Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttps://kind-lab.github.io/vbai-fhir/Questionnaire-drespairwaystenosisschema#2.2.0
... diagnosis_as_pft1. Gold Standard Diagnosis4. Disease Severity: Has the patient had pulmonary function testing within the past 3 months?0..1choiceOptions: 3 options
... diagnosis_as_pft_documentPlease upload the PFT document0..1stringEnable When: diagnosis_as_pft = 'yes'
... diagnosis_as_gsdDoes the patient have airway stenosis confirmed by a laryngoscopy, bronchoscopy or CT imaging?0..1choiceOptions: 3 options
... diagnosis_as_gsd_yesConfirmed by0..1stringEnable When: diagnosis_as_gsd = 'yes'
... diagnosis_as_ds2. Disease Subtype: Disease Subtype0..1choiceOptions: 5 options
... diagnosis_as_ds_bvfi_gsBilateral Vocal fold immobility or Glottic Stenosis Subtype0..1choiceEnable When: diagnosis_as_ds = 'bilateralVocalFoldImmobilityGlotticStenosis'
Options: 5 options
... diagnosis_as_ds_bvfi_gs_otherOther, Please specify0..1stringEnable When: diagnosis_as_ds_bvfi_gs = 'other'
... diagnosis_as_etiology3. Etiology: What is the etiology?0..1choiceOptions: 9 options
... diagnosis_as_etiology_otherOther, Please specify0..1stringEnable When: diagnosis_as_etiology = 'other'
... diagnosis_as_etiology_auto_immuneAuto-immune or granulomatous disease Subcategory0..1choiceEnable When: diagnosis_as_etiology = 'autoImmune'
Options: 3 options
... diagnosis_as_ds_mcgDegree of Stenosis (Myer-Cotton Grade)0..1choiceEnable When:
Options: 4 options
... diagnosis_as_ds_mcg_refDegree of Stenosis (Myer-Cotton Grade) Picture for reference0..1stringEnable When:
... diagnosis_as_ds_bcDegree of Stenosis (Bogdasarian Classification)0..1choiceEnable When: diagnosis_as_ds_bvfi_gs = 'posteriorGlotticStenosis'
Options: 4 options
... diagnosis_as_ds_bc_refDegree of Stenosis (Bogdasarian Classification) Picture for reference0..1stringEnable When: diagnosis_as_ds_bvfi_gs = 'posteriorGlotticStenosis'
... diagnosis_as_ds_agwAnterior Glottic Web classification (Cohen)0..1choiceEnable When: diagnosis_as_ds_bvfi_gs = 'anteriorGlotticWeb'
Options: 4 options
... diagnosis_as_ds_cc_refAnterior Glottic Web classification (Cohen) Picture for reference0..1stringEnable When: diagnosis_as_ds_bvfi_gs = 'anteriorGlotticWeb'
... diagnosis_as_ds_acGrade of Stenosis (Aziz Classification of Supraglottic Stenosis)0..1choiceEnable When: diagnosis_as_ds = 'supraglotticStenosis'
Options: 5 options
... diagnosis_as_ds_ac_grade_4Grade of Stenosis (Aziz Classification of Supraglottic Stenosis)0..1choiceEnable When: diagnosis_as_ds_ac = 'grade4'
Options: 3 options
... diagnosis_as_ds_ac_refGrade of Stenosis (Aziz Classification of Supraglottic Stenosis) Picture for reference0..1stringEnable When: diagnosis_as_ds = 'supraglotticStenosis'
... diagnosis_as_ds_mluasPlease describe levels and severity of stenosis involved0..1stringEnable When: diagnosis_as_ds = 'multilevelUpperAirwayStenosis'
... diagnosis_as_ds_odsHow would you subjectively classify the overall degree of stenosis?0..1choiceOptions: 3 options
... diagnosis_as_ds_epsHow would you subjectively estimate the percent of stenosis from 0 to 100?0..1string
... diagnosis_as_treatment5. Treatment obtained: What treatment has the patient undergone for their stenosis?0..1string
... diagnosis_as_treatment_surgerySurgery options0..1stringEnable When: diagnosis_as_treatment = '1'
... diagnosis_as_treatment_surgery_otherOther Surgery option, Please Specify0..1stringEnable When: diagnosis_as_treatment_surgery = '1'
... diagnosis_as_treatment_in_officeIn-office/awake treatment options0..1stringEnable When: diagnosis_as_treatment = '1'

doco Documentation for this format

Options Sets

Answer options for diagnosis_as_pft

  • No
  • Yes
  • Not certain

Answer options for diagnosis_as_gsd

  • No
  • Yes
  • Not certain

Answer options for diagnosis_as_ds

  • Subglottic Stenosis
  • Bilateral Vocal fold immobility or Glottic Stenosis
  • Supraglottic Stenosis
  • Tracheal Stenosis
  • Multi-Level Upper Airway Stenosis

Answer options for diagnosis_as_ds_bvfi_gs

  • Posterior Glottic Stenosis
  • Bilateral Vocal Fold Paralysis
  • Anterior glottic Web
  • Not certain or TBD
  • Other

