Narrative
1: Demographics
- linkId: 1
Please complete the questionnaire
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Flags:
- linkId: 1.0
Today's Date
- linkId: 1.1
First Name
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Flags:
- linkId: 1.2
Hidden Name
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Flags:
- linkId: 1.3
Middle Name
- linkId: 1.4
Last Name *
- linkId: 1.5
Birth Date (MM/DD/YYYY) *
- linkId: 1.6
Gender
- linkId: 1.6
- Answers: 4 options
2: Medical History
- linkId: 2
Diabetes
- linkId: 2.1
- Answers: 2 options
Other Information
- linkId: 2.2
- Answers: 2 options
3: Slider demonstration
- linkId: 3
Adjust the slider
- linkId: 3.1
- Initial Values: 50
4: Sample answer options with valueset-labels
- linkId: 4
Enter timing of harm assessment:
- linkId: 4.1
- Answers: #LL2821-8
5: Choice Column Example with Codes
- linkId: 5
Select Platelet:
- linkId: 5.1
- Answers: http://loinc.org/vs/LL715-4
6: Choice Column Example with References
- linkId: 6
All the practitioners below can speak the patient's language. Choose all preferred practioners:
- linkId: 6.1