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Questionnaire "questionnaire-sdc-profile-example-render" Version "1"

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				<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
					<head>
						<meta content="text/html;charset=utf-8" http-equiv="Content-Type"/>
						<title>Advanced Rendering Questionnaire Demonstration</title>
					</head>
					<body>
						<div id="questionnaire-title">
							<h1>
								<span style="color:blue;">
									<b>Advanced</b>
									<i>Rendering</i>
									<u>Questionnaire</u>
									<b>
										<i>Demonstration</i>
									</b>
								</span>
							</h1>
						</div>
						<div id="linkitem-1" class="group">
							<h2><span style="color:red;"><u>1</u></span> Demographics</h2>
							<div id="linkitem-1.0" class="display">
								<p>
									<span style="color:green;"><i>Please</i> complete the questionnaire</span>
								</p>
								<!-- Instructions | The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole). -->
								<span id="linkitem-1.0-displayCategory" style="display:none;">Instructions | The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole).</span>
							</div>
							<div id="linkitem-1.1" class="string">
								<form action="http://hl7.org/fhir/">
								First Name
								<input id="linkitem-1.1-input" type="text"/>
							</form>
								<!-- optionalDisplay=true -->
							</div>
							<div id="linkitem-1.2" class="string" style="display:none;">
								<form action="http://hl7.org/fhir/">
								Hidden Name
								<input id="linkitem-1.2-input" type="text"/>
							</form>
							</div>
							<div id="linkitem-1.3" class="string">
								<form action="http://hl7.org/fhir/">
									<a href="http://hl7.org/fhir/">Middle Name</a>
									<input id="linkitem-1.3-input" type="text"/>
								</form>
							</div>
							<div id="linkitem-1.4" class="string">
								<form action="http://hl7.org/fhir/">
								Last Name
								<input id="linkitem-1.4-input" type="text"/>
							</form>
							</div>
							<div id="linkitem-1.5" class="string">
								<form action="http://hl7.org/fhir/">
								Gender
								<input id="linkitem-1.5-f" type="radio" name="Gender" value="F" checked="checked"/>(a) Female 
								<input id="linkitem-1.5-m" type="radio" name="Gender" value="M"/>Male 
								<input id="linkitem-1.5-o" type="radio" name="Gender" value="O"/>Other 
								<input id="linkitem-1.5-u" type="radio" name="Gender" value="U"/>Unknown 
							</form>
							</div>
						</div>
						<div id="linkitem-2" class="group">
							<h2>2 Medical History</h2>
							<form action="http://hl7.org/fhir/">
								<table border="1">
									<col width="65%"/>
									<col width="35%"/>
									<tr>
										<td>
											Diabetes
										</td>
										<td>
											Other Information
										</td>
									</tr>
									<tr>
										<td>
											<input id="linkitem-2.1-choice1" type="checkbox" name="diabetes-type1" value="diabetes-type1"/>Type 1
										</td>
										<td>
											<input id="linkitem-2.2-choice1" type="checkbox" name="otherinformation-hypertension" value="otherinformation-hypertension"/>Hypertension
										</td>
									</tr>
									<tr>
										<td>
											<input id="linkitem-2.1-choice2" type="checkbox" name="diabetes-type2" value="diabetes-type2"/>Type 2
										</td>
										<td>
											<input id="linkitem-2.2-choice2" type="checkbox" name="otherinformation-smoker" value="otherinformation-smoker"/>Smoker
										</td>
									</tr>
								</table>
							</form>
						</div>
						<div id="linkitem-3" class="group">
							<h2>3 Slider demonstration</h2>
							<div id="linkitem-3.1" class="slidecontainer">
							Adjust the slider<br/>
							<form action="http://hl7.org/fhir/">
								<input type="range" min="0" max="100" value="50" step="10" class="slider" id="linkitem-3.1-slider"/>
							</form>
						</div>
						</div>
					</body>
				</html>
			

{
  "resourceType" : "Questionnaire",
  "id" : "questionnaire-sdc-profile-example-render",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:54:35.749Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<pre>\n&#9;&#9;&#9;&#9;&lt;html xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"&gt;\n&#9;&#9;&#9;&#9;&#9;&lt;head&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;meta content=\"text/html;charset=utf-8\" http-equiv=\"Content-Type\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;title&gt;Advanced Rendering Questionnaire Demonstration&lt;/title&gt;\n&#9;&#9;&#9;&#9;&#9;&lt;/head&gt;\n&#9;&#9;&#9;&#9;&#9;&lt;body&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"questionnaire-title\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;h1&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;span style=\"color:blue;\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;b&gt;Advanced&lt;/b&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;i&gt;Rendering&lt;/i&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;u&gt;Questionnaire&lt;/u&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;b&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;i&gt;Demonstration&lt;/i&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/b&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/span&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/h1&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1\" class=\"group\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;h2&gt;&lt;span style=\"color:red;\"&gt;&lt;u&gt;1&lt;/u&gt;&lt;/span&gt; Demographics&lt;/h2&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.0\" class=\"display\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;p&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;span style=\"color:green;\"&gt;&lt;i&gt;Please&lt;/i&gt; complete the questionnaire&lt;/span&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/p&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;!-- Instructions | The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole). --&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;span id=\"linkitem-1.0-displayCategory\" style=\"display:none;\"&gt;Instructions | The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole).&lt;/span&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.1\" class=\"string\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;First Name\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.1-input\" type=\"text\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;!-- optionalDisplay=true --&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.2\" class=\"string\" style=\"display:none;\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;Hidden Name\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.2-input\" type=\"text\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.3\" class=\"string\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;a href=\"http://hl7.org/fhir/\"&gt;Middle Name&lt;/a&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.3-input\" type=\"text\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.4\" class=\"string\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;Last Name\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.4-input\" type=\"text\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-1.5\" class=\"string\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;Gender\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.5-f\" type=\"radio\" name=\"Gender\" value=\"F\" checked=\"checked\"/&gt;(a) Female&#160;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.5-m\" type=\"radio\" name=\"Gender\" value=\"M\"/&gt;Male&#160;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.5-o\" type=\"radio\" name=\"Gender\" value=\"O\"/&gt;Other&#160;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-1.5-u\" type=\"radio\" name=\"Gender\" value=\"U\"/&gt;Unknown&#160;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-2\" class=\"group\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;h2&gt;2 Medical History&lt;/h2&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;table border=\"1\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;col width=\"65%\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;col width=\"35%\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;Diabetes\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;Other Information\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-2.1-choice1\" type=\"checkbox\" name=\"diabetes-type1\" value=\"diabetes-type1\"/&gt;Type 1\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-2.2-choice1\" type=\"checkbox\" name=\"otherinformation-hypertension\" value=\"otherinformation-hypertension\"/&gt;Hypertension\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-2.1-choice2\" type=\"checkbox\" name=\"diabetes-type2\" value=\"diabetes-type2\"/&gt;Type 2\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input id=\"linkitem-2.2-choice2\" type=\"checkbox\" name=\"otherinformation-smoker\" value=\"otherinformation-smoker\"/&gt;Smoker\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/td&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/tr&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/table&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-3\" class=\"group\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;h2&gt;3 Slider demonstration&lt;/h2&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;div id=\"linkitem-3.1\" class=\"slidecontainer\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;Adjust the slider&lt;br/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;form action=\"http://hl7.org/fhir/\"&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;input type=\"range\" min=\"0\" max=\"100\" value=\"50\" step=\"10\" class=\"slider\" id=\"linkitem-3.1-slider\"/&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&#9;&lt;/form&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&#9;&lt;/div&gt;\n&#9;&#9;&#9;&#9;&#9;&lt;/body&gt;\n&#9;&#9;&#9;&#9;&lt;/html&gt;\n&#9;&#9;&#9;</pre>\n&#9;&#9;</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-provenanceSignatureRequired",
      "valueBoolean" : false
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:iso-astm:E1762-95:2013",
            "code" : "1.2.840.10065.1.12.1.1",
            "display" : "Author's Signature"
          }
        ],
        "text" : "the signature of the primary or sole author of a health information document. There can be only one primary author of a health information document."
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
      "valueBoolean" : true
    }
  ],
  "url" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-render",
  "version" : "current",
  "title" : "Advanced Rendering Questionnaire Profile Demonstration",
  "_title" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
        "valueString" : "color:blue;"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString" : "<b>Advanced</b> <i>Rendering</i> <u>Questionnaire</u> <b><i>Demonstration</i></b>"
      }
    ]
  },
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2018-08",
  "item" : [
    {
      "linkId" : "1",
      "code" : [
        {
          "system" : "http://example.org/system/code/sections",
          "code" : "DEMOGRAPHICS"
        }
      ],
      "prefix" : "1",
      "_prefix" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
            "valueString" : "color:red;"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString" : "<u>1</u>"
          }
        ]
      },
      "text" : "Demographics",
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-display-category",
                    "code" : "instructions",
                    "display" : "Instructions"
                  }
                ],
                "text" : "The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole)."
              }
            }
          ],
          "linkId" : "1.0",
          "text" : "Please complete the questionnaire",
          "_text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
                "valueString" : "color:green;"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString" : "<i>Please</i> complete the questionnaire"
              }
            ]
          },
          "type" : "display"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-optionalDisplay",
              "valueBoolean" : true
            }
          ],
          "linkId" : "1.1",
          "text" : "First Name",
          "type" : "string"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            }
          ],
          "linkId" : "1.2",
          "text" : "Hidden Name",
          "type" : "string"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink",
              "valueUri" : "http://hl7.org/fhir/"
            }
          ],
          "linkId" : "1.3",
          "text" : "Middle Name",
          "type" : "string"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "urn:iso-astm:E1762-95:2013",
                    "code" : "1.2.840.10065.1.12.1.8",
                    "display" : "Signature Witness Signature"
                  }
                ],
                "text" : "the signature of a witness to any other signature."
              }
            }
          ],
          "modifierExtension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
              "valueCode" : "capture"
            }
          ],
          "linkId" : "1.4",
          "text" : "Last Name",
          "type" : "string"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
              "valueCode" : "horizontal"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "radio-button",
                    "display" : "Radio Button"
                  }
                ],
                "text" : "A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others."
              }
            }
          ],
          "linkId" : "1.5",
          "text" : "Gender",
          "type" : "choice",
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "(a)"
                }
              ],
              "valueCoding" : {
                "code" : "F",
                "display" : "Female"
              },
              "initialSelected" : true
            },
            {
              "valueCoding" : {
                "code" : "M",
                "display" : "Male"
              }
            },
            {
              "valueCoding" : {
                "code" : "O",
                "display" : "Other"
              }
            },
            {
              "valueCoding" : {
                "code" : "U",
                "display" : "Unknown"
              }
            }
          ]
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/questionnaire-item-control",
                "code" : "htable",
                "display" : "Horizontal Answer Table"
              }
            ],
            "text" : "Questions within the group are columns in the table with possible answers as rows. Used for 'choice' questions."
          }
        }
      ],
      "linkId" : "2",
      "code" : [
        {
          "system" : "http://example.org/system/code/sections",
          "code" : "FAMILYDOC"
        }
      ],
      "prefix" : "2",
      "text" : "Family Physician Name",
      "type" : "group",
      "item" : [
        {
          "linkId" : "2.1",
          "text" : "Diabetes",
          "type" : "choice",
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "diabetes-type1",
                "display" : "Type 1"
              }
            },
            {
              "valueCoding" : {
                "code" : "diabetes-type2",
                "display" : "Type 2"
              }
            }
          ]
        },
        {
          "linkId" : "2.2",
          "text" : "Other Information",
          "type" : "choice",
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "otherinformation-hypertension",
                "display" : "Hypertension"
              }
            },
            {
              "valueCoding" : {
                "code" : "otherinformation-smoker",
                "display" : "Smoker"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId" : "3",
      "code" : [
        {
          "system" : "http://example.org/system/code/sections",
          "code" : "SLIDER"
        }
      ],
      "prefix" : "3",
      "text" : "Slider demonstration",
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "slider",
                    "display" : "Slider"
                  }
                ],
                "text" : "A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis."
              }
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
              "valueInteger" : 10
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
              "valueInteger" : 0
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
              "valueInteger" : 100
            }
          ],
          "linkId" : "3.1",
          "text" : "Adjust the slider",
          "type" : "integer",
          "initial" : [
            {
              "valueInteger" : 50
            }
          ]
        }
      ]
    }
  ]
}

