VoiceaBiomarkerforAI - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: qgenericconfoundersschema - XML Representation

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="qgenericconfoundersschema"/>
  <text>
    <status value="generated"/>
    <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 item can 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="data:image/png;base64,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" 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 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">https://kind-lab.github.io/vbai-fhir/Questionnaire-qgenericconfoundersschema#2.2.0</td></tr>
<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)" id="item.confounders_session_id" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> confounders_session_id</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire - Metadata: Session ID</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-string">string</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>
<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)" id="item.confounders_started_at" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> confounders_started_at</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Started At</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-string">string</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>
<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)" id="item.confounders_completed_at" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> confounders_completed_at</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Completed At</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-string">string</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>
<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)" id="item.confounders_duration" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> confounders_duration</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Duration (seconds)</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-string">string</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>
<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)" id="item.is_regular_smoker" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> is_regular_smoker</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SMOKING: Have you been a regular smoker or not within the last 3 years?</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">Enable When: <span><a href="#item.alz_dementia_mci">alz_dementia_mci</a> = '1'</span><br/>Options: <a href="#opt-item.is_regular_smoker">2 options</a></td></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_bck10.png)" id="item.smoking_hx" 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"/> smoking_hx</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you ever smoked regularly (more than a few times a month for at least two months)?This includes tobacco, cannabis, vapes, e-cigarettes, hookah, or pipes.</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">Enable When: <span><a href="#item.alz_dementia_mci">alz_dementia_mci</a> != '1'</span><br/>Options: <a href="#opt-item.smoking_hx">4 options</a></td></tr>
<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)" id="item.age_start_smoking" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> age_start_smoking</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">At what age did you start smoking?</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.smoking_hx">smoking_hx</a> = 'past'</li><li><a href="#item.smoking_hx">smoking_hx</a> = 'currently'</li></ul></td></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_bck10.png)" id="item.age_stop_smoking" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> age_stop_smoking</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">At what age did you stop?</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.smoking_hx">smoking_hx</a> = 'past'</span></td></tr>
<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)" id="item.smoking_types" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> smoking_types</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please select smoking types used (Check all that apply)</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.smoking_hx">smoking_hx</a> = 'past'</li><li><a href="#item.smoking_hx">smoking_hx</a> = 'currently'</li></ul></td></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_bck10.png)" id="item.other_smoking_specify" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> other_smoking_specify</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If you selected &quot;other&quot; for smoking type, please specify:</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.smoking_types">smoking_types</a> = 7</span></td></tr>
<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)" id="item.smoking_freq" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> smoking_freq</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often do/did you smoke?</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">Enable When: <ul><li><a href="#item.smoking_hx">smoking_hx</a> = 'past'</li><li><a href="#item.smoking_hx">smoking_hx</a> = 'currently'</li></ul><br/>Options: <a href="#opt-item.smoking_freq">6 options</a></td></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_bck10.png)" id="item.alcohol_yn" 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"/> alcohol_yn</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">ALCOHOL CONSUMPTION: Do you drink alcohol?</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.alcohol_yn">3 options</a></td></tr>
<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)" id="item.alcohol_freq" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> alcohol_freq</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often do you have at least one drink containing alcohol?Drinks can be beer, wine, shots of liquor, cocktails containing a shot of liquor</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">Enable When: <span><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</span><br/>Options: <a href="#opt-item.alcohol_freq">5 options</a></td></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_bck10.png)" id="item.alcohol_amt" 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"/> alcohol_amt</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many drinks containing alcohol do you have on a typical day when you are drinking?One drink is 12 oz. beer, 5 oz. wine, 1.5 oz. (one shot) liquor</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">Enable When: <span><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</span><br/>Options: <a href="#opt-item.alcohol_amt">6 options</a></td></tr>
<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)" id="item.alcohol_drinks" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> alcohol_drinks</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often did you have six or more drinks on one occasion in the past year?</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">Enable When: <span><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</span><br/>Options: <a href="#opt-item.alcohol_drinks">6 options</a></td></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_bck10.png)" id="item.alcohol_today" 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"/> alcohol_today</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you drunk alcohol today?</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">Enable When: <span><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</span><br/>Options: <a href="#opt-item.alcohol_today">2 options</a></td></tr>
<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)" id="item.drinks_today_number" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> drinks_today_number</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many drinks did you have?</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.alcohol_today">alcohol_today</a> = '1'</span></td></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_bck10.png)" id="item.alcohol_rehab" 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"/> alcohol_rehab</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you ever been in rehab or counseling for heavy alcohol use?</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">Enable When: <ul><li><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</li><li><a href="#item.alcohol_yn">alcohol_yn</a> = 'noAnswer'</li></ul><br/>Options: <a href="#opt-item.alcohol_rehab">6 options</a></td></tr>
<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)" id="item.current_recovery_alcohol" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> current_recovery_alcohol</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Are you currently in recovery for alcohol use?</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">Enable When: <ul><li><a href="#item.alcohol_yn">alcohol_yn</a> = 'yes'</li><li><a href="#item.alcohol_yn">alcohol_yn</a> = 'noAnswer'</li></ul><br/>Options: <a href="#opt-item.current_recovery_alcohol">2 options</a></td></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_bck10.png)" id="item.recreational_drug_use" 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"/> recreational_drug_use</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SUBSTANCE USE: How many times in the past YEAR have you used a recreational substance or medication for reasons or in doses other than prescribed?Recreational substances include methamphetamines (speed, crystal), cannabis (marijuana, pot), inhalants (paint thinner, aerosol, glue), tranquilizers (Valium), barbiturates, cocaine, ecstasy, hallucinogens (LSD, mushrooms), or narcotics (heroin).More than one</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.recreational_drug_use">2 options</a></td></tr>
