{ "resourceType" : "Questionnaire", "id" : "EMM12", "meta" : { "tag" : [{ "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "ClinicalImpression" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Condition" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "DiagnosticReport" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Encounter" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Location" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Observation" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Organization" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Patient" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "Practitioner" }, { "system" : "http://fhir.mn/CodeSystem/questionnaire-resource-type", "code" : "ServiceRequest" }] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire EMM12

Tags: ClinicalImpression (Details: questionnaire-resource-type code ClinicalImpression), Condition (Details: questionnaire-resource-type code Condition), DiagnosticReport (Details: questionnaire-resource-type code DiagnosticReport), Encounter (Details: questionnaire-resource-type code Encounter), Location (Details: questionnaire-resource-type code Location), Observation (Details: questionnaire-resource-type code Observation), Organization (Details: questionnaire-resource-type code Organization), Patient (Details: questionnaire-resource-type code Patient), Practitioner (Details: questionnaire-resource-type code Practitioner), ServiceRequest (Details: questionnaire-resource-type code ServiceRequest)

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" EMM12QuestionnaireQuestionnairehttp://fhir.mn/fhir/Questionnaire/EMM12#0.1.0
\".\"\".\"\".\" facility_infoЭмнэлгийн нэр0..1stringDefinition: Organization.name
\".\"\".\"\".\" facility_cabinet_infoКабинетийн нэр0..1stringDefinition: Organization.name
\".\"\".\"\".\" patient_infoӨВЧТӨНИЙ МЭДЭЭЛЭЛ0..1group
\".\"\".\"\".\"\".\" reg_noРегистрийн дугаар:1..1stringDefinition: Patient.identifier:NationalId.value
\".\"\".\"\".\"\".\" last_nameЭцэг/эхийн нэр:1..1stringDefinition: Patient.name.family
\".\"\".\"\".\"\".\" first_nameӨөрийн нэр:1..1stringDefinition: Patient.name.given
\".\"\".\"\".\" sending_sectionИЛГЭЭХ ХЭСЭГ0..1group
\".\"\".\"\".\"\".\" transfer_reasonШилжүүлж буй үндэслэл:1..*choiceDefinition: Extension.extension:transferReason.value[x]
Value Set: ValueSet - Шилжүүлж буй үндэслэл ValueSet
\".\"\".\"\".\"\".\" transfer_reason_otherБусад (тодорхой бичих):0..1stringDefinition: Extension.extension:transferReasonOther.value[x]
Enable When: transfer_reason =
\".\"\".\"\".\"\".\" lab_resultsЛабораторийн шинжилгээний хариу0..*reference
\".\"\".\"\".\"\".\" imaging_resultsДүрс оношилгооны хариу0..*reference
\".\"\".\"\".\"\".\" treatment_resultsШилжүүлж буй эмнэлэгт хийгдсэн эмчилгээний үр дүн:0..1textDefinition: Extension.extension:treatmentResults.value[x]
\".\"\".\"\".\"\".\" patient_conditionӨвчтөний биеийн байдал:1..1choiceDefinition: Extension.extension:patientCondition.value[x]
Options: 3 options
\".\"\".\"\".\"\".\" sending_diagnosisОнош (ӨОУА):0..1group
\".\"\".\"\".\"\".\"\".\" send_diag_iaI a. Ноцтой хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" send_diag_ibI b. Хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" send_diag_icI c. Хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" send_diag_idI d. Үндсэн өвчин:1..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" send_diag_iiII Бусад өвчин:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\" recv_hospital_nameХүлээн авах эмнэлгийн нэр:1..1referenceDefinition: Extension.extension:recvHospitalName.value[x]
\".\"\".\"\".\" receiving_sectionХҮЛЭЭН АВСАН ЭМНЭЛГИЙН БҮРТГЭЛИЙН ХЭСЭГ0..1group
\".\"\".\"\".\"\".\" recv_cabinet_nameХүлээн авах эмнэлгийн тасаг/кабинет:1..1stringDefinition: Extension.extension:recvCabinetName.value[x]
\".\"\".\"\".\"\".\" received_datetimeХүлээн авсан огноо, цаг:1..1dateTimeDefinition: Extension.extension:receivedDateTime.value[x]
\".\"\".\"\".\"\".\" done_treatmentsХийгдсэн эмчилгээ:1..*choiceDefinition: Extension.extension:doneTreatments.value[x]
Value Set: EMM12 - done_treatments ValueSet
\".\"\".\"\".\"\".\" non_medicinalЭмийн бус1..*choiceDefinition: Extension.extension:nonMedicinal.value[x]
Enable When: done_treatments =
Value Set: EMM12 - non_medicinal ValueSet
\".\"\".\"\".\"\".\" done_diagnosticsОношилгоо:0..*referenceDefinition: Extension.extension:doneDiagnostics.value[x]
\".\"\".\"\".\"\".\" done_lab_resultsШинжилгээ:0..*referenceDefinition: Extension.extension:doneLabResults.value[x]
\".\"\".\"\".\"\".\" receiving_diagnosisОнош (ӨОУА):0..1group
\".\"\".\"\".\"\".\"\".\" recv_diag_iaI a. Ноцтой хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" recv_diag_ibI b. Хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" recv_diag_icI c. Хүндрэл:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" recv_diag_idI d. Үндсэн өвчин:1..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\"\".\" recv_diag_iiII Бусад өвчин:0..1choiceDefinition: Condition.code.coding:ICD10.code
Value Set: Монгол улсын ӨОУА (ICD-10) утгын олонлог