Questionnaire "questionnaire-sdc-profile-example-loinc" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc

identifier: 74080-3

version: current

title: Medication or Other Substance

status: ACTIVE

subjectType: Patient

date: Apr 1, 2012

publisher: Agency for Healthcare Research and Quality (AHRQ)

item

linkId: Medication/header

type: GROUP

Items

-ExtensionLinkIdTextTypeRequired
*0Form ID:STRINGtrue
*74080-3/74081-1Event ID:STRINGtrue
* 74080-3/30947-6Initial Report Date (HERF Q1)STRINGtrue

item

linkId: Medication/SEC00

text: Medication or Other Substance

type: GROUP

item

item

item

item

item

item

linkId: Reporting

text: Reporting information

type: GROUP

Items

-LinkIdTextType
*Reporting/whoReported by:STRING
*Reporting/whenReported date:DATE

item

linkId: Medication/footer

type: GROUP

Items

-LinkIdTextType
*Medication/footer.0AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other SubstanceDISPLAY

{
  "resourceType" : "Questionnaire",
  "id" : "questionnaire-sdc-profile-example-loinc",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:54:35.718Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <b>http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc</b></p><p><b>identifier</b>: 74080-3</p><p><b>version</b>: current</p><p><b>title</b>: Medication or Other Substance</p><p><b>status</b>: ACTIVE</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: Apr 1, 2012</p><p><b>publisher</b>: Agency for Healthcare Research and Quality (AHRQ)</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/header</p><p><b>type</b>: GROUP</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Extension</b></td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td/><td>0</td><td>Form ID:</td><td>STRING</td><td>true</td></tr><tr><td>*</td><td/><td>74080-3/74081-1</td><td>Event ID:</td><td>STRING</td><td>true</td></tr><tr><td>*</td><td> </td><td>74080-3/30947-6</td><td>Initial Report Date (HERF Q1)</td><td>STRING</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/SEC00</p><p><b>text</b>: Medication or Other Substance</p><p><b>type</b>: GROUP</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Reporting</p><p><b>text</b>: Reporting information</p><p><b>type</b>: GROUP</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>Reporting/who</td><td>Reported by:</td><td>STRING</td></tr><tr><td>*</td><td>Reporting/when</td><td>Reported date:</td><td>DATE</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Medication/footer</p><p><b>type</b>: GROUP</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>Medication/footer.0</td><td>AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other Substance</td><td>DISPLAY</td></tr></table></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "ValueSet",
      "id" : "ll2654-3",
      "name" : "AHRQ_Medication_Q1",
      "status" : "active",
      "description" : "The answer list for question 1 on the AHRQ \"Medication or Other Substance\" form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 1
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "a."
                  }
                ],
                "code" : "LA20271-5",
                "display" : "Medications"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 2
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "b."
                  }
                ],
                "code" : "LA20335-8",
                "display" : "Biological products"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 3
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "c."
                  }
                ],
                "code" : "LA20336-6",
                "display" : "Nutritional products"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 4
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "d."
                  }
                ],
                "code" : "LA20337-4",
                "display" : "Expressed human breast milk"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 5
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "e."
                  }
                ],
                "code" : "LA20338-2",
                "display" : "Medical gases (e.g., oxygen, nitrogen, nitrous oxide)"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 6
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "f."
                  }
                ],
                "code" : "LA20339-0",
                "display" : "Contrast media"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 7
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "g."
                  }
                ],
                "code" : "LA20340-8",
                "display" : "Radiopharmaceuticals"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 8
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "h."
                  }
                ],
                "code" : "LA20341-6",
                "display" : "Patient food (not suspected in drug-food interactions)"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 9
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "i."
                  }
                ],
                "code" : "LA20342-4",
                "display" : "Drug-drug, drug-food, or adverse drug reaction as a result of a prescription and/or administration of a drug and/or food prior to admission"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 10
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "j."
                  }
                ],
                "code" : "LA20343-2",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2655-0",
      "name" : "AHRQ_Medication_Q2",
      "status" : "active",
      "description" : "The answer list for question 2 on the AHRQ \"Medication or Other Substance\" form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2655-0",
            "concept" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 1
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "a."
                  }
                ],
                "code" : "LA20278-0",
                "display" : "Prescription or over-the-counter (including herbal supplements)"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 2
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "b."
                  }
                ],
                "code" : "LA20298-8",
                "display" : "Compounded preparations"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 3
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "c."
                  }
                ],
                "code" : "LA20299-6",
                "display" : "Investigational drugs"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 4
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "d."
                  }
                ],
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2657-6",
      "name" : "AHRQ_Medication_Q4",
      "status" : "active",
      "description" : "The answer list for question 4 on the AHRQ \"Medication or Other Substance\" form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2657-6",
            "concept" : [
              {
                "code" : "LA20283-0",
                "display" : "Vaccines"
              },
              {
                "code" : "LA20287-1",
                "display" : "Other biological products (e.g., thrombolytic)"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2659-2",
      "name" : "AHRQ_Medication_Q6",
      "status" : "active",
      "description" : "The answer list for question 6 on the AHRQ \"Medication or Other Substance\" form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 1
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "a."
                  }
                ],
                "code" : "LA20273-1",
                "display" : "Dietary supplements (other than vitamins or minerals)"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 2
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "b."
                  }
                ],
                "code" : "LA16117-6",
                "display" : "Vitamins or minerals"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 3
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "c."
                  }
                ],
                "code" : "LA20320-0",
                "display" : "Enteral nutritional products, including infant formula"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 4
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "d."
                  }
                ],
                "code" : "LA20321-8",
                "display" : "Parenteral nutritional products"
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                    "valueInteger" : 5
                  },
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-label",
                    "valueString" : "e."
                  }
                ],
                "code" : "LA20318-4",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2660-0",
      "name" : "AHRQ_Medication_Q7",
      "status" : "active",
      "description" : "The answer list for question 7 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA20275-6",
                "display" : "Incorrect action (process failure or error) (e.g., such as administering overdose or incorrect medication)",
                "_display" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                      "valueString" : "Incorrect action (process failure or error) <i>(e.g., such as administering overdose or incorrect medication)</i>"
                    }
                  ]
                }
              },
              {
                "code" : "LA20314-3",
                "display" : "Unsafe condition",
                "_display" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
                      "valueString" : "color:green"
                    }
                  ]
                }
              },
              {
                "code" : "LA20315-0",
                "display" : "Adverse reaction in patient to the administered substance without any apparent incorrect action"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2661-8",
      "name" : "AHRQ_Medication_Q8",
      "status" : "active",
      "description" : "The answer list for question 8 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA20276-4",
                "display" : "Incorrect patient"
              },
              {
                "code" : "LA20302-8",
                "display" : "Incorrect medication/substance"
              },
              {
                "code" : "LA20303-6",
                "display" : "Incorrect dose(s)"
              },
              {
                "code" : "LA20304-4",
                "display" : "Incorrect route of administration"
              },
              {
                "code" : "LA20305-1",
                "display" : "Incorrect timing"
              },
              {
                "code" : "LA20306-9",
                "display" : "Incorrect rate"
              },
              {
                "code" : "LA20307-7",
                "display" : "Incorrect duration of administration or course of therapy"