<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)" id="item.substance_use_recovery" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> substance_use_recovery</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Are you currently in recovery for substance use?</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.substance_use_recovery">2 options</a></td></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_bck10.png)" id="item.painkillers" 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"/> painkillers</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">During the past TWO (2) WEEKS, about how often did you use any of the following medicines ON YOUR OWN, that is, without a doctor's prescription, in greater amounts or longer than prescribed?: Painkillers (like Vicodin)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.painkillers">5 options</a></td></tr>
<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)" id="item.stimulants" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> stimulants</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Stimulants (like Ritalin, Adderall)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.stimulants">5 options</a></td></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_bck10.png)" id="item.sedatives" 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"/> sedatives</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Sedatives or tranquilizers (like sleeping pills or Valium)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.sedatives">5 options</a></td></tr>
<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)" id="item.marijuana" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> marijuana</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Marijuana</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.marijuana">5 options</a></td></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_bck10.png)" id="item.cocaine" 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"/> cocaine</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cocaine or crack</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.cocaine">5 options</a></td></tr>
<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)" id="item.club_drugs" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> club_drugs</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Club drugs (like ecstasy)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.club_drugs">5 options</a></td></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_bck10.png)" id="item.hallucinogens" 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"/> hallucinogens</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Hallucinogens (like LSD)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.hallucinogens">5 options</a></td></tr>
<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)" id="item.heroin" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> heroin</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Heroin or other opioids, including synthetic opioids like fentanyl</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.heroin">5 options</a></td></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_bck10.png)" id="item.inhalants" 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"/> inhalants</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Inhalants or solvents (like glue)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.inhalants">5 options</a></td></tr>
<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)" id="item.methamphetamine" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> methamphetamine</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Methamphetamine (like speed)</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">Enable When: <span><a href="#item.recreational_drug_use">recreational_drug_use</a> = '1'</span><br/>Options: <a href="#opt-item.methamphetamine">5 options</a></td></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_bck10.png)" id="item.caffeine_intake" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> caffeine_intake</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">CAFFEINE INTAKE: How many small (8oz or 230ml) cups of coffee OR shots of espresso OR caffeinated teas do you drink on a typical day?</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-string">string</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>
<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)" id="item.caffeine_intake_today" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> caffeine_intake_today</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many small (8oz or 230ml) cups of coffee OR shots of espresso OR caffeinated teas have you had TODAY?</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-string">string</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>
<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)" id="item.hydration" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> hydration</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">HYDRATION: How many small (8oz or 230ml) cups of water do you drink on a typical day?</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-string">string</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>
<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)" id="item.hydration_today" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> hydration_today</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many small (8oz or 230ml) cups of water have you had TODAY?</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-string">string</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>
<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)" id="item.dental_problems" 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"/> dental_problems</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">DENTAL PROBLEMS: Do you have any dental problems that might affect speech?</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.dental_problems">2 options</a></td></tr>
<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)" id="item.dental_tx" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> dental_tx</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you currently have any tooth loss, dentures, retainers or braces? (Please specify)</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.dental_problems">dental_problems</a> = '1'</span></td></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_bck10.png)" id="item.seasonal_allergies" 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"/> seasonal_allergies</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">ALLERGIES OR COLD SYMPTOMS: Do you currently have seasonal allergies, cold-like symptoms or other conditions that may affect your voice today?</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.seasonal_allergies">2 options</a></td></tr>
<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)" id="item.seasonal_allergies_options" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> seasonal_allergies_options</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Check all that apply:</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.seasonal_allergies">seasonal_allergies</a> = '1'</span></td></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_bck10.png)" id="item.tired_measure" 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"/> tired_measure</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">TIREDNESS: How tired are you?0=not tired at all, 10=extremely tired</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.tired_measure">11 options</a></td></tr>
<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)" id="item.height" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> height</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">HEIGHT AND WEIGHT: Height (inches)</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-string">string</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>
<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)" id="item.weight" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> weight</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Weight (pounds)</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-string">string</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>
<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)" id="item.unit" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> unit</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unit</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.unit">2 options</a></td></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_bck10.png)" id="item.symptoms" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> symptoms</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">SYMPTOMS: There are some symptoms that can affect your voice. Are you currently experiencing any of these symptoms? Check all that apply.</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-string">string</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>
<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)" id="item.ear_med_history" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> ear_med_history</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">EAR, NOSE, THROAT MEDICAL HISTORYDo you have any of these voice, communication, or hearing conditions? (check all that apply): Ear</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-string">string</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>
