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

## : Prostate Cancer Screening Questionnaire - JSON Representation

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    {
      "resourceType" : "Questionnaire",
      "id" : "mpc-prostate-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-intro</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. What Tests Are Used to Screen for Prostate Cancer?&lt;br/&gt;&lt;br/&gt;Screening for prostate cancer is a blood test called the prostate-specific antigen or PSA test. A high PSA level can be a sign of prostate cancer. However, other things like an enlarged prostate or swelling of the prostate also cause a high PSA level. A biopsy of the prostate is necessary to make the diagnosis of cancer.</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-video</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. Watch a 3-minute video about the PSA testing. We’d like to suggest you watch the video to help you prepare for your upcoming visit. This video can help you prepare to ask questions that are important to you when you visit with your provider. &lt;br/&gt; &lt;br/&gt; &lt;a id=&quot;youtube&quot; value=&quot;YqticruOZ7U&quot;&gt;&lt;/a&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-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. See a picture of what happens to 1,000 men who chose to get a PSA test. It shows you how many men benefit from screening – don’t die from prostate cancer. And it shows you how many men are harmed – false positives and complications from treatment.&lt;br/&gt; &lt;br/&gt; &lt;img width=&quot;100%&quot; src=&quot;https://www.cdc.gov/cancer/prostate/images/prostate-decision-guide-300.jpg&quot;/&gt; &lt;a id=&quot;website&quot; value=&quot;https://www.uspreventiveservicestaskforce.org/Home/GetFileByID/3795&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>\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 getting a PSA test.</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 risks of getting a PSA test.</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 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>\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 getting a PSA test.</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 prostate 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-test (&quot;I want to get a PSA test&quot;)</li><li style=\"font-size: 11px\">http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes#do-not-want-test (&quot;I do not want to get a PSA 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-prostate-cancer",
      "version" : "1.0.0",
      "title" : "Prostate 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-intro",
          "prefix" : "Learn More",
          "text" : "What Tests Are Used to Screen for Prostate Cancer?<br/><br/>Screening for prostate cancer is a blood test called the prostate-specific antigen or PSA test. A high PSA level can be a sign of prostate cancer. However, other things like an enlarged prostate or swelling of the prostate also cause a high PSA level. A biopsy of the prostate is necessary to make the diagnosis of cancer.",
          "type" : "display"
        },
        {
          "linkId" : "learn-more-video",
          "prefix" : "Learn More",
          "text" : "Watch a 3-minute video about the PSA testing. We’d like to suggest you watch the video to help you prepare for your upcoming visit. This video can help you prepare to ask questions that are important to you when you visit with your provider. <br/> <br/> <a id=\"youtube\" value=\"YqticruOZ7U\"></a>",
          "type" : "display"
        },
        {
          "linkId" : "learn-more-uspstf",
          "prefix" : "Learn More",
          "text" : "See a picture of what happens to 1,000 men who chose to get a PSA test. It shows you how many men benefit from screening – don’t die from prostate cancer. And it shows you how many men are harmed – false positives and complications from treatment.<br/> <br/> <img width=\"100%\" src=\"https://www.cdc.gov/cancer/prostate/images/prostate-decision-guide-300.jpg\"/> <a id=\"website\" value=\"https://www.uspreventiveservicestaskforce.org/Home/GetFileByID/3795\"></a> ",
          "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-test",
                "display" : "I want to get a PSA test"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://fhir.org/guides/preventive-care/CodeSystem/mpc-questionnaire-codes",
                "code" : "do-not-want-test",
                "display" : "I do not want to get a PSA 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 getting a PSA test.",
              "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" : "2.2",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Know risks"
                }
              ],
              "text" : "I know the risks of getting a PSA test.",
              "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" : "2.3",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Clear on what matters to me"
                }
              ],
              "text" : "I am clear about which benefits and risks matter most to 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"
                  }
                }
              ]
            },
            {
              "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" : "2.4",
              "code" : [
                {
                  "system" : "mpc codesystem",
                  "code" : "x",
                  "display" : "Have support"
                }
              ],
              "text" : "I have enough support and advice to make a decision about getting a PSA test.",
              "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 prostate 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
        }
      ]
    }