              },
              {
                "code" : "LA20308-5",
                "display" : "Incorrect dosage form (e.g., sustained release instead of immediate release)"
              },
              {
                "code" : "LA20309-3",
                "display" : "Incorrect strength or concentration"
              },
              {
                "code" : "LA20310-1",
                "display" : "Incorrect preparation, including inappropriate cutting of tablets, error in compounding, mixing, etc."
              },
              {
                "code" : "LA20311-9",
                "display" : "Expired or deteriorated medication/substance"
              },
              {
                "code" : "LA20312-7",
                "display" : "Medication/substance that is known to be an allergen to the patient"
              },
              {
                "code" : "LA20345-7",
                "display" : "Medication/substance that is known to be contraindicated for the patient"
              },
              {
                "code" : "LA20313-5",
                "display" : "Incorrect patient/family action (e.g., self-administration error)"
              },
              {
                "code" : "LA20318-4",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2662-6",
      "name" : "AHRQ_Medication_Q9",
      "status" : "active",
      "description" : "The answer list for question 9 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2662-6",
            "concept" : [
              {
                "code" : "LA20277-2",
                "display" : "Overdose"
              },
              {
                "code" : "LA20300-2",
                "display" : "Underdose"
              },
              {
                "code" : "LA20301-0",
                "display" : "Missed or omitted dose"
              },
              {
                "code" : "LA7271-5",
                "display" : "Extra dose"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2663-4",
      "name" : "AHRQ_Medication_Q10",
      "status" : "active",
      "description" : "The answer list for question 10 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2663-4",
            "concept" : [
              {
                "code" : "LA20280-6",
                "display" : "Too early"
              },
              {
                "code" : "LA20290-5",
                "display" : "Too late"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2664-2",
      "name" : "AHRQ_Medication_Q11",
      "status" : "active",
      "description" : "The answer list for question 11 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2664-2",
            "concept" : [
              {
                "code" : "LA20282-2",
                "display" : "Too quickly"
              },
              {
                "code" : "LA20288-",
                "display" : "Too slowly"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2665-9",
      "name" : "AHRQ_Medication_Q12",
      "status" : "active",
      "description" : "The answer list for question 12 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2665-9",
            "concept" : [
              {
                "code" : "LA20281-4",
                "display" : "Too high"
              },
              {
                "code" : "LA20289-7",
                "display" : "Too low"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2817-6",
      "name" : "AHRQ_Y/N/UNK",
      "status" : "active",
      "description" : "AHRQ Common Format Answer list for Yes (A15), No (A18), Unknown (UNK)",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2817-6",
            "concept" : [
              {
                "code" : "LA33-6",
                "display" : "Yes"
              },
              {
                "code" : "LA32-8",
                "display" : "No"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unkown"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2668-3",
      "name" : "AHRQ_Medication_Q15",
      "status" : "active",
      "description" : "The answer list for question 15 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2668-3",
            "concept" : [
              {
                "code" : "LA20274-9",
                "display" : "Drug-drug"
              },
              {
                "code" : "LA20316-8",
                "display" : "Drug-food"
              },
              {
                "code" : "LA20317-6",
                "display" : "Drug-disease"
              },
              {
                "code" : "LA20318-4",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2669-1",
      "name" : "AHRQ_Medication_Q16",
      "status" : "active",
      "description" : "The answer list for question 16 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2669-1",
            "concept" : [
              {
                "code" : "LA20279-8",
                "display" : "Purchasing"
              },
              {
                "code" : "LA20291-3",
                "display" : "Storing"
              },
              {
                "code" : "LA20292-1",
                "display" : "Prescribing/ordering"
              },
              {
                "code" : "LA20293-9",
                "display" : "Transcribing"
              },
              {
                "code" : "LA20294-7",
                "display" : "Preparing"
              },
              {
                "code" : "LA20295-4",
                "display" : "Dispensing"
              },
              {
                "code" : "LA20296-2",
                "display" : "Administering"
              },
              {
                "code" : "LA20297-0",
                "display" : "Monitoring"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              },
              {
                "code" : "LA20318-4",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2828-3",
      "name" : "AHRQ_Y/N",
      "status" : "active",
      "description" : "AHRQ Common Format Answer list for Yes (A15) and No (A18)",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org/vs/LL2828-3",
            "concept" : [
              {
                "code" : "LA33-6",
                "display" : "Yes"
              },
              {
                "code" : "LA32-8",
                "display" : "No"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "ll2682-4",
      "name" : "AHRQ_Medication_Q28_Q29",
      "status" : "active",
      "description" : "The answer list for questions 28 and 29 on the AHRQ 'Medication or Other Substance' form",
      "copyright" : "This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA20272-3",
                "display" : "Cutaneous, topical application, including ointment, spray, patch"
              },
              {
                "code" : "LA9451-1",
                "display" : "Subcutaneous"
              },
              {
                "code" : "LA9444-6",
                "display" : "Ophthalmic"
              },
              {
                "code" : "LA20324-2",
                "display" : "Oral, including sublingual or buccal"
              },
              {
                "code" : "LA9445-",
                "display" : "Otic"
              },
              {
                "code" : "LA9263-0",
                "display" : "Nasal"
              },
              {
                "code" : "LA9427-1",
                "display" : "Inhalation"
              },
              {
                "code" : "LA9437-0",
                "display" : "Intravenous"
              },
              {
                "code" : "LA9429-7",
                "display" : "Intramuscular"
              },
              {
                "code" : "LA9435-4",
                "display" : "Intrathecal"
              },
              {
                "code" : "LA9418-0",
                "display" : "Epidural"
              },
              {
                "code" : "LA20332-5",
                "display" : "Gastric"
              },
              {
                "code" : "LA9369-5",
                "display" : "Rectal"
              },
              {
                "code" : "LA9459-4",
                "display" : "Vaginal"
              },
              {
                "code" : "LA4489-6",
                "display" : "Unknown"
              },
              {
                "code" : "LA20318-4",
                "display" : "Other"
              }
            ]
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-loinc",
  "identifier" : [
    {
      "system" : "http://loinc.org/vs",
      "value" : "74080-3"
    }
  ],
  "version" : "current",
  "title" : "Medication or Other Substance",
  "_title" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/rendering-style",
        "valueString" : "color:#0000FF"
      }
    ]
  },
  "status" : "active",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2012-04-01",
  "publisher" : "Agency for Healthcare Research and Quality (AHRQ)",
  "item" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/questionnaire-item-control",
                "code" : "header"
              }
            ]
          }
        }
      ],
      "linkId" : "Medication/header",
      "type" : "group",
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            }
          ],
          "linkId" : "0",
          "text" : "Form ID:",
          "type" : "string",
          "required" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
              "valueInteger" : 3
            }
          ],
          "linkId" : "74080-3/74081-1",
          "text" : "Event ID:",
          "type" : "string",
          "required" : true
        },
        {
          "linkId" : "74080-3/30947-6",
          "text" : "Initial Report Date (HERF Q1)",
          "type" : "string",
          "required" : true
        }
      ]
    },
    {
      "linkId" : "Medication/SEC00",
      "text" : "Medication or Other Substance",
      "type" : "group",
      "item" : [
        {
          "linkId" : "Medication/SEC00.0",
          "text" : "Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe medication despite known drug-drug interaction). If the event involves a device, please also complete the Device or Medical/Surgical Supply including Health Information Technology (HIT) form. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF).",
          "_text" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
                "valueString" : "Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products, nutritional products, expressed human breast milk, medical gases, or contrast media. Do not complete this form if the event involves appropriateness of therapeutic choice or decision making (e.g., physician decision to prescribe medication despite known drug-drug interaction). If the event involves a device, please also complete the <i>Device or Medical/Surgical Supply including Health Information Technology (HIT)</i> form. Narrative detail can be captured on the <i>Healthcare Event Reporting Form (HERF)</i>."