<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)" id="item.nose_med_history" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> nose_med_history</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Nose</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-string">string</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>
<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)" id="item.throat_med_history" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> throat_med_history</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Throat</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-string">string</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>
<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)" id="item.head_med_history" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> head_med_history</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Head</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-string">string</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>
<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)" id="item.ear_surgical" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> ear_surgical</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you had any of the interventions mentioned below? (check all that apply): Ear</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-string">string</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>
<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)" id="item.nose_surgical" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> nose_surgical</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Nose</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-string">string</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>
<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)" id="item.throat_surgical" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> throat_surgical</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Throat</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-string">string</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>
<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)" id="item.head_surgical" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> head_surgical</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Head</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-string">string</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>
<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)" id="item.neurological_history" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> neurological_history</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">NEUROLOGICAL MEDICAL HISTORY

Have you been diagnosed with any of these neurological health conditions by a clinician? (check all that apply): Neurological Medical History</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-string">string</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>
<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)" id="item.current_neuro_dx" 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"/> current_neuro_dx</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Do you currently have these conditions or currently experience symptoms as a result of having had these conditions?</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">Enable When: <ul><li><a href="#item.neurological_history">neurological_history</a> = 1</li><li><a href="#item.neurological_history">neurological_history</a> = 2</li><li><a href="#item.neurological_history">neurological_history</a> = 3</li><li><a href="#item.neurological_history">neurological_history</a> = 4</li><li><a href="#item.neurological_history">neurological_history</a> = 5</li><li><a href="#item.neurological_history">neurological_history</a> = 6</li></ul><br/>Options: <a href="#opt-item.current_neuro_dx">3 options</a></td></tr>
<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)" id="item.specify_current_neuro" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> specify_current_neuro</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Which ones do you currently have? (please specify)</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.current_neuro_dx">current_neuro_dx</a> = 2</span></td></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_bck10.png)" id="item.respiratory_conditions" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> respiratory_conditions</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">RESPIRATORY CONDITIONS: Respiratory Conditions</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-string">string</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>
<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)" id="item.lung_or_metastatic" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> lung_or_metastatic</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cancer (lung or metastatic)</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.respiratory_conditions">respiratory_conditions</a> = 2</span></td></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_bck10.png)" id="item.covid" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> covid</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you had COVID recently, or are you currently experiencing the effects of long COVID? (check all that apply)</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-string">string</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>
<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)" id="item.covid_past" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> covid_past</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you had COVID in the past month?</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">Enable When: <span><a href="#item.covid">covid</a> = '1'</span><br/>Options: <a href="#opt-item.covid_past">2 options</a></td></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_bck10.png)" id="item.cpap_conditions" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> cpap_conditions</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Are you currently using CPAP or supplemental oxygen? (check all that apply)</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-string">string</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>
<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)" id="item.resp_medical_history" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> resp_medical_history</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you had any of the interventions mentioned below? (check all that apply)

Respiratory medical history</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-string">string</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>
<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)" id="item.exposed_environmental_pollution" 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"/> exposed_environmental_pollution</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Have you been exposed to environmental pollution that may affect your breathing or voice?</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.exposed_environmental_pollution">2 options</a></td></tr>
<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)" id="item.breathe_today" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> breathe_today</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Are you having difficulty breathing today?</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">Enable When: <span><a href="#item.eligible_studies">eligible_studies</a> = 4</span><br/>Options: <a href="#opt-item.breathe_today">2 options</a></td></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_bck10.png)" id="item.breathe_today_difficulty" 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"/> breathe_today_difficulty</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please specify the level of difficulty</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">Enable When: <ul><li><a href="#item.eligible_studies">eligible_studies</a> = 4</li><li><a href="#item.breathe_today">breathe_today</a> = 'yes'</li></ul><br/>Options: <a href="#opt-item.breathe_today_difficulty">3 options</a></td></tr>
<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)" id="item.cough_today" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> cough_today</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Are you coughing today?</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">Enable When: <span><a href="#item.eligible_studies">eligible_studies</a> = 4</span><br/>Options: <a href="#opt-item.cough_today">2 options</a></td></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_bck10.png)" id="item.cough_today_severity" 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"/> cough_today_severity</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">What is the severity of your cough?
A selection of 10 being means the most severe.</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">Enable When: <ul><li><a href="#item.eligible_studies">eligible_studies</a> = 4</li><li><a href="#item.cough_today">cough_today</a> = 'yes'</li></ul><br/>Options: <a href="#opt-item.cough_today_severity">10 options</a></td></tr>
<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)" id="item.circulatory_conditions" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> circulatory_conditions</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">CIRCULATORY AND OTHER CONDITIONS: Have you been diagnosed with any of these circulatory or heart conditions by a clinician? (check all that apply)</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-string">string</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>