\".\"\".\"\".\"\".\" monitored_hereИргэнийг тухайн эмнэлэгт хяналтад авсан эсэх:1..1choiceDefinition: Extension.extension:monitoredHere.value[x]
Value Set: Common YesNo Value Set
\".\"\".\"\".\"\".\" reply_hospitalҮгүй бол илгээж буй (буцаах) эмнэлэг:1..1referenceDefinition: Extension.extension:replyHospital.value[x]
Enable When: monitored_here =
\".\"\".\"\".\"\".\" recommendationsЭмчлүүлэгч болон илгээсэн эмнэлэгт өгөх зөвлөмж:1..1textDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" receiving_doctor_signЭмчлэгч эмчийн овог, нэр1..1stringDefinition: Practitioner.name
\".\"\".\"\".\"\".\" occurrenceDateTimeОгноо1..1date
\".\"\".\"\".\" feedback_sectionЭРГЭХ ХОЛБОО0..1groupEnable When: monitored_here =
\".\"\".\"\".\"\".\" patient_return_dateИргэнийг хүлээн авсан огноо:1..1dateDefinition: Encounter.period.start
\".\"\".\"\".\"\".\" feedback_statusИргэнийг хяналтад авсан эсэх:1..1choiceDefinition: Extension.extension:feedbackStatus.value[x]
Value Set: EMM12 - feedback_status ValueSet
\".\"\".\"\".\"\".\" feedback_reasonҮгүй бол1..1choiceDefinition: Extension.extension:feedbackReason.value[x]
Enable When: feedback_status =
Value Set: EMM12 - feedback_reason ValueSet
\".\"\".\"\".\"\".\" feedback_status_otherБусад тайлбар:0..1stringDefinition: Extension.extension:feedbackStatusOther.value[x]
Enable When: feedback_reason =
\".\"\".\"\".\" signaturesБАТАЛГААНЫ ХЭСЭГ0..1groupEnable When: monitored_here =
\".\"\".\"\".\"\".\" chief_doctor_signЕрөнхий эмчийн овог, нэр1..1stringDefinition: Practitioner.name
\".\"\".\"\".\"\".\" doctor_signЭмчийн овог, нэр1..1stringDefinition: Practitioner.name

\"doco\" Documentation for this format

Options Sets

Answer options for patient_condition

" }, "url" : "http://fhir.mn/fhir/Questionnaire/EMM12", "version" : "0.1.0", "name" : "EMM12Questionnaire", "title" : "ЭММ - 12 Эмнэлэг хооронд өвчтөн шилжүүлэх бүртгэл", "status" : "active", "subjectType" : ["Encounter"], "date" : "2026-09-08T10:09:36+08:00", "publisher" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)", "contact" : [{ "name" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)", "telecom" : [{ "system" : "url", "value" : "https://hdc.gov.mn" }] }, { "name" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center)", "telecom" : [{ "system" : "url", "value" : "https://hdc.gov.mn" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "MN" }] }], "item" : [{ "linkId" : "facility_info", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-organization#Organization.name", "code" : [{ "system" : "http://snomed.info/sct", "code" : "257621995", "display" : "Healthcare facility" }], "text" : "Эмнэлгийн нэр", "type" : "string" }, { "linkId" : "facility_cabinet_info", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-organization#Organization.name", "text" : "Кабинетийн нэр", "type" : "string" }, { "linkId" : "patient_info", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "patient_info" }], "text" : "ӨВЧТӨНИЙ МЭДЭЭЛЭЛ", "type" : "group", "item" : [{ "linkId" : "reg_no", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-patient#Patient.identifier:NationalId.value", "code" : [{ "system" : "http://snomed.info/sct", "code" : "125676002" }], "text" : "Регистрийн дугаар:", "type" : "string", "required" : true }, { "linkId" : "last_name", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-patient#Patient.name.family", "code" : [{ "system" : "http://snomed.info/sct", "code" : "397678008" }], "text" : "Эцэг/эхийн нэр:", "type" : "string", "required" : true }, { "linkId" : "first_name", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-patient#Patient.name.given", "code" : [{ "system" : "http://snomed.info/sct", "code" : "703503000" }], "text" : "Өөрийн нэр:", "type" : "string", "required" : true }] }, { "linkId" : "sending_section", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "sending_section" }], "text" : "ИЛГЭЭХ ХЭСЭГ", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "http://fhir.mn/CodeSystem/EMM12TransferReasonCS" }], "linkId" : "transfer_reason", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:transferReason.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "transfer_reason" }], "text" : "Шилжүүлж буй үндэслэл:", "type" : "choice", "required" : true, "repeats" : true, "answerValueSet" : "http://fhir.mn/ValueSet/EMM12TransferReasonVS" }, { "linkId" : "transfer_reason_other", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:transferReasonOther.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "74964007" }], "text" : "Бусад (тодорхой бичих):", "type" : "string", "enableWhen" : [{ "question" : "transfer_reason", "operator" : "=", "answerCoding" : { "code" : "other" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "QuestionnaireResponse" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString" : "questionnaire=http://fhir.mn/fhir/Questionnaire/EMM37-3" }], "linkId" : "lab_results", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "lab_results" }], "text" : "Лабораторийн шинжилгээний хариу", "type" : "reference", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "QuestionnaireResponse" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString" : "questionnaire=http://fhir.mn/fhir/Questionnaire/EMM37-1" }], "linkId" : "imaging_results", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "imaging_results" }], "text" : "Дүрс оношилгооны хариу", "type" : "reference", "repeats" : true }, { "linkId" : "treatment_results", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:treatmentResults.