SLING-INF.content.Questionnaires.IC.xml Maven / Gradle / Ivy
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<node>
<name>IC</name>
<primaryNodeType>cards:Questionnaire</primaryNodeType>
<property>
<name>title</name>
<value>UHN Integrated Care Patient Experience Survey</value>
<type>String</type>
</property>
<property>
<name>requiredSubjectTypes</name>
<values>
<value>/SubjectTypes/Patient/Visit</value>
</values>
<type>Reference</type>
</property>
<property>
<name>requireCompletion</name>
<value>True</value>
<type>Boolean</type>
</property>
<property>
<name>hideAnswerInstructions</name>
<value>True</value>
<type>Boolean</type>
</property>
<property>
<name>paginate</name>
<value>True</value>
<type>Boolean</type>
</property>
<property>
<name>maxPerSubject</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>ic_intro</name>
<primaryNodeType>cards:Information</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>info</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>
### As you look to fill out this survey, you were likely discharged from your stay at a UHN hospital site within the last 30 days.
We would like you to reflect on your experience with the Integrated Care Program in the last month when you were discharged from the hospital and transitioned home, and to provide us with some feedback on supports that you may have received. We appreciate any insights you can provide and will look to make improvements based on your feedback.
</value>
<type>String</type>
</property>
</node>
<node>
<name>ic_hospital</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>text</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Hospital</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>hidden</value>
<type>String</type>
</property>
<property>
<name>entryMode</name>
<value>reference</value>
<type>String</type>
</property>
<property>
<name>question</name>
<value>/Questionnaires/Visit information/location</value>
<type>String</type>
</property>
</node>
<node>
<name>ic_department</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>text</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Department</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>hidden</value>
<type>String</type>
</property>
<property>
<name>entryMode</name>
<value>reference</value>
<type>String</type>
</property>
<property>
<name>question</name>
<value>/Questionnaires/Visit information/provider</value>
<type>String</type>
</property>
</node>
<node>
<name>ic_1</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>dataType</name>
<value>boolean</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left hospital?</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>ic_2</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>boolean</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Before leaving the hospital, did someone speak with you about whether you would have the help and equipment you needed at home? </value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Yes</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>0</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>No</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>0</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_3</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>boolean</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Did you receive information about community services available to help you during your recovery at home? </value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Yes</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>0</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>No</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>0</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_4</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>long</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Did the home care and/or community services you received meet your needs?</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>2</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Yes, all of my needs</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>2</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Yes, some of my needs</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
<node>
<name>0</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>No, none of my needs</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>0</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>3</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_5</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>long</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Was the team able to support and ensure you were connected with your primary care provider through assistance or information?</value>
<type>String</type>
</property>
<property>
<name>description</name>
<value>Note: _Primary care provider_ is a broader term that encompasses family doctor/physician, general practitioner or nurse practitioner.</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Yes</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>0</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>No</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>0</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
<node>
<name>-1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Not applicable</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>-1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>3</value>
<type>Long</type>
</property>
<property>
<name>notApplicable</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
</node>
<node>
<name>ic_6</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>long</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>Do you feel that you were treated with kindness, compassion and concern when receiving care at home? </value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>0</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Never</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>0</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Sometimes</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
<node>
<name>2</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Usually</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>2</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>3</value>
<type>Long</type>
</property>
</node>
<node>
<name>3</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Always</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>3</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>4</value>
<type>Long</type>
</property>
</node>
<node>
<name>-1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Don’t know/not sure</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>-1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>5</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_7</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>long</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>How would you rate the Integrated Care Program on a scale of 1-5 (lowest to highest rating)? </value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>1</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>1</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>2</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>2</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>2</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
<node>
<name>3</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>3</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>3</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>3</value>
<type>Long</type>
</property>
</node>
<node>
<name>4</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>4</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>4</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>4</value>
<type>Long</type>
</property>
</node>
<node>
<name>5</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>5</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>5</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>5</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_8</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>dataType</name>
<value>text</value>
<type>String</type>
</property>
<property>
<name>text</name>
<value>What else would you like to say about this experience?</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>textbox</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>0</value>
<type>Long</type>
</property>
</node>
<node>
<name>ic_feedback</name>
<primaryNodeType>cards:Section</primaryNodeType>
<node>
<name>ic_feedback_intro</name>
<primaryNodeType>cards:Information</primaryNodeType>
<property>
<name>text</name>
<value>
### If you would like to provide further input into your experience, please provide your name or that of your family caregiver, and a way to reach you (phone or email).
A member of the quality improvement team will reach out to you for an interview. Interviews would be maximum 30 minutes and in appreciation of your time, you would receive compensation.