<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)" id="item.cardiac_condition" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> cardiac_condition</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cardiac condition</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.circulatory_conditions">circulatory_conditions</a> = 2</span></td></tr>
<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)" id="item.circulatory_med_history" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> circulatory_med_history</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Some other conditions can affect the sound of your voice. Have you been diagnosed with any of these conditions by a clinician? (check all that apply)</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-string">string</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>
<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)" id="item.infection_disease" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> infection_disease</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Infectious disease</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.circulatory_med_history">circulatory_med_history</a> = 3</span></td></tr>
<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)" id="item.ph_standing" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_standing</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">PHYSICAL HEALTH
		
In the past 30 days, how much difficulty did you have in:: Standing for long periods such as 30 minutes?</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.ph_standing">5 options</a></td></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_bck10.png)" id="item.ph_take_care" 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"/> ph_take_care</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Taking care of your household responsibilities?</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.ph_take_care">5 options</a></td></tr>
<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)" id="item.ph_learn_task" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_learn_task</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Learning a new task, for example, learning how to get to a new place?</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.ph_learn_task">5 options</a></td></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_bck10.png)" id="item.ph_problem_join" 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"/> ph_problem_join</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?</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.ph_problem_join">5 options</a></td></tr>
<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)" id="item.ph_health_problem" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_health_problem</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How much have you been emotionally affected by your health problems?</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.ph_health_problem">5 options</a></td></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_bck10.png)" id="item.ph_concentrating" 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"/> ph_concentrating</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Concentrating on doing something for ten minutes?</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.ph_concentrating">5 options</a></td></tr>
<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)" id="item.ph_walking" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_walking</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Walking a long distance such as a kilometre [or equivalent]?</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.ph_walking">5 options</a></td></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_bck10.png)" id="item.ph_washing" 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"/> ph_washing</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Washing your whole body?</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.ph_washing">5 options</a></td></tr>
<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)" id="item.ph_get_dressed" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_get_dressed</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Getting dressed?</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.ph_get_dressed">5 options</a></td></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_bck10.png)" id="item.ph_dealing_people" 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"/> ph_dealing_people</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dealing with people you do not know?</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.ph_dealing_people">5 options</a></td></tr>
<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)" id="item.ph_friendship" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> ph_friendship</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Maintaining a friendship?</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.ph_friendship">5 options</a></td></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_bck10.png)" id="item.ph_day_to_day_work" 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"/> ph_day_to_day_work</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Your day-to-day work?</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.ph_day_to_day_work">5 options</a></td></tr>
<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)" id="item.physical_health_freq" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> physical_health_freq</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Overall, in the past 30 days, how many days were these difficulties present?</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-string">string</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>
<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)" id="item.phys_health_impact" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> phys_health_impact</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?</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-string">string</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>
<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)" id="item.phys_health_limited" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> phys_health_limited</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?</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-string">string</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>
<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)" id="item.medications" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> medications</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">MEDICATIONS: Do you currently take or use any of these medications or substances? (Check all that apply)</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-string">string</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>
<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)" id="item.hormone_use" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> hormone_use</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Hormone use</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.medications">medications</a> = 7</span></td></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_bck10.png)" id="item.pain_medication" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> pain_medication</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Chronic Pain medication</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.medications">medications</a> = 11</span></td></tr>
<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)" id="item.menstruate" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> menstruate</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GYNECOLOGICAL: Do you menstruate?</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.menstruate">4 options</a></td></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_bck10.png)" id="item.menstruate_no" 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"/> menstruate_no</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Please explain</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">Enable When: <span><a href="#item.menstruate">menstruate</a> = 'no'</span><br/>Options: <a href="#opt-item.menstruate_no">4 options</a></td></tr>
<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)" id="item.other_menstruate_specify" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> other_menstruate_specify</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If you selected &quot;other&quot; for menstruate, please specify:</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.menstruate_no">menstruate_no</a> = 'other'</span></td></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_bck10.png)" id="item.menstrual_cycle_status" 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"/> menstrual_cycle_status</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Where in your cycle are you?(We ask because this may affect your voice.)</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">Enable When: <span><a href="#item.menstruate">menstruate</a> = 'yes'</span><br/>Options: <a href="#opt-item.menstrual_cycle_status">4 options</a></td></tr>
<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)" id="item.voice_activity" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> voice_activity</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">VOICE ACTIVITY: Do you do one of these jobs or hobbies that requires using your voice for many hours a day? (check all that apply)</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-string">string</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>