Answer options for diagnosis_as_etiology

  • Not certain or TBD
  • Iatrogenic (surgery or intubation)
  • Idiopathic
  • Auto-immune or granulomatous disease
  • Radiation
  • GERD
  • Caustic Injury or Inhalation Injury
  • Infectious (Diphtheria TB Bacterial Tracheitis other)
  • Other

Answer options for diagnosis_as_etiology_auto_immune

  • Granulomatosis with polyangiitis (GPA) (Formerly known as Wegner's disease)
  • Relapsing Polychondritis
  • Other

Answer options for diagnosis_as_ds_mcg

  • Grade I
  • Grade II
  • Grade III
  • Grade IV

Answer options for diagnosis_as_ds_bc

  • (a) Class 1
  • (b) Class 2
  • (c) Class 3
  • (d) Class 4

Answer options for diagnosis_as_ds_agw

  • Grade 1 (0-35% obstruction)
  • Grade 2 (35-50% obstruction)
  • Grade 3 (51-75% obstruction)
  • Grade 4 (76-100% obstruction)

Answer options for diagnosis_as_ds_ac

  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Unsure

Answer options for diagnosis_as_ds_ac_grade_4

  • Grade 4T
  • Grade 4G
  • Grade 4TG

Answer options for diagnosis_as_ds_ods

  • Mild
  • Moderate
  • Severe
 <status value="active"/> <date value="2024-05-29T18:29:21Z"/> <publisher value="KinD Lab"/> <contact> <name value="KinD Lab"/> <telecom> <system value="url"/> <value value="http://fhir.kindlab.sickkids.ca"/> </telecom> </contact> <item> <linkId value="diagnosis_as_pft"/> <text value="1. Gold Standard Diagnosis4. Disease Severity: Has the patient had pulmonary function testing within the past 3 months?"/> <type value="choice"/> <answerOption> <valueString value="No"/> </answerOption> <answerOption> <valueString value="Yes"/> </answerOption> <answerOption> <valueString value="Not certain"/> </answerOption> </item> <item> <linkId value="diagnosis_as_pft_document"/> <text value="Please upload the PFT document"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_pft"/> <operator value="="/> <answerString value="'yes'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_gsd"/> <text value="Does the patient have airway stenosis confirmed by a laryngoscopy, bronchoscopy or CT imaging?"/> <type value="choice"/> <answerOption> <valueString value="No"/> </answerOption> <answerOption> <valueString value="Yes"/> </answerOption> <answerOption> <valueString value="Not certain"/> </answerOption> </item> <item> <linkId value="diagnosis_as_gsd_yes"/> <text value="Confirmed by"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_gsd"/> <operator value="="/> <answerString value="'yes'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_ds"/> <text value="2. Disease Subtype: Disease Subtype"/> <type value="choice"/> <answerOption> <valueString value="Subglottic Stenosis"/> </answerOption> <answerOption> <valueString value="Bilateral Vocal fold immobility or Glottic Stenosis"/> </answerOption> <answerOption> <valueString value="Supraglottic Stenosis"/> </answerOption> <answerOption> <valueString value="Tracheal Stenosis"/> </answerOption> <answerOption> <valueString value="Multi-Level Upper Airway Stenosis"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_bvfi_gs"/> <text value="Bilateral Vocal fold immobility or Glottic Stenosis Subtype"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'bilateralVocalFoldImmobilityGlotticStenosis'"/> </enableWhen> <answerOption> <valueString value="Posterior Glottic Stenosis"/> </answerOption> <answerOption> <valueString value="Bilateral Vocal Fold Paralysis"/> </answerOption> <answerOption> <valueString value="Anterior glottic Web"/> </answerOption> <answerOption> <valueString value="Not certain or TBD"/> </answerOption> <answerOption> <valueString value="Other"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_bvfi_gs_other"/> <text value="Other, Please specify"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds_bvfi_gs"/> <operator value="="/> <answerString value="'other'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_etiology"/> <text value="3. Etiology: What is the etiology?"/> <type value="choice"/> <answerOption> <valueString value="Not certain or TBD"/> </answerOption> <answerOption> <valueString value="Iatrogenic (surgery or intubation)"/> </answerOption> <answerOption> <valueString value="Idiopathic"/> </answerOption> <answerOption> <valueString value="Auto-immune or granulomatous disease"/> </answerOption> <answerOption> <valueString value="Radiation"/> </answerOption> <answerOption> <valueString value="GERD"/> </answerOption> <answerOption> <valueString value="Caustic Injury or Inhalation Injury"/> </answerOption> <answerOption> <valueString value="Infectious (Diphtheria TB Bacterial Tracheitis other)"/> </answerOption> <answerOption> <valueString value="Other"/> </answerOption> </item> <item> <linkId value="diagnosis_as_etiology_other"/> <text value="Other, Please specify"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_etiology"/> <operator value="="/> <answerString value="'other'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_etiology_auto_immune"/> <text value="Auto-immune or granulomatous disease Subcategory"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_etiology"/> <operator value="="/> <answerString value="'autoImmune'"/> </enableWhen> <answerOption> <valueString value="Granulomatosis with polyangiitis (GPA) (Formerly known as Wegner's disease)"/> </answerOption> <answerOption> <valueString value="Relapsing Polychondritis"/> </answerOption> <answerOption> <valueString value="Other"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_mcg"/> <text