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "treatment_results" }], "text" : "Шилжүүлж буй эмнэлэгт хийгдсэн эмчилгээний үр дүн:", "type" : "text" }, { "linkId" : "patient_condition", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:patientCondition.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "246112005", "display" : "Severity" }], "text" : "Өвчтөний биеийн байдал:", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "24484000", "display" : "Хүнд" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "6736007", "display" : "Хүндэвтэр" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "255604002", "display" : "Хөнгөн" } }] }, { "linkId" : "sending_diagnosis", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "Онош (ӨОУА):", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "send_diag_ia", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I a. Ноцтой хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "send_diag_ib", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I b. Хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "send_diag_ic", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I c. Хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "send_diag_id", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I d. Үндсэн өвчин:", "type" : "choice", "required" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "send_diag_ii", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "II Бусад өвчин:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "Organization" }], "linkId" : "recv_hospital_name", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:recvHospitalName.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "257622002", "display" : "Healthcare facility" }], "text" : "Хүлээн авах эмнэлгийн нэр:", "type" : "reference", "required" : true }] }, { "linkId" : "receiving_section", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "receiving_section" }], "text" : "ХҮЛЭЭН АВСАН ЭМНЭЛГИЙН БҮРТГЭЛИЙН ХЭСЭГ", "type" : "group", "item" : [{ "linkId" : "recv_cabinet_name", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:recvCabinetName.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "309912009" }], "text" : "Хүлээн авах эмнэлгийн тасаг/кабинет:", "type" : "string", "required" : true }, { "linkId" : "received_datetime", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:receivedDateTime.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "118575009", "display" : "Date-time" }], "text" : "Хүлээн авсан огноо, цаг:", "type" : "dateTime", "required" : true }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "http://fhir.mn/fhir/CodeSystem/codesystem-emm12-done-treatments" }], "linkId" : "done_treatments", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:doneTreatments.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "done_treatments" }], "text" : "Хийгдсэн эмчилгээ:", "type" : "choice", "required" : true, "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/emm12-done-treatments-valueset" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "http://fhir.mn/fhir/CodeSystem/codesystem-emm12-non-medicinal" }], "linkId" : "non_medicinal", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:nonMedicinal.value[x]", "text" : "Эмийн бус", "type" : "choice", "enableWhen" : [{ "question" : "done_treatments", "operator" : "=", "answerCoding" : { "code" : "non_medicinal" } }], "required" : true, "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/emm12-non-medicinal-valueset" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "QuestionnaireResponse" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString" : "questionnaire=http://fhir.mn/fhir/Questionnaire/EMM37-1" }], "linkId" : "done_diagnostics", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:doneDiagnostics.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "done_diagnostics" }], "text" : "Оношилгоо:", "type" : "reference", "repeats" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "QuestionnaireResponse" }, { "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter", "valueString" : "questionnaire=http://fhir.mn/fhir/Questionnaire/EMM37-3" }], "linkId" : "done_lab_results", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:doneLabResults.