<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)" id="item.other_voice_activity" 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-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> other_voice_activity</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">If you selected &quot;other&quot; for voice activity, please specify:</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <span><a href="#item.voice_activity">voice_activity</a> = 7</span></td></tr>
<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)" id="item.hours_voice_activity" 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-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> hours_voice_activity</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many hours per day do you do this activity with a loud voice or in a loud environment that requires elevating your voice (for instance, a noisy bar or a noisy classroom)?</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-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.voice_activity">voice_activity</a> = 1</li><li><a href="#item.voice_activity">voice_activity</a> = 2</li><li><a href="#item.voice_activity">voice_activity</a> = 3</li><li><a href="#item.voice_activity">voice_activity</a> = 4</li><li><a href="#item.voice_activity">voice_activity</a> = 5</li><li><a href="#item.voice_activity">voice_activity</a> = 6</li><li><a href="#item.voice_activity">voice_activity</a> = 7</li></ul></td></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_bck00.png)" id="item.reading_aloud" 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-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> reading_aloud</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">READING ACTIVITY: &quot;How good do you think you are at reading out loud in [English/Spanish/French], that is reading out loud without making mistakes and understanding what you read at a normal rate?&quot;</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.reading_aloud">5 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.is_regular_smoker"> </a><p><b>Answer options for is_regular_smoker </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.smoking_hx"> </a><p><b>Answer options for smoking_hx </b></p><ul><li style="font-size: 11px">I've never smoked regularly</li><li style="font-size: 11px">I used to smoke</li><li style="font-size: 11px">I currently smoke</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.smoking_freq"> </a><p><b>Answer options for smoking_freq </b></p><ul><li style="font-size: 11px">Multiple times a day</li><li style="font-size: 11px">About once a day</li><li style="font-size: 11px">A few times a week</li><li style="font-size: 11px">A few times a month</li><li style="font-size: 11px">A few times a year</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.alcohol_yn"> </a><p><b>Answer options for alcohol_yn </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.alcohol_freq"> </a><p><b>Answer options for alcohol_freq </b></p><ul><li style="font-size: 11px">Monthly or less</li><li style="font-size: 11px">2 - 4 times a month</li><li style="font-size: 11px">2 - 3 times a week</li><li style="font-size: 11px">4 or more times a week</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.alcohol_amt"> </a><p><b>Answer options for alcohol_amt </b></p><ul><li style="font-size: 11px">0 - 2</li><li style="font-size: 11px">3 - 4</li><li style="font-size: 11px">5 - 6</li><li style="font-size: 11px">7 - 9</li><li style="font-size: 11px">10 or more</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.alcohol_drinks"> </a><p><b>Answer options for alcohol_drinks </b></p><ul><li style="font-size: 11px">Never in the past year</li><li style="font-size: 11px">Less than monthly</li><li style="font-size: 11px">Monthly</li><li style="font-size: 11px">Weekly</li><li style="font-size: 11px">Daily or almost daily</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.alcohol_today"> </a><p><b>Answer options for alcohol_today </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.alcohol_rehab"> </a><p><b>Answer options for alcohol_rehab </b></p><ul><li style="font-size: 11px">Never in the past year</li><li style="font-size: 11px">Less than monthly</li><li style="font-size: 11px">Monthly</li><li style="font-size: 11px">Weekly</li><li style="font-size: 11px">Daily or almost daily</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.current_recovery_alcohol"> </a><p><b>Answer options for current_recovery_alcohol </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.recreational_drug_use"> </a><p><b>Answer options for recreational_drug_use </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.substance_use_recovery"> </a><p><b>Answer options for substance_use_recovery </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.painkillers"> </a><p><b>Answer options for painkillers </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.stimulants"> </a><p><b>Answer options for stimulants </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.sedatives"> </a><p><b>Answer options for sedatives </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.marijuana"> </a><p><b>Answer options for marijuana </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.cocaine"> </a><p><b>Answer options for cocaine </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.club_drugs"> </a><p><b>Answer options for club_drugs </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.hallucinogens"> </a><p><b>Answer options for hallucinogens </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.heroin"> </a><p><b>Answer options for heroin </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.inhalants"> </a><p><b>Answer options for inhalants </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.methamphetamine"> </a><p><b>Answer options for methamphetamine </b></p><ul><li style="font-size: 11px">Not at all</li><li style="font-size: 11px">One or two days</li><li style="font-size: 11px">Several days</li><li style="font-size: 11px">More than half the days</li><li style="font-size: 11px">Nearly every day</li></ul><a name="opt-item.dental_problems"> </a><p><b>Answer options for dental_problems </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.seasonal_allergies"> </a><p><b>Answer options for seasonal_allergies </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.tired_measure"> </a><p><b>Answer options for tired_measure </b></p><ul><li style="font-size: 11px">0</li><li style="font-size: 11px">1</li><li style="font-size: 11px">2</li><li style="font-size: 11px">3</li><li style="font-size: 11px">4</li><li style="font-size: 11px">5</li><li style="font-size: 11px">6</li><li style="font-size: 11px">7</li><li style="font-size: 11px">8</li><li style="font-size: 11px">9</li><li style="font-size: 11px">10</li></ul><a name="opt-item.unit"> </a><p><b>Answer options for unit </b></p><ul><li style="font-size: 11px">Metric</li><li style="font-size: 11px">US customary units</li></ul><a name="opt-item.current_neuro_dx"> </a><p><b>Answer options for current_neuro_dx </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Only some</li><li style="font-size: 11px">All</li></ul><a name="opt-item.covid_past"> </a><p><b>Answer options for covid_past </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.exposed_environmental_pollution"> </a><p><b>Answer options for exposed_environmental_pollution </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.breathe_today"> </a><p><b>Answer options for breathe_today </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.breathe_today_difficulty"> </a><p><b>Answer options for breathe_today_difficulty </b></p><ul><li style="font-size: 11px">Slight Difficulty</li><li style="font-size: 11px">Moderate Difficulty</li><li style="font-size: 11px">Significant Difficulty</li></ul><a name="opt-item.cough_today"> </a><p><b>Answer options for cough_today </b></p><ul><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li></ul><a name="opt-item.cough_today_severity"> </a><p><b>Answer options for cough_today_severity </b></p><ul><li style="font-size: 11px">1</li><li style="font-size: 11px">2</li><li style="font-size: 11px">3</li><li style="font-size: 11px">4</li><li style="font-size: 11px">5</li><li style="font-size: 11px">6</li><li style="font-size: 11px">7</li><li style="font-size: 11px">8</li><li style="font-size: 11px">9</li><li style="font-size: 11px">10</li></ul><a name="opt-item.ph_standing"> </a><p><b>Answer options for ph_standing </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_take_care"> </a><p><b>Answer options for ph_take_care </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_learn_task"> </a><p><b>Answer options for ph_learn_task </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_problem_join"> </a><p><b>Answer options for ph_problem_join </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_health_problem"> </a><p><b>Answer options for ph_health_problem </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_concentrating"> </a><p><b>Answer options for ph_concentrating </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_walking"> </a><p><b>Answer options for ph_walking </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_washing"> </a><p><b>Answer options for ph_washing </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_get_dressed"> </a><p><b>Answer options for ph_get_dressed </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_dealing_people"> </a><p><b>Answer options for ph_dealing_people </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_friendship"> </a><p><b>Answer