel about your decision?",
          "type" : "group",
          "required" : false,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "drop-down",
                        "display" : "Drop down"
                      }
                    ],
                    "text" : "Drop down"
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
                  "valueCanonical" : "http://loinc.org/vs/LL2949-7"
                }
              ],
              "linkId" : "2.1",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Know benefits"
                }
              ],
              "text" : "I know the benefits of the different tests.",
              "type" : "choice",
              "required" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
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                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Neutral"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
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                    "display" : "Agree"
                  }
                },
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                  "valueCoding" : {
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              ]
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                },
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              ],
              "linkId" : "2.2",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Know risks"
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              ],
              "text" : "I know the drawbacks of the different tests.",
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              "required" : false,
              "answerOption" : [
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                  "valueCoding" : {
                    "system" : "http://loinc.org",
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                },
                {
                  "valueCoding" : {
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                },
                {
                  "valueCoding" : {
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                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
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                }
              ]
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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                },
                {
                  "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
                  "valueCanonical" : "http://loinc.org/vs/LL2949-7"
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              ],
              "linkId" : "2.3",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "I am clear about which benefits and drawbacks matter most to me."
                }
              ],
              "text" : "I am clear about which benefits and drawbacks matter most to me.",
              "type" : "choice",
              "required" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
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                    "display" : "Strongly disagree"
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                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Neutral"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Agree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly agree"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
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                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "drop-down",
                        "display" : "Drop down"
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                    ],
                    "text" : "Drop down"
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
                  "valueCanonical" : "http://loinc.org/vs/LL2949-7"
                }
              ],
              "linkId" : "2.4",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Have support"
                }
              ],
              "text" : "I have enough support and advice to make a decision about which test I want.",
              "type" : "choice",
              "required" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Neutral"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Agree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly agree"
                  }
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "drop-down",
                        "display" : "Drop down"
                      }
                    ],
                    "text" : "Drop down"
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
                  "valueCanonical" : "http://loinc.org/vs/LL2949-7"
                }
              ],
              "linkId" : "2.5",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Sure about choice"
                }
              ],
              "text" : "I feel sure about the best choice for me.",
              "type" : "choice",
              "required" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Neutral"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Agree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "x",
                    "display" : "Strongly agree"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "3",
          "code" : [
            {
              "system" : "http://example.org/questionnaires",
              "code" : "Discuss at next appointment"
            }
          ],
          "prefix" : "Next Steps",
          "text" : "Would you like to discuss colon cancer screening at your next appointment? MyPreventiveCare can let your provider know what you want.",
          "type" : "boolean",
          "required" : true
        },
        {
          "linkId" : "15",
          "code" : [
            {
              "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
              "code" : "mpc-feedback",
              "display" : "Feedback about your use of MyPreventiveCare"
            }
          ],
          "prefix" : "Feedback",
          "text" : "Please indicate your level of agreement with the following statement:",
          "type" : "group",
          "required" : false,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "drop-down",
                        "display" : "Drop down"
                      }
                    ],
                    "text" : "Drop down"
                  }
                },
                {
                  "url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
                  "valueCanonical" : "http://loinc.org/vs/LL1606-4"
                }
              ],
              "linkId" : "15.1",
              "code" : [
                {
                  "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
                  "code" : "mpq-1063",
                  "display" : "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."
                }
              ],
              "text" : "Using the MyPreventiveCare tool has helped me begin preparing for a conversation with my provider about making health decisions.",
              "type" : "choice",
              "required" : false,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "system" : "https://loinc.org/LL1606-4/",
                    "code" : "LA15238-1",
                    "display" : "Disagree a lot"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "https://loinc.org/LL1606-4/",
                    "code" : "LA15239-9",
                    "display" : "Disagree a little"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "https://loinc.org/LL1606-4/",
                    "code" : "LA15240-7",
                    "display" : "Neither agree nor disagree"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "https://loinc.org/LL1606-4/",
                    "code" : "LA15241-5",
                    "display" : "Agree a little"
                  }
                },
                {
                  "valueCoding" : {
                    "system" : "https://loinc.org/LL1606-4/",
                    "code" : "LA15242-3",
                    "display" : "Agree a lot"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "16",
          "code" : [
            {
              "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
              "code" : "mpq-1064",
              "display" : "Do you have any other feedback or thoughts to share on your use of MyPreventiveCare?"
            },
            {
              "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
              "code" : "mpc-feedback",
              "display" : "Feedback on your use of MyPreventiveCare"
            }
          ],
          "prefix" : "Feedback",
          "text" : "Do you have any other feedback or thoughts to share on your use of MyPreventiveCare?",
          "type" : "text",
          "required" : false
        }
      ]
    }