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "done_lab_results" }], "text" : "Шинжилгээ:", "type" : "reference", "repeats" : true }, { "linkId" : "receiving_diagnosis", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "Онош (ӨОУА):", "type" : "group", "item" : [{ "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "recv_diag_ia", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I a. Ноцтой хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "recv_diag_ib", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I b. Хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "recv_diag_ic", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I c. Хүндрэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "recv_diag_id", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "I d. Үндсэн өвчин:", "type" : "choice", "required" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/mn-core-icd10" }], "linkId" : "recv_diag_ii", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code.coding:ICD10.code", "code" : [{ "system" : "http://snomed.info/sct", "code" : "439401001", "display" : "Diagnosis" }], "text" : "II Бусад өвчин:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/mn-core-icd10-vs" }] }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "https://fhir.mn/fhir/CodeSystem/yes-no-codesystem" }], "linkId" : "monitored_here", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:monitoredHere.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "monitored_here" }], "text" : "Иргэнийг тухайн эмнэлэгт хяналтад авсан эсэх:", "type" : "choice", "required" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/yes-no-valueset" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource", "valueCode" : "Organization" }], "linkId" : "reply_hospital", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:replyHospital.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "reply_hospital" }], "text" : "Үгүй бол илгээж буй (буцаах) эмнэлэг:", "type" : "reference", "enableWhen" : [{ "question" : "monitored_here", "operator" : "=", "answerCoding" : { "code" : "no" } }], "required" : true }, { "linkId" : "recommendations", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "recommendations" }], "text" : "Эмчлүүлэгч болон илгээсэн эмнэлэгт өгөх зөвлөмж:", "type" : "text", "required" : true }, { "linkId" : "receiving_doctor_sign", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner#Practitioner.name", "code" : [{ "system" : "http://snomed.info/sct", "code" : "309343006", "display" : "Physician" }], "text" : "Эмчлэгч эмчийн овог, нэр", "type" : "string", "required" : true }, { "linkId" : "occurrenceDateTime", "code" : [{ "system" : "http://snomed.info/sct", "code" : "410671006", "display" : "Date" }], "text" : "Огноо", "type" : "date", "required" : true }] }, { "linkId" : "feedback_section", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "feedback_section" }], "text" : "ЭРГЭХ ХОЛБОО", "type" : "group", "enableWhen" : [{ "question" : "monitored_here", "operator" : "=", "answerCoding" : { "code" : "no" } }], "item" : [{ "linkId" : "patient_return_date", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-encounter#Encounter.period.start", "code" : [{ "system" : "http://snomed.info/sct", "code" : "410671006", "display" : "Date" }], "text" : "Иргэнийг хүлээн авсан огноо:", "type" : "date", "required" : true }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "http://fhir.mn/fhir/CodeSystem/codesystem-emm12-feedback-status" }], "linkId" : "feedback_status", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:feedbackStatus.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "feedback_status" }], "text" : "Иргэнийг хяналтад авсан эсэх:", "type" : "choice", "required" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm12-feedback-status" }, { "extension" : [{ "url" : "http://fhir.mn/fhir/StructureDefinition/questionnaire-item-answerCodeSystem", "valueCanonical" : "http://fhir.mn/fhir/CodeSystem/codesystem-emm12-feedback-reason" }], "linkId" : "feedback_reason", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:feedbackReason.value[x]", "text" : "Үгүй бол", "type" : "choice", "enableWhen" : [{ "question" : "feedback_status", "operator" : "=", "answerCoding" : { "code" : "no" } }], "required" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/emm12-feedback-reason-valueset" }, { "linkId" : "feedback_status_other", "definition" : "http://fhir.mn/core/StructureDefinition/emm12-transfer#Extension.extension:feedbackStatusOther.value[x]", "code" : [{ "system" : "http://snomed.info/sct", "code" : "74964007" }], "text" : "Бусад тайлбар:", "type" : "string", "enableWhen" : [{ "question" : "feedback_reason", "operator" : "=", "answerCoding" : { "code" : "other" } }] }] }, { "linkId" : "signatures", "code" : [{ "system" : "http://snomed.info/sct", "code" : "397747003" }], "text" : "БАТАЛГААНЫ ХЭСЭГ", "type" : "group", "enableWhen" : [{ "question" : "monitored_here", "operator" : "=", "answerCoding" : { "code" : "no" } }], "item" : [{ "linkId" : "chief_doctor_sign", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner#Practitioner.name", "code" : [{ "system" : "http://snomed.info/sct", "code" : "59058001", "display" : "General physician" }], "text" : "Ерөнхий эмчийн овог, нэр", "type" : "string", "required" : true }, { "linkId" : "doctor_sign", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-practitioner#Practitioner.name", "code" : [{ "system" : "http://snomed.info/sct", "code" : "309343006", "display" : "Physician" }], "text" : "Эмчийн овог, нэр", "type" : "string", "required" : true }] }] }