options for ph_friendship </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.ph_day_to_day_work"> </a><p><b>Answer options for ph_day_to_day_work </b></p><ul><li style="font-size: 11px">None</li><li style="font-size: 11px">Mild</li><li style="font-size: 11px">Moderate</li><li style="font-size: 11px">Severe</li><li style="font-size: 11px">Extreme or cannot do</li></ul><a name="opt-item.menstruate"> </a><p><b>Answer options for menstruate </b></p><ul><li style="font-size: 11px">Does not apply</li><li style="font-size: 11px">Yes</li><li style="font-size: 11px">No</li><li style="font-size: 11px">Prefer no to answer</li></ul><a name="opt-item.menstruate_no"> </a><p><b>Answer options for menstruate_no </b></p><ul><li style="font-size: 11px">I am pregnant</li><li style="font-size: 11px">I have an IUD</li><li style="font-size: 11px">I have gone through menopause</li><li style="font-size: 11px">Other</li></ul><a name="opt-item.menstrual_cycle_status"> </a><p><b>Answer options for menstrual_cycle_status </b></p><ul><li style="font-size: 11px">Menstruating</li><li style="font-size: 11px">Premenstrual</li><li style="font-size: 11px">Postmenstrual</li><li style="font-size: 11px">Prefer not to answer</li></ul><a name="opt-item.reading_aloud"> </a><p><b>Answer options for reading_aloud </b></p><ul><li style="font-size: 11px">Excellent</li><li style="font-size: 11px">Very good</li><li style="font-size: 11px">Good</li><li style="font-size: 11px">Fair</li><li style="font-size: 11px">Poor</li></ul></div>
  </text>
  <url
       value="https://kind-lab.github.io/vbai-fhir/Questionnaire-qgenericconfoundersschema"/>
  <version value="2.2.0"/>
  <title value="q_generic_confounders_schema"/>
  <status value="active"/>
  <date value="2024-05-29T18:29:26Z"/>
  <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="confounders_session_id"/>
    <text value="Questionnaire - Metadata: Session ID"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="confounders_started_at"/>
    <text value="Questionnaire Started At"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="confounders_completed_at"/>
    <text value="Questionnaire Completed At"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="confounders_duration"/>
    <text value="Questionnaire Duration (seconds)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="is_regular_smoker"/>
    <text
          value="SMOKING: Have you been a regular smoker or not within the last 3 years?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alz_dementia_mci"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="smoking_hx"/>
    <text
          value="Have you ever smoked regularly (more than a few times a month for at least two months)?This includes tobacco, cannabis, vapes, e-cigarettes, hookah, or pipes."/>
    <type value="choice"/>
    <enableWhen>
      <question value="alz_dementia_mci"/>
      <operator value="!="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="I've never smoked regularly"/>
    </answerOption>
    <answerOption>
      <valueString value="I used to smoke"/>
    </answerOption>
    <answerOption>
      <valueString value="I currently smoke"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="age_start_smoking"/>
    <text value="At what age did you start smoking?"/>
    <type value="string"/>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'past'"/>
    </enableWhen>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'currently'"/>
    </enableWhen>
    <enableBehavior value="any"/>
  </item>
  <item>
    <linkId value="age_stop_smoking"/>
    <text value="At what age did you stop?"/>
    <type value="string"/>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'past'"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="smoking_types"/>
    <text value="Please select smoking types used (Check all that apply)"/>
    <type value="string"/>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'past'"/>
    </enableWhen>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'currently'"/>
    </enableWhen>
    <enableBehavior value="any"/>
  </item>
  <item>
    <linkId value="other_smoking_specify"/>
    <text
          value="If you selected &quot;other&quot; for smoking type, please specify:"/>
    <type value="string"/>
    <enableWhen>
      <question value="smoking_types"/>
      <operator value="="/>
      <answerString value="7"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="smoking_freq"/>
    <text value="How often do/did you smoke?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'past'"/>
    </enableWhen>
    <enableWhen>
      <question value="smoking_hx"/>
      <operator value="="/>
      <answerString value="'currently'"/>
    </enableWhen>
    <enableBehavior value="any"/>
    <answerOption>
      <valueString value="Multiple times a day"/>
    </answerOption>
    <answerOption>
      <valueString value="About once a day"/>
    </answerOption>
    <answerOption>
      <valueString value="A few times a week"/>
    </answerOption>
    <answerOption>
      <valueString value="A few times a month"/>
    </answerOption>
    <answerOption>
      <valueString value="A few times a year"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="alcohol_yn"/>
    <text value="ALCOHOL CONSUMPTION: Do you drink alcohol?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="alcohol_freq"/>
    <text
          value="How often do you have at least one drink containing alcohol?Drinks can be beer, wine, shots of liquor, cocktails containing a shot of liquor"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Monthly or less"/>
    </answerOption>
    <answerOption>
      <valueString value="2 - 4 times a month"/>
    </answerOption>
    <answerOption>
      <valueString value="2 - 3 times a week"/>
    </answerOption>
    <answerOption>
      <valueString value="4 or more times a week"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="alcohol_amt"/>
    <text
          value="How many drinks containing alcohol do you have on a typical day when you are drinking?One drink is 12 oz. beer, 5 oz. wine, 1.5 oz. (one shot) liquor"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <answerOption>
      <valueString value="0 - 2"/>
    </answerOption>
    <answerOption>
      <valueString value="3 - 4"/>
    </answerOption>
    <answerOption>
      <valueString value="5 - 6"/>
    </answerOption>
    <answerOption>
      <valueString value="7 - 9"/>
    </answerOption>
    <answerOption>
      <valueString value="10 or more"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="alcohol_drinks"/>
    <text
          value="How often did you have six or more drinks on one occasion in the past year?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Never in the past year"/>
    </answerOption>
    <answerOption>
      <valueString value="Less than monthly"/>
    </answerOption>
    <answerOption>
      <valueString value="Monthly"/>
    </answerOption>
    <answerOption>
      <valueString value="Weekly"/>
    </answerOption>
    <answerOption>
      <valueString value="Daily or almost daily"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="alcohol_today"/>
    <text value="Have you drunk alcohol today?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="drinks_today_number"/>
    <text value="How many drinks did you have?"/>
    <type value="string"/>
    <enableWhen>
      <question value="alcohol_today"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="alcohol_rehab"/>
    <text
          value="Have you ever been in rehab or counseling for heavy alcohol use?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'noAnswer'"/>
    </enableWhen>
    <enableBehavior value="any"/>
    <answerOption>
      <valueString value="Never in the past year"/>
    </answerOption>
    <answerOption>
      <valueString value="Less than monthly"/>
    </answerOption>
    <answerOption>
      <valueString value="Monthly"/>
    </answerOption>
    <answerOption>
      <valueString value="Weekly"/>
    </answerOption>
    <answerOption>
      <valueString value="Daily or almost daily"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="current_recovery_alcohol"/>
    <text value="Are you currently in recovery for alcohol use?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <enableWhen>
      <question value="alcohol_yn"/>
      <operator value="="/>
      <answerString value="'noAnswer'"/>
    </enableWhen>
    <enableBehavior value="any"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="recreational_drug_use"/>
    <text
          value="SUBSTANCE USE: How many times in the past YEAR have you used a recreational substance or medication for reasons or in doses other than prescribed?Recreational substances include methamphetamines (speed, crystal), cannabis (marijuana, pot), inhalants (paint thinner, aerosol, glue), tranquilizers (Valium), barbiturates, cocaine, ecstasy, hallucinogens (LSD, mushrooms), or narcotics (heroin).More than one"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="substance_use_recovery"/>
    <text value="Are you currently in recovery for substance use?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="painkillers"/>
    <text
          value="During the past TWO (2) WEEKS, about how often did you use any of the following medicines ON YOUR OWN, that is, without a doctor's prescription, in greater amounts or longer than prescribed?: Painkillers (like Vicodin)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="stimulants"/>
    <text value="Stimulants (like Ritalin, Adderall)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="sedatives"/>