              }
            ]
          },
          "type" : "display"
        },
        {
          "linkId" : "Medication/SEC01/74080-3",
          "type" : "group",
          "required" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 1
                }
              ],
              "linkId" : "74080-3/74076-1",
              "definition" : "http://loinc.org/74076-1",
              "text" : "What type of medication/substance was involved?",
              "type" : "open-choice",
              "required" : true,
              "answerValueSet" : "#ll2654-3",
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                      "valueInteger" : 7
                    }
                  ],
                  "linkId" : "74080-3/74075-3",
                  "definition" : "http://loinc.org/vs/74075-3",
                  "text" : "What type of medication?",
                  "type" : "choice",
                  "required" : true,
                  "answerValueSet" : "#ll2655-0",
                  "item" : [
                    {
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                          "valueInteger" : 0
                        }
                      ],
                      "linkId" : "74080-3/74077-9-q",
                      "definition" : "http://loinc.org/74077-9",
                      "text" : "Please list all ingredients:",
                      "type" : "string",
                      "repeats" : true
                    }
                  ]
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                      "valueInteger" : 8
                    }
                  ],
                  "linkId" : "74080-3/74074-6",
                  "text" : "What type of biological product?",
                  "type" : "open-choice",
                  "answerValueSet" : "#ll2657-6",
                  "item" : [
                    {
                      "linkId" : "74080-3/30959-1",
                      "text" : "What was the lot number of the vaccine?",
                      "type" : "string",
                      "required" : true
                    }
                  ]
                },
                {
                  "linkId" : "74080-3/74073-8",
                  "text" : "What type of nutritional product?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2659-2",
                  "item" : [
                    {
                      "linkId" : "74080-3/74073-8/Other/Specify",
                      "text" : "PLEASE SPECIFY",
                      "type" : "string",
                      "required" : true
                    }
                  ]
                },
                {
                  "linkId" : "74080-3/74076-1/Other/Specify",
                  "text" : "PLEASE SPECIFY",
                  "type" : "string",
                  "required" : true
                }
              ]
            },
            {
              "linkId" : "74080-3/74072-0",
              "text" : "Which of the following best characterizes the event?",
              "type" : "open-choice",
              "required" : true,
              "answerValueSet" : "#ll2660-0"
            },
            {
              "linkId" : "74080-3/74071-2",
              "text" : "What was the incorrect action?",
              "type" : "choice",
              "answerValueSet" : "#ll2661-8",
              "item" : [
                {
                  "linkId" : "74080-3/74070-4",
                  "text" : "Which best describes the incorrect dose(s)?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2662-6"
                },
                {
                  "linkId" : "Medication/74069-6",
                  "text" : "Which best describes the incorrect timing?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2663-4"
                },
                {
                  "linkId" : "74080-3/74068-8",
                  "text" : "Which best describes the incorrect rate?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2664-2"
                },
                {
                  "linkId" : "Medication/74067-0",
                  "text" : "Which best describes the incorrect strength or concentration?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2665-9"
                },
                {
                  "linkId" : "Medication/74066-2",
                  "text" : "What was the expiration date?",
                  "type" : "string",
                  "required" : true
                },
                {
                  "linkId" : "Medication/74065-4",
                  "text" : "Was there a documented history of allergies or sensitivities to the medication/substance administered?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2817-6"
                },
                {
                  "linkId" : "Medication/74064-7",
                  "text" : "What was the contraindication (potential or actual interaction)?",
                  "type" : "open-choice",
                  "required" : true,
                  "answerValueSet" : "#ll2668-3",
                  "item" : [
                    {
                      "linkId" : "Medication/74064-7/Other/Specify",
                      "text" : "PLEASE SPECIFY",
                      "type" : "string",
                      "required" : true
                    }
                  ]
                },
                {
                  "linkId" : "74080-3/74071-2/Other/Specify",
                  "text" : "PLEASE SPECIFY",
                  "type" : "string",
                  "required" : true
                }
              ]
            },
            {
              "linkId" : "74080-3/74063-9",
              "text" : "At what stage in the process did the event originate, regardless of the stage at which it was discovered?",
              "type" : "open-choice",
              "required" : true,
              "answerValueSet" : "#ll2669-1",
              "item" : [
                {
                  "linkId" : "74080-3/74063-9/Other/Specify",
                  "text" : "PLEASE SPECIFY",
                  "type" : "string",
                  "required" : true
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 5
            }
          ],
          "linkId" : "74080-3/74078-7",
          "type" : "group",
          "repeats" : true,
          "item" : [
            {
              "linkId" : "74080-3/74078-7.0",
              "text" : "Please provide the following medication details for any medications or other substances directly involved in the event.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74062-1",
              "text" : "Generic name or investigational drug name",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74061-3",
              "text" : "Ingredient RXCUI (if known)",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74060-5",
              "text" : "Brand name (if known)",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74059-7",
              "text" : "Brand name RXCUI (if known)",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74058-9",
              "text" : "Manufacturer (if known)",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74057-1",
              "text" : "Strength or concentration of product",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74056-3",
              "text" : "Clinical drug component RXCUI (if known)",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74055-5",
              "text" : "Dosage form of Product",
              "type" : "string"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/minLength",
                  "valueInteger" : 0
                }
              ],
              "linkId" : "74080-3/74078-7/74054-8",
              "text" : "Dose form RXCUI (if known)",
              "type" : "string"
            },
            {
              "linkId" : "74080-3/74078-7/74053-0",
              "text" : "Was this medication/substance prescribed for this patient?",
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#ll2828-3"
            },
            {
              "linkId" : "Medication/74052-2",
              "text" : "Was this medication/substance given to this patient?",
              "type" : "choice",
              "required" : true,
              "answerValueSet" : "#ll2828-3"
            }
          ]
        },
        {
          "linkId" : "Medication/SEC03",
          "type" : "group",
          "item" : [
            {
              "linkId" : "74080-3/74051-4",
              "text" : "What was the intended route of administration?",
              "type" : "open-choice",
              "required" : true,
              "answerValueSet" : "#ll2682-4",
              "item" : [
                {
                  "linkId" : "74080-3/74051-4/Other/Specify",
                  "text" : "PLEASE SPECIFY",
                  "type" : "string",
                  "required" : true
                }
              ]
            },
            {
              "linkId" : "74080-3/74050-6",
              "text" : "What was the actual route of administration (attempted or completed)?",
              "type" : "open-choice",
              "required" : true,
              "answerValueSet" : "#ll2682-4",
              "item" : [
                {
                  "linkId" : "74080-3/74050-6/Other/Specify",
                  "text" : "PLEASE SPECIFY",
                  "type" : "string",
                  "required" : true
                }
              ]
            }
          ]
        },
        {
          "linkId" : "Medication/SEC04",
          "text" : "Thank you for completing these questions.",
          "type" : "group",
          "item" : [
            {
              "linkId" : "Medication/SEC04.0",
              "text" : "OMB No. 0935-0143 Exp. Date 10/31/2014 Public reporting burden for the collection of information is estimated to average 10 minutes per response. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer, Attention: PRA, Paperwork Reduction Project (0935-0143), AHRQ, 540 Gaither Road, Room #5036, Rockville, MD 20850.",
              "type" : "display"
            }
          ]
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
          "valueBoolean" : true
        }
      ],
      "linkId" : "Reporting",
      "text" : "Reporting information",
      "type" : "group",
      "item" : [
        {
          "linkId" : "Reporting/who",
          "text" : "Reported by:",
          "type" : "string"
        },
        {
          "linkId" : "Reporting/when",
          "text" : "Reported date:",
          "type" : "date"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/questionnaire-item-control",
                "code" : "footer"
              }
            ]
          }
        }
      ],
      "linkId" : "Medication/footer",
      "type" : "group",
      "item" : [
        {
          "linkId" : "Medication/footer.0",
          "text" : "AHRQ Common Formats - Hospital Version 1.2 - 2012 Medication or Other Substance",
          "type" : "display"
        }
      ]
    }
  ]
}