value="Degree of Stenosis (Myer-Cotton Grade)"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'subglotticStenosis'"/> </enableWhen> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'trachealStenosis'"/> </enableWhen> <enableBehavior value="any"/> <answerOption> <valueString value="Grade I"/> </answerOption> <answerOption> <valueString value="Grade II"/> </answerOption> <answerOption> <valueString value="Grade III"/> </answerOption> <answerOption> <valueString value="Grade IV"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_mcg_ref"/> <text value="Degree of Stenosis (Myer-Cotton Grade) Picture for reference"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'subglotticStenosis'"/> </enableWhen> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'trachealStenosis'"/> </enableWhen> <enableBehavior value="any"/> </item> <item> <linkId value="diagnosis_as_ds_bc"/> <text value="Degree of Stenosis (Bogdasarian Classification)"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds_bvfi_gs"/> <operator value="="/> <answerString value="'posteriorGlotticStenosis'"/> </enableWhen> <answerOption> <valueString value="(a) Class 1"/> </answerOption> <answerOption> <valueString value="(b) Class 2"/> </answerOption> <answerOption> <valueString value="(c) Class 3"/> </answerOption> <answerOption> <valueString value="(d) Class 4"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_bc_ref"/> <text value="Degree of Stenosis (Bogdasarian Classification) Picture for reference"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds_bvfi_gs"/> <operator value="="/> <answerString value="'posteriorGlotticStenosis'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_ds_agw"/> <text value="Anterior Glottic Web classification (Cohen)"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds_bvfi_gs"/> <operator value="="/> <answerString value="'anteriorGlotticWeb'"/> </enableWhen> <answerOption> <valueString value="Grade 1 (0-35% obstruction)"/> </answerOption> <answerOption> <valueString value="Grade 2 (35-50% obstruction)"/> </answerOption> <answerOption> <valueString value="Grade 3 (51-75% obstruction)"/> </answerOption> <answerOption> <valueString value="Grade 4 (76-100% obstruction)"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_cc_ref"/> <text value="Anterior Glottic Web classification (Cohen) Picture for reference"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds_bvfi_gs"/> <operator value="="/> <answerString value="'anteriorGlotticWeb'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_ds_ac"/> <text value="Grade of Stenosis (Aziz Classification of Supraglottic Stenosis)"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'supraglotticStenosis'"/> </enableWhen> <answerOption> <valueString value="Grade 1"/> </answerOption> <answerOption> <valueString value="Grade 2"/> </answerOption> <answerOption> <valueString value="Grade 3"/> </answerOption> <answerOption> <valueString value="Grade 4"/> </answerOption> <answerOption> <valueString value="Unsure"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_ac_grade_4"/> <text value="Grade of Stenosis (Aziz Classification of Supraglottic Stenosis)"/> <type value="choice"/> <enableWhen> <question value="diagnosis_as_ds_ac"/> <operator value="="/> <answerString value="'grade4'"/> </enableWhen> <answerOption> <valueString value="Grade 4T"/> </answerOption> <answerOption> <valueString value="Grade 4G"/> </answerOption> <answerOption> <valueString value="Grade 4TG"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_ac_ref"/> <text value="Grade of Stenosis (Aziz Classification of Supraglottic Stenosis) Picture for reference"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'supraglotticStenosis'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_ds_mluas"/> <text value="Please describe levels and severity of stenosis involved"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_ds"/> <operator value="="/> <answerString value="'multilevelUpperAirwayStenosis'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_ds_ods"/> <text value="How would you subjectively classify the overall degree of stenosis?"/> <type value="choice"/> <answerOption> <valueString value="Mild"/> </answerOption> <answerOption> <valueString value="Moderate"/> </answerOption> <answerOption> <valueString value="Severe"/> </answerOption> </item> <item> <linkId value="diagnosis_as_ds_eps"/> <text value="How would you subjectively estimate the percent of stenosis from 0 to 100?"/> <type value="string"/> </item> <item> <linkId value="diagnosis_as_treatment"/> <text value="5. Treatment obtained: What treatment has the patient undergone for their stenosis?"/> <type value="string"/> </item> <item> <linkId value="diagnosis_as_treatment_surgery"/> <text value="Surgery options"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_treatment"/> <operator value="="/> <answerString value="'1'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_treatment_surgery_other"/> <text value="Other Surgery option, Please Specify"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_treatment_surgery"/> <operator value="="/> <answerString value="'1'"/> </enableWhen> </item> <item> <linkId value="diagnosis_as_treatment_in_office"/> <text value="In-office/awake treatment options"/> <type value="string"/> <enableWhen> <question value="diagnosis_as_treatment"/> <operator value="="/> <answerString value="'1'"/> </enableWhen> </item> </Questionnaire>