    <text value="Sedatives or tranquilizers (like sleeping pills or Valium)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="marijuana"/>
    <text value="Marijuana"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="cocaine"/>
    <text value="Cocaine or crack"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="club_drugs"/>
    <text value="Club drugs (like ecstasy)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="hallucinogens"/>
    <text value="Hallucinogens (like LSD)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="heroin"/>
    <text
          value="Heroin or other opioids, including synthetic opioids like fentanyl"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="inhalants"/>
    <text value="Inhalants or solvents (like glue)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="methamphetamine"/>
    <text value="Methamphetamine (like speed)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="recreational_drug_use"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Not at all"/>
    </answerOption>
    <answerOption>
      <valueString value="One or two days"/>
    </answerOption>
    <answerOption>
      <valueString value="Several days"/>
    </answerOption>
    <answerOption>
      <valueString value="More than half the days"/>
    </answerOption>
    <answerOption>
      <valueString value="Nearly every day"/>
    </answerOption>
  </item>
  <item>
    <linkId value="caffeine_intake"/>
    <text
          value="CAFFEINE INTAKE: How many small (8oz or 230ml) cups of coffee OR shots of espresso OR caffeinated teas do you drink on a typical day?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="caffeine_intake_today"/>
    <text
          value="How many small (8oz or 230ml) cups of coffee OR shots of espresso OR caffeinated teas have you had TODAY?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="hydration"/>
    <text
          value="HYDRATION: How many small (8oz or 230ml) cups of water do you drink on a typical day?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="hydration_today"/>
    <text
          value="How many small (8oz or 230ml) cups of water have you had TODAY?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="dental_problems"/>
    <text
          value="DENTAL PROBLEMS: Do you have any dental problems that might affect speech?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="dental_tx"/>
    <text
          value="Do you currently have any tooth loss, dentures, retainers or braces? (Please specify)"/>
    <type value="string"/>
    <enableWhen>
      <question value="dental_problems"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="seasonal_allergies"/>
    <text
          value="ALLERGIES OR COLD SYMPTOMS: Do you currently have seasonal allergies, cold-like symptoms or other conditions that may affect your voice today?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="seasonal_allergies_options"/>
    <text value="Check all that apply:"/>
    <type value="string"/>
    <enableWhen>
      <question value="seasonal_allergies"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="tired_measure"/>
    <text
          value="TIREDNESS: How tired are you?0=not tired at all, 10=extremely tired"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="0"/>
    </answerOption>
    <answerOption>
      <valueString value="1"/>
    </answerOption>
    <answerOption>
      <valueString value="2"/>
    </answerOption>
    <answerOption>
      <valueString value="3"/>
    </answerOption>
    <answerOption>
      <valueString value="4"/>
    </answerOption>
    <answerOption>
      <valueString value="5"/>
    </answerOption>
    <answerOption>
      <valueString value="6"/>
    </answerOption>
    <answerOption>
      <valueString value="7"/>
    </answerOption>
    <answerOption>
      <valueString value="8"/>
    </answerOption>
    <answerOption>
      <valueString value="9"/>
    </answerOption>
    <answerOption>
      <valueString value="10"/>
    </answerOption>
  </item>
  <item>
    <linkId value="height"/>
    <text value="HEIGHT AND WEIGHT: Height (inches)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="weight"/>
    <text value="Weight (pounds)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="unit"/>
    <text value="Unit"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Metric"/>
    </answerOption>
    <answerOption>
      <valueString value="US customary units"/>
    </answerOption>
  </item>
  <item>
    <linkId value="symptoms"/>
    <text
          value="SYMPTOMS: There are some symptoms that can affect your voice. Are you currently experiencing any of these symptoms? Check all that apply."/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="ear_med_history"/>
    <text
          value="EAR, NOSE, THROAT MEDICAL HISTORYDo you have any of these voice, communication, or hearing conditions? (check all that apply): Ear"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="nose_med_history"/>
    <text value="Nose"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="throat_med_history"/>
    <text value="Throat"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="head_med_history"/>
    <text value="Head"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="ear_surgical"/>
    <text
          value="Have you had any of the interventions mentioned below? (check all that apply): Ear"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="nose_surgical"/>
    <text value="Nose"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="throat_surgical"/>
    <text value="Throat"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="head_surgical"/>
    <text value="Head"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="neurological_history"/>
    <text
          value="NEUROLOGICAL MEDICAL HISTORY

Have you been diagnosed with any of these neurological health conditions by a clinician? (check all that apply): Neurological Medical History"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="current_neuro_dx"/>
    <text
          value="Do you currently have these conditions or currently experience symptoms as a result of having had these conditions?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="1"/>
    </enableWhen>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="2"/>
    </enableWhen>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="3"/>
    </enableWhen>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="5"/>
    </enableWhen>
    <enableWhen>
      <question value="neurological_history"/>
      <operator value="="/>
      <answerString value="6"/>
    </enableWhen>
    <enableBehavior value="any"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Only some"/>
    </answerOption>
    <answerOption>
      <valueString value="All"/>
    </answerOption>
  </item>
  <item>
    <linkId value="specify_current_neuro"/>
    <text value="Which ones do you currently have? (please specify)"/>
    <type value="string"/>
    <enableWhen>
      <question value="current_neuro_dx"/>
      <operator value="="/>
      <answerString value="2"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="respiratory_conditions"/>
    <text value="RESPIRATORY CONDITIONS: Respiratory Conditions"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="lung_or_metastatic"/>
    <text value="Cancer (lung or metastatic)"/>
    <type value="string"/>
    <enableWhen>
      <question value="respiratory_conditions"/>
      <operator value="="/>
      <answerString value="2"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="covid"/>
    <text
          value="Have you had COVID recently, or are you currently experiencing the effects of long COVID? (check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="covid_past"/>
    <text value="Have you had COVID in the past month?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="covid"/>
      <operator value="="/>
      <answerString value="'1'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="cpap_conditions"/>
    <text
          value="Are you currently using CPAP or supplemental oxygen? (check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="resp_medical_history"/>
    <text
          value="Have you had any of the interventions mentioned below? (check all that apply)

Respiratory medical history"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="exposed_environmental_pollution"/>
    <text
          value="Have you been exposed to environmental pollution that may affect your breathing or voice?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="breathe_today"/>
    <text value="Are you having difficulty breathing today?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="eligible_studies"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="breathe_today_difficulty"/>
    <text value="Please specify the level of difficulty"/>
    <type value="choice"/>
    <enableWhen>
      <question value="eligible_studies"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <enableWhen>
      <question value="breathe_today"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <enableBehavior value="all"/>
    <answerOption>
      <valueString value="Slight Difficulty"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate Difficulty"/>
    </answerOption>
    <answerOption>
      <valueString value="Significant Difficulty"/>
    </answerOption>
  </item>
  <item>
    <linkId value="cough_today"/>
    <text value="Are you coughing today?"/>
    <type value="choice"/>
    <enableWhen>
      <question value="eligible_studies"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
  </item>
  <item>
    <linkId value="cough_today_severity"/>
    <text
          value="What is the severity of your cough?
