diff --git a/repro2fhirlogicExample/Questionnaire-dneuroalzheimersdiseasemildcognitiveimpairmeschema.html b/repro2fhirlogicExample/Questionnaire-dneuroalzheimersdiseasemildcognitiveimpairmeschema.html new file mode 100644 index 0000000..dbeb220 --- /dev/null +++ b/repro2fhirlogicExample/Questionnaire-dneuroalzheimersdiseasemildcognitiveimpairmeschema.html @@ -0,0 +1,311 @@ + + + +
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+ 0.1.0 - ci-build
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testpatient - Local Development build (v0.1.0). See the Directory of published versions
+ + + + + + + + + + + + + +Official URL: https://voicecollab.ai/fhir/Questionnaire/dneuroalzheimersdiseasemildcognitiveimpairmeschema + | +Version: + 0.1.0 + | +|||
+ + Active + + as of 2024-02-15 + + + | + + + +Computable Name: | +
LinkId | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | Questionnaire | https://voicecollab.ai/fhir/Questionnaire/dneuroalzheimersdiseasemildcognitiveimpairmeschema#0.1.0 | ||
![]() ![]() ![]() | 1. Gold Standard Diagnosis +Does the patient have Major Neurocognitive Disorder - Alzheimer's Type, Mild Cognitive Impairment or other types of dementia confirmed by going through +(must fill at least one):: Clinical history: | 0..1 | string | |
![]() ![]() ![]() | Functional Inventory: | 0..1 | string | |
![]() ![]() ![]() | Cognitive Testing: | 0..1 | string | |
![]() ![]() ![]() | Other investigations: | 0..1 | string | |
![]() ![]() ![]() | Have you excluded other causes of cognitive/functional changes (and/or other subtypes)? | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() | 2. Disease Type: Specify the disease type in the patient: | 0..1 | choice | Options: 7 options |
![]() ![]() ![]() | If you selected "other", please specify: | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_dt = other |
![]() ![]() ![]() | 3. Etiology: What is the suspected or known etiology in the patient? | 0..1 | string | |
![]() ![]() ![]() | Genetic Factors Subcategory | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_etiology = 1 |
![]() ![]() ![]() | If you selected "Other genetic factors", please specify: | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_etiology_gf = 1 |
![]() ![]() ![]() | If you selected "other medical conditions", please specify: | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_etiology = 1 |
![]() ![]() ![]() | If you selected "other", please specify: | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_etiology = 1 |
![]() ![]() ![]() | 4. Disease Severity: What is the current stage/severity of cognitive impairment or dementia in the patient? | 0..1 | string | |
![]() ![]() ![]() | Clinical dementia rating (CDR) staging subcategory: | 0..1 | choice | Enable When: diagnosis_alz_dementia_mci_ds = 1 Options: 4 options |
![]() ![]() ![]() | 5. Cognitive Assessment +(must fill at least one): Rowland Universal Dementia Assessment Scale (RUDAS) score: | 0..1 | string | |
![]() ![]() ![]() | Mini-Mental State Examination (MMSE) score: | 0..1 | string | |
![]() ![]() ![]() | Montreal Cognitive Assessment (MoCA) score: | 0..1 | string | |
![]() ![]() ![]() | Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) score: | 0..1 | string | |
![]() ![]() ![]() | Other cognitive assessment tool (Please Specify): | 0..1 | string | |
![]() ![]() ![]() | Other cognitive assessment tool score: | 0..1 | string | |
![]() ![]() ![]() | 6. Treatment Obtained: Has the patient undergone any treatment for Alzheimer's disease or cognitive impairment or other types of dementia? | 0..1 | choice | Options: 2 options |
![]() ![]() ![]() | Yes | 0..1 | string | Enable When: diagnosis_alz_dementia_mci_treatment_obtained = yes |
![]() ![]() ![]() | Medications: | 0..1 | string | Enable When: |
![]() ![]() ![]() | If you selected "Other", please specify: | 0..1 | string | |
![]() ![]() ![]() | Non-pharmacological interventions: | 0..1 | string | Enable When: |
![]() ![]() ![]() | If you selected "Other", please specify: | 0..1 | string | Enable When: |
Option Sets
Answer options for diagnosis_alz_dementia_mci_causes
Answer options for diagnosis_alz_dementia_mci_dt
Answer options for diagnosis_alz_dementia_mci_ds_cdr
Answer options for diagnosis_alz_dementia_mci_treatment_obtained