Questionnaire "questionnaire-sdc-profile-example-cap" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

url: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap

version: current

title: (Ask Richard)

status: ACTIVE

date: Sep 5, 2018 9:04:49 PM

item

linkId: 1

text: MARGINS

type: GROUP

required: true

item

item

linkId: 2

text: ACCESSORY FINDINGS

type: GROUP

required: true

item

item


{
  "resourceType" : "Questionnaire",
  "id" : "questionnaire-sdc-profile-example-cap",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:54:35.702Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>url</b>: <b>http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap</b></p><p><b>version</b>: current</p><p><b>title</b>: (Ask Richard)</p><p><b>status</b>: ACTIVE</p><p><b>date</b>: Sep 5, 2018 9:04:49 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1</p><p><b>text</b>: MARGINS</p><p><b>type</b>: GROUP</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 2</p><p><b>text</b>: ACCESSORY FINDINGS</p><p><b>type</b>: GROUP</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p></blockquote><blockquote><p><b>item</b></p></blockquote></blockquote></div>"
  },
  "url" : "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-cap",
  "version" : "current",
  "title" : "(Ask Richard)",
  "status" : "active",
  "date" : "2018-09-05T21:04:49+00:00",
  "item" : [
    {
      "linkId" : "1",
      "text" : "MARGINS",
      "type" : "group",
      "required" : true,
      "item" : [
        {
          "linkId" : "1.1",
          "text" : "Status of surgical margin involvement by tumor (observable entity)",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "M1",
                "display" : "Margins univolved by tumor"
              }
            },
            {
              "valueCoding" : {
                "code" : "M2",
                "display" : "Margin(s) involved by tumor"
              }
            },
            {
              "valueCoding" : {
                "code" : "M3",
                "display" : "Cannot be determined"
              }
            },
            {
              "valueCoding" : {
                "code" : "M4",
                "display" : "Not applicable"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "1.1.1",
              "type" : "group",
              "enableWhen" : [
                {
                  "question" : "1.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "code" : "M1"
                  }
                }
              ],
              "required" : true,
              "item" : [
                {
                  "linkId" : "1.1.1.1",
                  "text" : "Distance from Closest Margin",
                  "type" : "choice",
                  "answerOption" : [
                    {
                      "valueCoding" : {
                        "code" : "D1",
                        "display" : "Specify (mm)"
                      }
                    },
                    {
                      "valueCoding" : {
                        "code" : "D2",
                        "display" : "Cannot be assessed (explain)"
                      }
                    }
                  ],
                  "item" : [
                    {
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/minValue",
                          "valueDecimal" : 0.01
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/maxValue",
                          "valueDecimal" : 1000
                        },
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces",
                          "valueInteger" : 2
                        }
                      ],
                      "linkId" : "1.1.1.1.1.1",
                      "text" : "Specify (mm)",
                      "type" : "decimal",
                      "required" : true
                    },
                    {
                      "linkId" : "1.1.1.1.2.1",
                      "text" : "Cannot be assessed (explain)",
                      "type" : "string",
                      "required" : true
                    }
                  ]
                },
                {
                  "linkId" : "1.1.1.2",
                  "text" : "Specify Margin, if possible",
                  "type" : "choice",
                  "answerOption" : [
                    {
                      "valueCoding" : {
                        "code" : "W1",
                        "display" : "Specify margin"
                      }
                    },
                    {
                      "valueCoding" : {
                        "code" : "W2",
                        "display" : "Cannot be determined (explain)"
                      }
                    }
                  ],
                  "item" : [
                    {
                      "linkId" : "1.1.1.2.1.1",
                      "text" : "Specify margin",
                      "type" : "string",
                      "required" : true
                    },
                    {
                      "linkId" : "1.1.1.2.2.1",
                      "text" : "Cannot be determined (explain)",
                      "type" : "string",
                      "required" : true
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "1.1.2.1",
              "text" : "Specify Margin(s), if possible",
              "type" : "choice",
              "required" : true,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "code" : "I1",
                    "display" : "Specify margin(s)"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "I2",
                    "display" : "Cannot be determined (explain)"
                  }
                }
              ],
              "item" : [
                {
                  "linkId" : "1.1.2.1.1.1",
                  "text" : "Specify margin(s)",
                  "type" : "string",
                  "required" : true
                },
                {
                  "linkId" : "1.1.2.1.2.1",
                  "text" : "Cannot be determined (explain)",
                  "type" : "string",
                  "required" : true
                }
              ]
            },
            {
              "linkId" : "1.1.3.1",
              "text" : "Cannot be determined",
              "type" : "string",
              "required" : true
            },
            {
              "linkId" : "1.1.4.1",
              "text" : "Not Applicable",
              "type" : "string",
              "required" : true
            }
          ]
        }
      ]
    },
    {
      "linkId" : "2",
      "text" : "ACCESSORY FINDINGS",
      "type" : "group",
      "required" : true,
      "item" : [
        {
          "linkId" : "2.1",
          "text" : "Treatment Effect (applicable to carcinomas treated with neoadjuvant therapy)",
          "type" : "choice",
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "E1",
                "display" : "Not identified"
              }
            },
            {
              "valueCoding" : {
                "code" : "E2",
                "display" : "Present (specify)"
              }
            },
            {
              "valueCoding" : {
                "code" : "E3",
                "display" : "Indeterminate"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "2.1.1.1",
              "text" : "Not identified",
              "type" : "string",
              "required" : true
            },
            {
              "linkId" : "2.1.2.1",
              "text" : "Present (specify)",
              "type" : "string",
              "required" : true
            },
            {
              "linkId" : "2.1.3.1",
              "text" : "Indeterminate",
              "type" : "string",
              "required" : true
            }
          ]
        },
        {
          "linkId" : "2.2",
          "text" : "Tumor Description",
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "code" : "U1",
                "display" : "Hemorrhagic"
              }
            },
            {
              "valueCoding" : {
                "code" : "U2",
                "display" : "Necrotic"
              }
            },
            {
              "valueCoding" : {
                "code" : "U3",
                "display" : "Invasion"
              }
            },
            {
              "valueCoding" : {
                "code" : "U4",
                "display" : "Other (specify)"
              }
            }
          ],
          "item" : [
            {
              "linkId" : "2.2.1.1",
              "text" : "??",
              "type" : "choice",
              "repeats" : true,
              "answerOption" : [
                {
                  "valueCoding" : {
                    "code" : "V1",
                    "display" : "Capsule"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "V2",
                    "display" : "Vessels"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "V3",
                    "display" : "Extra-adrenal (specify)"
                  }
                }
              ],
              "item" : [
                {
                  "linkId" : "2.2.1.1.1.1",
                  "text" : "Extra-adrenal (specify)",
                  "type" : "string",
                  "required" : true
                }
              ]
            },
            {
              "linkId" : "2.2.2.1",
              "text" : "Other (specify)",
              "type" : "string",
              "required" : true
            }
          ]
        }
      ]
    }
  ]
}

Questionnaire "zika-virus-exposure-assessment" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

      

{
  "resourceType" : "Questionnaire",
  "id" : "zika-virus-exposure-assessment",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.468Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n </pre>\n </div>"
  },
  "url" : "http://example.org/Questionnaire/zika-virus-exposure-assessment",
  "name" : "ExampleZikaVirusExposureAssessment",
  "title" : "Example Zika Virus Exposure Assessment",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2016-11-14",
  "description" : "Example questionnaire to assess Zika virus exposure potential.",
  "effectivePeriod" : {
    "start" : "2016-11-14"
  },
  "item" : [
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "1",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Resident of or Frequent Traveler to Zika Area"
        }
      ],
      "text" : "Are you a resident of, or do you travel frequently to, an area with active Zika transmission?",
      "type" : "boolean"
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "2",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Recent Travel to Zika Area"
        }
      ],
      "text" : "Have you recently traveled to a an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "1",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    },
    {
      "linkId" : "3",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Time Since Returned From Travel"
        }
      ],
      "text" : "How long has it been since you returned?",
      "type" : "quantity",
      "enableWhen" : [
        {
          "question" : "2",
          "operator" : "=",
          "answerBoolean" : true
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "4",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Recent Sexual Encounter with Traveler to Zika Area"
        }
      ],
      "text" : "Have you recently had condomless sex with a partner that has travelled in an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "2",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    },
    {
      "linkId" : "5",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Time Since Sexual Encounter"
        }
      ],
      "text" : "How long has it been since your last condomless sexual encounter?",
      "type" : "quantity",
      "enableWhen" : [
        {
          "question" : "4",
          "operator" : "=",
          "answerBoolean" : true
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://example.org/additional-information",
          "valueAttachment" : {
            "url" : "http://www.cdc.gov/zika/geo/index.html",
            "title" : "Areas with active Zika virus transmission/exposure risk"
          }
        }
      ],
      "linkId" : "6",
      "code" : [
        {
          "system" : "http://example.org/questionnaires",
          "code" : "CDE: Planned Travel to Zika Area"
        }
      ],
      "text" : "Do you plan to travel to an area with active Zika transmission?",
      "type" : "boolean",
      "enableWhen" : [
        {
          "question" : "4",
          "operator" : "=",
          "answerBoolean" : false
        }
      ]
    }
  ]
}

Questionnaire "qs1" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: qs1

status: draft

date: 8/19/2018 9:48:56 PM

publisher: Health Level Seven International (Patient Administration)

identifier: ??