A selection of 10 being means the most severe."/>
    <type value="choice"/>
    <enableWhen>
      <question value="eligible_studies"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <enableWhen>
      <question value="cough_today"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <enableBehavior value="all"/>
    <answerOption>
      <valueString value="1"/>
    </answerOption>
    <answerOption>
      <valueString value="2"/>
    </answerOption>
    <answerOption>
      <valueString value="3"/>
    </answerOption>
    <answerOption>
      <valueString value="4"/>
    </answerOption>
    <answerOption>
      <valueString value="5"/>
    </answerOption>
    <answerOption>
      <valueString value="6"/>
    </answerOption>
    <answerOption>
      <valueString value="7"/>
    </answerOption>
    <answerOption>
      <valueString value="8"/>
    </answerOption>
    <answerOption>
      <valueString value="9"/>
    </answerOption>
    <answerOption>
      <valueString value="10"/>
    </answerOption>
  </item>
  <item>
    <linkId value="circulatory_conditions"/>
    <text
          value="CIRCULATORY AND OTHER CONDITIONS: Have you been diagnosed with any of these circulatory or heart conditions by a clinician? (check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="cardiac_condition"/>
    <text value="Cardiac condition"/>
    <type value="string"/>
    <enableWhen>
      <question value="circulatory_conditions"/>
      <operator value="="/>
      <answerString value="2"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="circulatory_med_history"/>
    <text
          value="Some other conditions can affect the sound of your voice. Have you been diagnosed with any of these conditions by a clinician? (check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="infection_disease"/>
    <text value="Infectious disease"/>
    <type value="string"/>
    <enableWhen>
      <question value="circulatory_med_history"/>
      <operator value="="/>
      <answerString value="3"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="ph_standing"/>
    <text
          value="PHYSICAL HEALTH
		
In the past 30 days, how much difficulty did you have in:: Standing for long periods such as 30 minutes?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_take_care"/>
    <text value="Taking care of your household responsibilities?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_learn_task"/>
    <text
          value="Learning a new task, for example, learning how to get to a new place?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_problem_join"/>
    <text
          value="How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_health_problem"/>
    <text
          value="How much have you been emotionally affected by your health problems?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_concentrating"/>
    <text value="Concentrating on doing something for ten minutes?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_walking"/>
    <text
          value="Walking a long distance such as a kilometre [or equivalent]?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_washing"/>
    <text value="Washing your whole body?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_get_dressed"/>
    <text value="Getting dressed?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_dealing_people"/>
    <text value="Dealing with people you do not know?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_friendship"/>
    <text value="Maintaining a friendship?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="ph_day_to_day_work"/>
    <text value="Your day-to-day work?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="None"/>
    </answerOption>
    <answerOption>
      <valueString value="Mild"/>
    </answerOption>
    <answerOption>
      <valueString value="Moderate"/>
    </answerOption>
    <answerOption>
      <valueString value="Severe"/>
    </answerOption>
    <answerOption>
      <valueString value="Extreme or cannot do"/>
    </answerOption>
  </item>
  <item>
    <linkId value="physical_health_freq"/>
    <text
          value="Overall, in the past 30 days, how many days were these difficulties present?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="phys_health_impact"/>
    <text
          value="In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="phys_health_limited"/>
    <text
          value="In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="medications"/>
    <text
          value="MEDICATIONS: Do you currently take or use any of these medications or substances? (Check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="hormone_use"/>
    <text value="Hormone use"/>
    <type value="string"/>
    <enableWhen>
      <question value="medications"/>
      <operator value="="/>
      <answerString value="7"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="pain_medication"/>
    <text value="Chronic Pain medication"/>
    <type value="string"/>
    <enableWhen>
      <question value="medications"/>
      <operator value="="/>
      <answerString value="11"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="menstruate"/>
    <text value="GYNECOLOGICAL: Do you menstruate?"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Does not apply"/>
    </answerOption>
    <answerOption>
      <valueString value="Yes"/>
    </answerOption>
    <answerOption>
      <valueString value="No"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer no to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="menstruate_no"/>
    <text value="Please explain"/>
    <type value="choice"/>
    <enableWhen>
      <question value="menstruate"/>
      <operator value="="/>
      <answerString value="'no'"/>
    </enableWhen>
    <answerOption>
      <valueString value="I am pregnant"/>
    </answerOption>
    <answerOption>
      <valueString value="I have an IUD"/>
    </answerOption>
    <answerOption>
      <valueString value="I have gone through menopause"/>
    </answerOption>
    <answerOption>
      <valueString value="Other"/>
    </answerOption>
  </item>
  <item>
    <linkId value="other_menstruate_specify"/>
    <text
          value="If you selected &quot;other&quot; for menstruate, please specify:"/>
    <type value="string"/>
    <enableWhen>
      <question value="menstruate_no"/>
      <operator value="="/>
      <answerString value="'other'"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="menstrual_cycle_status"/>
    <text
          value="Where in your cycle are you?(We ask because this may affect your voice.)"/>
    <type value="choice"/>
    <enableWhen>
      <question value="menstruate"/>
      <operator value="="/>
      <answerString value="'yes'"/>
    </enableWhen>
    <answerOption>
      <valueString value="Menstruating"/>
    </answerOption>
    <answerOption>
      <valueString value="Premenstrual"/>
    </answerOption>
    <answerOption>
      <valueString value="Postmenstrual"/>
    </answerOption>
    <answerOption>
      <valueString value="Prefer not to answer"/>
    </answerOption>
  </item>
  <item>
    <linkId value="voice_activity"/>
    <text
          value="VOICE ACTIVITY: Do you do one of these jobs or hobbies that requires using your voice for many hours a day? (check all that apply)"/>
    <type value="string"/>
  </item>
  <item>
    <linkId value="other_voice_activity"/>
    <text
          value="If you selected &quot;other&quot; for voice activity, please specify:"/>
    <type value="string"/>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="7"/>
    </enableWhen>
  </item>
  <item>
    <linkId value="hours_voice_activity"/>
    <text
          value="How many hours per day do you do this activity with a loud voice or in a loud environment that requires elevating your voice (for instance, a noisy bar or a noisy classroom)?"/>
    <type value="string"/>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="1"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="2"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="3"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="4"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="5"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="6"/>
    </enableWhen>
    <enableWhen>
      <question value="voice_activity"/>
      <operator value="="/>
      <answerString value="7"/>
    </enableWhen>
    <enableBehavior value="any"/>
  </item>
  <item>
    <linkId value="reading_aloud"/>
    <text
          value="READING ACTIVITY: &quot;How good do you think you are at reading out loud in [English/Spanish/French], that is reading out loud without making mistakes and understanding what you read at a normal rate?&quot;"/>
    <type value="choice"/>
    <answerOption>
      <valueString value="Excellent"/>
    </answerOption>
    <answerOption>
      <valueString value="Very good"/>
    </answerOption>
    <answerOption>
      <valueString value="Good"/>
    </answerOption>
    <answerOption>
      <valueString value="Fair"/>
    </answerOption>
    <answerOption>
      <valueString value="Poor"/>
    </answerOption>
  </item>
</Questionnaire>