</value>
<type>String</type>
</property>
</node>
<node>
<name>ic_contact_mode</name>
<primaryNodeType>cards:Question</primaryNodeType>
<property>
<name>text</name>
<value>I would like to be contacted by</value>
<type>String</type>
</property>
<property>
<name>displayMode</name>
<value>list</value>
<type>String</type>
</property>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<node>
<name>Phone</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Phone call</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>Phone</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>1</value>
<type>Long</type>
</property>
</node>
<node>
<name>Text</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Text</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>Text</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>2</value>
<type>Long</type>
</property>
</node>
<node>
<name>Email</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>Email</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>Email</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>3</value>
<type>Long</type>
</property>
</node>
<node>
<name>No</name>
<primaryNodeType>cards:AnswerOption</primaryNodeType>
<property>
<name>label</name>
<value>I do not want to be contacted</value>
<type>String</type>
</property>
<property>
<name>value</name>
<value>No</value>
<type>String</type>
</property>
<property>
<name>defaultOrder</name>
<value>4</value>
<type>Long</type>
</property>
<property>
<name>noneOfTheAbove</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
</node>
<node>
<name>ic_contact_phone_section</name>
<primaryNodeType>cards:Section</primaryNodeType>
<node>
<name>conditionGroup</name>
<primaryNodeType>cards:ConditionalGroup</primaryNodeType>
<property>
<name>requireAll</name>
<value>False</value>
<type>Boolean</type>
</property>
<node>
<name>condition1</name>
<primaryNodeType>cards:Conditional</primaryNodeType>
<property>
<name>comparator</name>
<value>=</value>
<type>String</type>
</property>
<node>
<name>operandA</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>ic_contact_mode</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
<node>
<name>operandB</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>Phone</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>False</value>
<type>Boolean</type>
</property>
</node>
</node>
<node>
<name>condition2</name>
<primaryNodeType>cards:Conditional</primaryNodeType>
<property>
<name>comparator</name>
<value>=</value>
<type>String</type>
</property>
<node>
<name>operandA</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>ic_contact_mode</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
<node>
<name>operandB</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>Text</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>False</value>
<type>Boolean</type>
</property>
</node>
</node>
</node>
<node>
<primaryNodeType>cards:Question</primaryNodeType>
<name>ic_contact_phone</name>
<property>
<name>text</name>
<value>Phone number</value>
<type>String</type>
</property>
<property>
<name>dataType</name>
<value>phone</value>
<type>String</type>
</property>
<property>
<name>onlyCountries</name>
<value>ca</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_contact_email_section</name>
<primaryNodeType>cards:Section</primaryNodeType>
<node>
<name>condition1</name>
<primaryNodeType>cards:Conditional</primaryNodeType>
<property>
<name>comparator</name>
<value>=</value>
<type>String</type>
</property>
<node>
<name>operandA</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>ic_contact_mode</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
<node>
<name>operandB</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>Email</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>False</value>
<type>Boolean</type>
</property>
</node>
</node>
<node>
<primaryNodeType>cards:Question</primaryNodeType>
<name>ic_contact_email</name>
<property>
<name>text</name>
<value>Email address</value>
<type>String</type>
</property>
<property>
<name>validationRegexp</name>
<value>^([a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,})$</value>
<type>String</type>
</property>
<property>
<name>validationErrorText</name>
<value>Please enter a valid email address</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
</node>
</node>
<node>
<name>ic_contact_name_section</name>
<primaryNodeType>cards:Section</primaryNodeType>
<node>
<name>conditionGroup</name>
<primaryNodeType>cards:ConditionalGroup</primaryNodeType>
<property>
<name>requireAll</name>
<value>True</value>
<type>Boolean</type>
</property>
<node>
<name>condition1</name>
<primaryNodeType>cards:Conditional</primaryNodeType>
<property>
<name>comparator</name>
<value>is not empty</value>
<type>String</type>
</property>
<node>
<name>operandA</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>ic_contact_mode</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
</node>
<node>
<name>condition2</name>
<primaryNodeType>cards:Conditional</primaryNodeType>
<property>
<name>comparator</name>
<value><![CDATA[<>]]></value>
<type>String</type>
</property>
<node>
<name>operandA</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>ic_contact_mode</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>True</value>
<type>Boolean</type>
</property>
</node>
<node>
<name>operandB</name>
<primaryNodeType>cards:ConditionalValue</primaryNodeType>
<property>
<name>value</name>
<values>
<value>No</value>
</values>
<type>String</type>
</property>
<property>
<name>isReference</name>
<value>False</value>
<type>Boolean</type>
</property>
</node>
</node>
</node>
<node>
<primaryNodeType>cards:Question</primaryNodeType>
<name>ic_contact_name</name>
<property>
<name>text</name>
<value>Name</value>
<type>String</type>
</property>
<property>
<name>minAnswers</name>
<value>1</value>
<type>Long</type>
</property>
<property>
<name>maxAnswers</name>
<value>1</value>
<type>Long</type>
</property>
</node>
</node>
</node>
</node>