{
  "resourceType" : "Questionnaire",
  "id" : "qs1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.406Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: qs1</p><p><b>status</b>: draft</p><p><b>date</b>: 8/19/2018 9:48:56 PM</p><p><b>publisher</b>: Health Level Seven International (Patient Administration)</p><p><b>identifier</b>: ??</p></div>"
  },
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986"
    }
  ],
  "status" : "draft",
  "date" : "2018-08-19T21:48:56+10:00",
  "publisher" : "Health Level Seven International (Patient Administration)",
  "item" : [
    {
      "linkId" : "Account",
      "text" : "Tracks balance, charges, for patient or cost center",
      "type" : "group",
      "required" : false,
      "repeats" : true,
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "flyover",
                    "display" : "Fly-over"
                  }
                ]
              }
            }
          ],
          "text" : "A financial tool for tracking value accrued for a particular purpose. In the healthcare field, used to track charges for a patient, cost centers, etc.",
          "type" : "display"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "string"
            }
          ],
          "linkId" : "Account.id",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
              "type" : "display"
            },
            {
              "linkId" : "Account.id.value",
              "text" : "Logical id of this artifact",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            }
          ],
          "linkId" : "Account.meta",
          "text" : "Metadata about the resource",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
              "type" : "display"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "uri"
            }
          ],
          "linkId" : "Account.implicitRules",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
              "type" : "display"
            },
            {
              "linkId" : "Account.implicitRules.value",
              "text" : "A set of rules under which this content was created",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "code"
            }
          ],
          "linkId" : "Account.language",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "The base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
              "type" : "display"
            },
            {
              "linkId" : "Account.language.value",
              "text" : "language",
              "type" : "choice",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            }
          ],
          "linkId" : "Account.text",
          "text" : "Text summary of the resource, for human interpretation",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
              "type" : "display"
            }
          ]
        },
        {
          "linkId" : "Account.contained",
          "text" : "Contained, inline Resources",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
              "type" : "display"
            }
          ]
        },
        {
          "linkId" : "Account.extension",
          "text" : "Additional Content defined by implementations",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
              "type" : "display"
            }
          ]
        },
        {
          "linkId" : "Account.modifierExtension",
          "text" : "Extensions that cannot be ignored",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
              "type" : "display"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "Identifier"
            }
          ],
          "linkId" : "Account.identifier",
          "text" : "Account number",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Unique identifier used to reference the account. Might or might not be intended for human use (e.g. credit card number).",
              "type" : "display"
            },
            {
              "linkId" : "Account.identifier.label",
              "text" : "label:",
              "type" : "string",
              "required" : false,
              "repeats" : false
            },
            {
              "linkId" : "Account.identifier.system",
              "text" : "system:",
              "type" : "string",
              "required" : false,
              "repeats" : false
            },
            {
              "linkId" : "Account.identifier.value",
              "text" : "value:",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "code"
            }
          ],
          "linkId" : "Account.status",
          "type" : "group",
          "required" : true,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Indicates whether the account is presently used/usable or not. This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.",
              "type" : "display"
            },
            {
              "linkId" : "Account.status.value",
              "text" : "status",
              "type" : "choice",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "CodeableConcept"
            }
          ],
          "linkId" : "Account.type",
          "text" : "E.g. patient, expense, depreciation",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Categorizes the account for reporting and searching purposes.",
              "type" : "display"
            },
            {
              "linkId" : "Account.type.coding",
              "text" : "code:",
              "type" : "open-choice",
              "required" : false,
              "repeats" : false
            },
            {
              "linkId" : "Account.type.text",
              "text" : "text:",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "string"
            }
          ],
          "linkId" : "Account.name",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Name used for the account when displaying it to humans in reports, etc.",
              "type" : "display"
            },
            {
              "linkId" : "Account.name.value",
              "text" : "Human-readable label",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "Reference"
            }
          ],
          "linkId" : "Account.subject",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Identifies the patient, device, practitioner, location or other object the account is associated with. Accounts can be applied to non patients for tracking other non patient related activities, such as group services (patients not tracked, and costs charged to another body), or might not be allocated.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                  "valueCode" : "Patient, Device, Practitioner, Location, HealthcareService, Organization"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                  "valueString" : "subject=$subj&patient=$subj&encounter=$encounter"
                }
              ],
              "linkId" : "Account.subject.value",
              "text" : "What is account tied to?",
              "type" : "reference",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "Period"
            }
          ],
          "linkId" : "Account.servicePeriod",
          "text" : "Transaction window",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "The date range of services associated with this account. It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.",
              "type" : "display"
            },
            {
              "linkId" : "Account.servicePeriod.low",
              "text" : "start:",
              "type" : "dateTime",
              "required" : false,
              "repeats" : false
            },
            {
              "linkId" : "Account.servicePeriod.end",
              "text" : "end:",
              "type" : "dateTime",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "linkId" : "Account.coverage",
          "text" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "text" : "Typically this may be some form of insurance, internal charges, or self-pay.\n\nLocal or jurisdicational business rules may determine which coverage covers which types of billable items charged to the account, and in which order.\nWhere the order is important, a local/jurisdicational extension may be defined to specify the order for the type of charge.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "string"
                }
              ],
              "linkId" : "Account.coverage.id",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                  "type" : "display"
                },
                {
                  "linkId" : "Account.coverage.id.value",
                  "text" : "xml:id (or equivalent in JSON)",
                  "type" : "string",
                  "required" : false,
                  "repeats" : false
                }
              ]
            },
            {
              "linkId" : "Account.coverage.extension",
              "text" : "Additional content defined by implementations",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
                  "type" : "display"
                }
              ]
            },
            {
              "linkId" : "Account.coverage.modifierExtension",
              "text" : "Extensions that cannot be ignored if unrecognized",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
                  "type" : "display"
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "Reference"
                }
              ],
              "linkId" : "Account.coverage.coverage",
              "type" : "group",
              "required" : true,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "The party(s) that contribute to payment (or part of) of the charges applied to this account (including self-pay).\n\nA coverage may only be resposible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.",
                  "type" : "display"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                      "valueCode" : "Coverage"
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                      "valueString" : "subject=$subj&patient=$subj&encounter=$encounter"
                    }
                  ],
                  "linkId" : "Account.coverage.coverage.value",
                  "text" : "The party(s), such as insurances, that may contribute to the payment of this account",
                  "type" : "reference",
                  "required" : false,
                  "repeats" : false
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "integer"
                }
              ],
              "linkId" : "Account.coverage.priority",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "The priority of the coverage in the context of this account. It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).",
                  "type" : "display"
                },
                {
                  "linkId" : "Account.coverage.priority.value",
                  "text" : "The priority of the coverage in the context of this account",
                  "type" : "integer",
                  "required" : false,
                  "repeats" : false
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "Reference"
            }
          ],
          "linkId" : "Account.owner",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Indicates the organization, department, etc. with responsibility for the account.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                  "valueCode" : "Organization"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                  "valueString" : "subject=$subj&patient=$subj&encounter=$encounter"
                }
              ],
              "linkId" : "Account.owner.value",
              "text" : "Who is responsible?",
              "type" : "reference",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "string"
            }
          ],
          "linkId" : "Account.description",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Provides additional information about what the account tracks and how it is used.",
              "type" : "display"
            },
            {
              "linkId" : "Account.description.value",
              "text" : "Explanation of purpose/use",
              "type" : "string",
              "required" : false,
              "repeats" : false
            }
          ]
        },
        {
          "linkId" : "Account.guarantor",
          "text" : "Responsible for the account",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Parties financially responsible for the account.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "string"
                }
              ],
              "linkId" : "Account.guarantor.id",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                  "type" : "display"
                },
                {
                  "linkId" : "Account.guarantor.id.value",
                  "text" : "xml:id (or equivalent in JSON)",
                  "type" : "string",
                  "required" : false,
                  "repeats" : false
                }
              ]
            },
            {
              "linkId" : "Account.guarantor.extension",
              "text" : "Additional content defined by implementations",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
                  "type" : "display"
                }
              ]
            },
            {
              "linkId" : "Account.guarantor.modifierExtension",
              "text" : "Extensions that cannot be ignored if unrecognized",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
                  "type" : "display"
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "Reference"
                }
              ],
              "linkId" : "Account.guarantor.party",
              "type" : "group",
              "required" : true,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "The entity who is responsible.",
                  "type" : "display"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                      "valueCode" : "Patient, RelatedPerson, Organization"
                    },
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                      "valueString" : "subject=$subj&patient=$subj&encounter=$encounter"
                    }
                  ],
                  "linkId" : "Account.guarantor.party.value",
                  "text" : "Responsible entity",
                  "type" : "reference",
                  "required" : false,
                  "repeats" : false
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "boolean"
                }
              ],
              "linkId" : "Account.guarantor.onHold",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.",
                  "type" : "display"
                },
                {
                  "linkId" : "Account.guarantor.onHold.value",
                  "text" : "Credit or other hold applied",
                  "type" : "boolean",
                  "required" : false,
                  "repeats" : false
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
                  "valueInteger" : 1
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
                  "valueString" : "Period"
                }
              ],
              "linkId" : "Account.guarantor.period",
              "text" : "Guarantee account during",
              "type" : "group",
              "required" : false,
              "repeats" : true,
              "item" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept" : {
                        "coding" : [
                          {
                            "system" : "http://hl7.org/fhir/questionnaire-item-control",
                            "code" : "flyover",
                            "display" : "Fly-over"
                          }
                        ]
                      }
                    }
                  ],
                  "text" : "The timeframe during which the guarantor accepts responsibility for the account.",
                  "type" : "display"
                },
                {
                  "linkId" : "Account.guarantor.period.low",
                  "text" : "start:",
                  "type" : "dateTime",
                  "required" : false,
                  "repeats" : false
                },
                {
                  "linkId" : "Account.guarantor.period.end",
                  "text" : "end:",
                  "type" : "dateTime",
                  "required" : false,
                  "repeats" : false
                }
              ]
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger" : 1
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-fhirType",
              "valueString" : "Reference"
            }
          ],
          "linkId" : "Account.partOf",
          "type" : "group",
          "required" : false,
          "repeats" : true,
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "flyover",
                        "display" : "Fly-over"
                      }
                    ]
                  }
                }
              ],
              "text" : "Reference to a parent Account.",
              "type" : "display"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-allowedResource",
                  "valueCode" : "Account"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceFilter",
                  "valueString" : "subject=$subj&patient=$subj&encounter=$encounter"
                }
              ],
              "linkId" : "Account.partOf.value",
              "text" : "Reference to a parent Account",
              "type" : "reference",
              "required" : false,
              "repeats" : false
            }
          ]
        }
      ]
    }
  ]
}

