SLING-INF.content.Questionnaires.QIVariables.xml Maven / Gradle / Ivy
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See the License for the specific language governing permissions and limitations under the License. --> <node> <name>QIVariables</name> <primaryNodeType>cards:Questionnaire</primaryNodeType> <property> <name>title</name> <value>QIVariables Data</value> <type>String</type> </property> <node> <name>patientid</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Patient ID</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>long</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>An arbitrary value (not a recognizable ID like Social Security Number or Medical Record Number) that uniquely and permanently identifies each patient. This value is automatically assigned by the software. Once assigned to a patient, this can never be changed or reused.</value> <type>String</type> </property> </node> <node> <name>dob</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>DOB</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>date</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>Indicate the patient's date of birth using 4-digit format for year. This field should be collected in compliance with state/local privacy laws.</value> <type>String</type> </property> </node> <node> <name>gender</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Gender</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>ethnicity</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Ethnicity</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>race</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Race</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>fundcard</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Fundamental Cardiac Diagnosis</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>preterm</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Premature Birth</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>genetic diagnosis</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Genetic Diagnosis</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> </node> <node> <name>docv</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Date of Cardiac visit</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>date</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>The date that the patient attended outpatient visit in cardiac clinic.</value> <type>String</type> </property> </node> <node> <name>cardtype</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Type of Cardiologist</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>type of cardiologist that saw the patient in outpatient clinic on date of cardiac outpt visit</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list+input</value> <type>String</type> </property> <node> <name>general-outreach</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>general-outreach</value> <type>String</type> </property> <property> <name>value</name> <value>general-outreach</value> <type>String</type> </property> </node> <node> <name>noninvasiveimaging</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>noninvasive imaging</value> <type>String</type> </property> <property> <name>value</name> <value>noninvasive imaging</value> <type>String</type> </property> </node> <node> <name>interventional-cath</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>interventional-cath</value> <type>String</type> </property> <property> <name>value</name> <value>interventional-cath</value> <type>String</type> </property> </node> <node> <name>electrophysiology</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>electrophysiology</value> <type>String</type> </property> <property> <name>value</name> <value>electrophysiology</value> <type>String</type> </property> </node> <node> <name>heartfailure-cardiomyopathy-hearttransplant</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>heart failure-cardiomyopathy-heart transplant</value> <type>String</type> </property> <property> <name>value</name> <value>heart failure-cardiomyopathy-heart transplant</value> <type>String</type> </property> </node> <node> <name>cardiacintensivecare</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>cardiac intensive care</value> <type>String</type> </property> <property> <name>value</name> <value>cardiac intensive care</value> <type>String</type> </property> </node> <node> <name>preventative</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>preventative</value> <type>String</type> </property> <property> <name>value</name> <value>preventative</value> <type>String</type> </property> </node> </node> <node> <name>insurance</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Insurance</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>insurance status of patient at time of cardiology outpatient visit</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list+input</value> <type>String</type> </property> <node> <name>self-pay</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>self-pay</value> <type>String</type> </property> <property> <name>value</name> <value>self-pay</value> <type>String</type> </property> </node> <node> <name>commercial</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>commercial</value> <type>String</type> </property> <property> <name>value</name> <value>commercial</value> <type>String</type> </property> </node> <node> <name>Medicaid</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>Medicaid</value> <type>String</type> </property> <property> <name>value</name> <value>Medicaid</value> <type>String</type> </property> </node> </node> <node> <name>hrdoc</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>High risk documentation</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>boolean</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>Did an ambulatory cardiology clinic provider (MD/DO and/or APP) document the patient as high-risk or at-risk for ND challenges within the last 18 months in the medical record</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list</value> <type>String</type> </property> </node> <node> <name>referralnd</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Referal for ND assessment</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>Has a referral or order been placed for formal ND evaluation or services in last 5 years (includes at least one of the following clinics or specialties: multidisciplinary ND clinic, developmental-behavioral pediatrics, neuropsychology, or psychology; PT/OT/speech therapy alone is NOT sufficient for “yes”)</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list</value> <type>String</type> </property> <node> <name>yes</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>yes</value> <type>String</type> </property> <property> <name>value</name> <value>yes</value> <type>String</type> </property> </node> <node> <name>no</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>no</value> <type>String</type> </property> <property> <name>value</name> <value>no</value> <type>String</type> </property> </node> <node> <name>unknown</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>unknown</value> <type>String</type> </property> <property> <name>value</name> <value>unknown</value> <type>String</type> </property> </node> </node> <node> <name>referalfrom</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Referal placed by which provider</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>Where was the ND referral from?</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list+input</value> <type>String</type> </property> <node> <name>cardiologyoutpatientclinic</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>cardiology outpatient clinic</value> <type>String</type> </property> <property> <name>value</name> <value>cardiology outpatient clinic</value> <type>String</type> </property> </node> <node> <name>unknown</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>unknown</value> <type>String</type> </property> <property> <name>value</name> <value>unknown</value> <type>String</type> </property> </node> <node> <name>noreferralplaced</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>no referral placed</value> <type>String</type> </property> <property> <name>value</name> <value>no referral placed</value> <type>String</type> </property> </node> </node> <node> <name>seennd</name> <primaryNodeType>cards:Question</primaryNodeType> <property> <name>text</name> <value>Seen in ND clinic</value> <type>String</type> </property> <property> <name>maxAnswers</name> <value>0</value> <type>Long</type> </property> <property> <name>dataType</name> <value>text</value> <type>String</type> </property> <property> <name>minAnswers</name> <value>1</value> <type>Long</type> </property> <property> <name>description</name> <value>Has the patient been seen in a formal ND clinic or by a related ND specialist in the last 5 years (includes at least one of the following clinics or specialties: multidisciplinary neurodevelopmental clinic, developmental-behavioral pediatrics, neuropsychology, or psychology; PT/OT/speech therapy alone is not sufficient for “yes”)?</value> <type>String</type> </property> <property> <name>displayMode</name> <value>list</value> <type>String</type> </property> <node> <name>yes</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>yes</value> <type>String</type> </property> <property> <name>value</name> <value>yes</value> <type>String</type> </property> </node> <node> <name>no</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>no</value> <type>String</type> </property> <property> <name>value</name> <value>no</value> <type>String</type> </property> </node> <node> <name>unknown</name> <primaryNodeType>cards:AnswerOption</primaryNodeType> <property> <name>label</name> <value>unknown</value> <type>String</type> </property> <property> <name>value</name> <value>unknown</value> <type>String</type> </property> </node> </node> </node>