Questionnaire "phq-9-questionnaire" Version "1"

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PHQ-9 Questionnaire with dynamic logic

{
  "resourceType" : "Questionnaire",
  "id" : "phq-9-questionnaire",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.343Z",
    "profile" : [
      "http://hl7.org/fhir/StructureDefinition/cqf-questionnaire"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">PHQ-9 Questionnaire with dynamic logic</div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-library",
      "valueCanonical" : "Library/phq-9-logic"
    }
  ],
  "identifier" : [
    {
      "use" : "official",
      "value" : "phq-9"
    }
  ],
  "version" : "1.0.0",
  "title" : "Patient Health Questionnaire (PHQ-9)",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "44249-1",
      "display" : "PHQ-9 quick depression assessment panel:-:Pt:^Patient:-:Report.PHQ-9"
    }
  ],
  "item" : [
    {
      "linkId" : "LittleInterest",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44250-9"
        }
      ],
      "text" : "Little interest or pleasure in doing things",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "FeelingDown",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44255-8"
        }
      ],
      "text" : "Feeling down, depressed, or hopeless",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "TroubleSleeping",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44259-0"
        }
      ],
      "text" : "Trouble falling or staying asleep",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "FeelingTired",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44254-1"
        }
      ],
      "text" : "Feeling tired or having little energy",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "BadAppetite",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44251-7"
        }
      ],
      "text" : "Poor appetite or overeating",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "FeelingBadAboutSelf",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44258-2"
        }
      ],
      "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "TroubleConcentrating",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44252-5"
        }
      ],
      "text" : "Trouble concentrating on things, such as reading the newspaper or watching television",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "linkId" : "MovingSpeaking",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44253-3"
        }
      ],
      "text" : "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/cqf-expression",
          "valueExpression" : {
            "language" : "text/cql",
            "expression" : "CalculateTotalScore"
          }
        }
      ],
      "linkId" : "TotalScore",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44261-6"
        }
      ],
      "text" : "Total score",
      "type" : "integer",
      "required" : true
    },
    {
      "linkId" : "Difficulty",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44256-6"
        }
      ],
      "text" : "If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "http://loinc.org/vs/LL358-3"
    }
  ]
}

Questionnaire "gcs" Version "1"

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Updated: by

Generated Narrative with Details

id: gcs

contained: , ,

url: http://hl7.org/fhir/Questionnaire/gcs

title: Glasgow Coma Score

status: draft

subjectType: Patient

date: 03/08/2015

publisher: FHIR Project team

code: Glasgow coma score total (Details: LOINC code 9269-2 = 'Glasgow coma score total', stated as 'null')

item

linkId: 1.1

code: Glasgow coma score verbal (Details: LOINC code 9270-0 = 'Glasgow coma score verbal', stated as 'null')

type: choice

answerValueSet: #verbal

item

linkId: 1.2

code: Glasgow coma score motor (Details: LOINC code 9268-4 = 'Glasgow coma score motor', stated as 'null')

type: choice

answerValueSet: #motor

item

linkId: 1.3

code: Glasgow coma score eye opening (Details: LOINC code 9267-6 = 'Glasgow coma score eye opening', stated as 'null')

type: choice

answerValueSet: #eye


{
  "resourceType" : "Questionnaire",
  "id" : "gcs",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.281Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: gcs</p><p><b>contained</b>: , , </p><p><b>url</b>: <b>http://hl7.org/fhir/Questionnaire/gcs</b></p><p><b>title</b>: Glasgow Coma Score</p><p><b>status</b>: draft</p><p><b>subjectType</b>: Patient</p><p><b>date</b>: 03/08/2015</p><p><b>publisher</b>: FHIR Project team</p><p><b>code</b>: Glasgow coma score total (Details: LOINC code 9269-2 = 'Glasgow coma score total', stated as 'null')</p><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.1</p><p><b>code</b>: Glasgow coma score verbal (Details: LOINC code 9270-0 = 'Glasgow coma score verbal', stated as 'null')</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a>#verbal</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.2</p><p><b>code</b>: Glasgow coma score motor (Details: LOINC code 9268-4 = 'Glasgow coma score motor', stated as 'null')</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a>#motor</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: 1.3</p><p><b>code</b>: Glasgow coma score eye opening (Details: LOINC code 9267-6 = 'Glasgow coma score eye opening', stated as 'null')</p><p><b>type</b>: choice</p><p><b>answerValueSet</b>: <a>#eye</a></p></blockquote></div>"
  },
  "contained" : [
    {
      "resourceType" : "ValueSet",
      "id" : "motor",
      "identifier" : [
        {
          "system" : "http://loinc.org",
          "value" : "http://loinc.org/ValueSet/LL357-5"
        }
      ],
      "name" : "GCS Motor Value Set",
      "status" : "active",
      "description" : "LOINC ANSWER LIST (LL357-5)",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA6562-8",
                "display" : "No motor response"
              },
              {
                "code" : "LA6563-6",
                "display" : "Extension to pain"
              },
              {
                "code" : "LA6564-4",
                "display" : "Flexion to pain"
              },
              {
                "code" : "LA6565-1",
                "display" : "Withdrawl from pain"
              },
              {
                "code" : "LA6566-9",
                "display" : "Localizing pain"
              },
              {
                "code" : "LA6567-7",
                "display" : "Obeys commands"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "verbal",
      "identifier" : [
        {
          "system" : "http://loinc.org",
          "value" : "http://loinc.org/ValueSet/LL356-7"
        }
      ],
      "name" : "GCS Verbal Value Set",
      "status" : "active",
      "description" : "LOINC ANSWER LIST (LL356-7)",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA6557-8",
                "display" : "No verbal response (>2yrs); no vocal response (<=2yrs)"
              },
              {
                "code" : "LA6558-6",
                "display" : "Incomprehensible sounds"
              },
              {
                "code" : "LA6559-4",
                "display" : "Inappropriate words"
              },
              {
                "code" : "LA6560-2",
                "display" : "Confused"
              },
              {
                "code" : "LA6561-0",
                "display" : "Oriented"
              }
            ]
          }
        ]
      }
    },
    {
      "resourceType" : "ValueSet",
      "id" : "eye",
      "identifier" : [
        {
          "system" : "http://loinc.org",
          "value" : "http://loinc.org/ValueSet/LL355-9"
        }
      ],
      "name" : "GCS Eye Value Set",
      "status" : "active",
      "description" : "LOINC ANSWER LIST (LL355-9)",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "LA6553-7",
                "display" : "No eye opening"
              },
              {
                "code" : "LA6554-5",
                "display" : "Eye opening to pain"
              },
              {
                "code" : "LA6555-2",
                "display" : "Eye opening to verbal command"
              },
              {
                "code" : "LA6556-0",
                "display" : "Eyes open spontaneously"
              }
            ]
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/Questionnaire/gcs",
  "title" : "Glasgow Coma Score",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2015-08-03",
  "publisher" : "FHIR Project team",
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "9269-2"
    }
  ],
  "item" : [
    {
      "linkId" : "1.1",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "9270-0"
        }
      ],
      "type" : "choice",
      "answerValueSet" : "#verbal"
    },
    {
      "linkId" : "1.2",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "9268-4"
        }
      ],
      "type" : "choice",
      "answerValueSet" : "#motor"
    },
    {
      "linkId" : "1.3",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "9267-6"
        }
      ],
      "type" : "choice",
      "answerValueSet" : "#eye"
    }
  ]
}

Questionnaire "f201" Version "1"

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Lifelines Questionnaire 1 part 1
  1. Do you have allergies?
  2. General Questions:
    2.a) What is your gender?
    2.b) What is your date of birth?
    2.c) What is your country of birth?
    2.d) What is your marital status?
    3. Intoxications:
      3.a) Do you smoke?
      3.b) Do you drink alcohol?

{
  "resourceType" : "Questionnaire",
  "id" : "f201",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.234Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>Lifelines Questionnaire 1 part 1\n 1. Do you have allergies?\n 2. General Questions:\n 2.a) What is your gender?\n 2.b) What is your date of birth?\n 2.c) What is your country of birth?\n 2.d) What is your marital status?\n 3. Intoxications:\n 3.a) Do you smoke?\n 3.b) Do you drink alcohol?</pre>\n </div>"
  },
  "url" : "http://hl7.org/fhir/Questionnaire/f201",
  "status" : "active",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2010",
  "code" : [
    {
      "system" : "http://example.org/system/code/lifelines/nl",
      "code" : "VL 1-1, 18-65_1.2.2",
      "display" : "Lifelines Questionnaire 1 part 1"
    }
  ],
  "item" : [
    {
      "linkId" : "1",
      "text" : "Do you have allergies?",
      "type" : "boolean"
    },
    {
      "linkId" : "2",
      "text" : "General questions",
      "type" : "group",
      "item" : [
        {
          "linkId" : "2.1",
          "text" : "What is your gender?",
          "type" : "string"
        },
        {
          "linkId" : "2.2",
          "text" : "What is your date of birth?",
          "type" : "date"
        },
        {
          "linkId" : "2.3",
          "text" : "What is your country of birth?",
          "type" : "string"
        },
        {
          "linkId" : "2.4",
          "text" : "What is your marital status?",
          "type" : "string"
        }
      ]
    },
    {
      "linkId" : "3",
      "text" : "Intoxications",
      "type" : "group",
      "item" : [
        {
          "linkId" : "3.1",
          "text" : "Do you smoke?",
          "type" : "boolean"
        },
        {
          "linkId" : "3.2",
          "text" : "Do you drink alchohol?",
          "type" : "boolean"
        }
      ]
    }
  ]
}

Questionnaire "bb" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

        Birth details - To be completed by health professional
  Name of child: ____________________________________
            Sex: __
            
  Neonatal Information
    Birth Weight (kg): ___________
    Birth Length (cm): ___________
    Vitamin K given  : __
             1st dose: ___________
             2nd dose: ___________
    Hep B given      : __
      Date given     : ___________
    Abnormalities noted at birth:
      _______________________________________________
      

{
  "resourceType" : "Questionnaire",
  "id" : "bb",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.171Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n <b>Birth details - To be completed by health professional</b>\n Name of child: ____________________________________\n Sex: __\n \n Neonatal Information\n Birth Weight (kg): ___________\n Birth Length (cm): ___________\n Vitamin K given : __\n 1st dose: ___________\n 2nd dose: ___________\n Hep B given : __\n Date given : ___________\n Abnormalities noted at birth:\n _______________________________________________\n </pre>\n </div>"
  },
  "url" : "http://hl7.org/fhir/Questionnaire/bb",
  "title" : "NSW Government My Personal Health Record",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2013-02-19",
  "publisher" : "New South Wales Department of Health",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "AU"
        }
      ]
    }
  ],
  "item" : [
    {
      "linkId" : "birthDetails",
      "text" : "Birth details - To be completed by health professional",
      "type" : "group",
      "item" : [
        {
          "linkId" : "group",
          "type" : "group",
          "item" : [
            {
              "linkId" : "nameOfChild",
              "text" : "Name of child",
              "type" : "string"
            },
            {
              "linkId" : "sex",
              "text" : "Sex",
              "type" : "choice",
              "answerOption" : [
                {
                  "valueCoding" : {
                    "code" : "F"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "M"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId" : "neonatalInformation",
          "text" : "Neonatal Information",
          "type" : "group",
          "item" : [
            {
              "linkId" : "birthWeight",
              "text" : "Birth weight (kg)",
              "type" : "decimal"
            },
            {
              "linkId" : "birthLength",
              "text" : "Birth length (cm)",
              "type" : "decimal"
            },
            {
              "linkId" : "vitaminKgiven",
              "text" : "Vitamin K given",
              "type" : "choice",
              "answerOption" : [
                {
                  "valueCoding" : {
                    "code" : "INJECTION"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "INTRAVENOUS"
                  }
                },
                {
                  "valueCoding" : {
                    "code" : "ORAL"
                  }
                }
              ],
              "item" : [
                {
                  "linkId" : "vitaminKgivenDoses",
                  "type" : "group",
                  "enableWhen" : [
                    {
                      "question" : "vitaminKgiven",
                      "operator" : "exists",
                      "answerBoolean" : true
                    }
                  ],
                  "item" : [
                    {
                      "linkId" : "vitaminiKDose1",
                      "text" : "1st dose",
                      "type" : "dateTime"
                    },
                    {
                      "linkId" : "vitaminiKDose2",
                      "text" : "2nd dose",
                      "type" : "dateTime"
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "hepBgiven",
              "text" : "Hep B given y / n",
              "type" : "boolean",
              "item" : [
                {
                  "linkId" : "hepBgivenDate",
                  "text" : "Date given",
                  "type" : "date"
                }
              ]
            },
            {
              "linkId" : "abnormalitiesAtBirth",
              "text" : "Abnormalities noted at birth",
              "type" : "string"
            }
          ]
        }
      ]
    }
  ]
}

Questionnaire "3141" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

            1.Comorbidity?
              1.1 Cardial Comorbidity
                1.1.1 Angina?
                1.1.2 MI?
              1.2 Vascular Comorbidity?
              ...
            Histopathology
              Abdominal
                pT category?
              ...
          

{
  "resourceType" : "Questionnaire",
  "id" : "3141",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-09-06T12:48:29.109Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <pre>\n 1.Comorbidity?\n 1.1 Cardial Comorbidity\n 1.1.1 Angina?\n 1.1.2 MI?\n 1.2 Vascular Comorbidity?\n ...\n Histopathology\n Abdominal\n pT category?\n ...\n </pre>\n </div>"
  },
  "url" : "http://hl7.org/fhir/Questionnaire/3141",
  "title" : "Cancer Quality Forum Questionnaire 2012",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2012-01",
  "item" : [
    {
      "linkId" : "1",
      "code" : [
        {
          "system" : "http://example.org/system/code/sections",
          "code" : "COMORBIDITY"
        }
      ],
      "type" : "group",
      "item" : [
        {
          "linkId" : "1.1",
          "code" : [
            {
              "system" : "http://example.org/system/code/questions",
              "code" : "COMORB"
            }
          ],
          "prefix" : "1",
          "type" : "choice",
          "answerValueSet" : "http://hl7.org/fhir/ValueSet/yesnodontknow",
          "item" : [
            {
              "linkId" : "1.1.1",
              "code" : [
                {
                  "system" : "http://example.org/system/code/sections",
                  "code" : "CARDIAL"
                }
              ],
              "type" : "group",
              "enableWhen" : [
                {
                  "question" : "1.1",
                  "operator" : "=",
                  "answerCoding" : {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y"
                  }
                }
              ],
              "item" : [
                {
                  "linkId" : "1.1.1.1",
                  "code" : [
                    {
                      "system" : "http://example.org/system/code/questions",
                      "code" : "COMORBCAR"
                    }
                  ],
                  "prefix" : "1.1",
                  "type" : "choice",
                  "answerValueSet" : "http://hl7.org/fhir/ValueSet/yesnodontknow",
                  "item" : [
                    {
                      "linkId" : "1.1.1.1.1",
                      "code" : [
                        {
                          "system" : "http://example.org/system/code/questions",
                          "code" : "COMCAR00",
                          "display" : "Angina Pectoris"
                        },
                        {
                          "system" : "http://snomed.info/sct",
                          "code" : "194828000",
                          "display" : "Angina (disorder)"
                        }
                      ],
                      "prefix" : "1.1.1",
                      "type" : "choice",
                      "answerValueSet" : "http://hl7.org/fhir/ValueSet/yesnodontknow"
                    },
                    {
                      "linkId" : "1.1.1.1.2",
                      "code" : [
                        {
                          "system" : "http://snomed.info/sct",
                          "code" : "22298006",
                          "display" : "Myocardial infarction (disorder)"
                        }
                      ],
                      "prefix" : "1.1.2",
                      "type" : "choice",
                      "answerValueSet" : "http://hl7.org/fhir/ValueSet/yesnodontknow"
                    }
                  ]
                },
                {
                  "linkId" : "1.1.1.2",
                  "code" : [
                    {
                      "system" : "http://example.org/system/code/questions",
                      "code" : "COMORBVAS"
                    }
                  ],
                  "prefix" : "1.2",
                  "type" : "choice",
                  "answerValueSet" : "http://hl7.org/fhir/ValueSet/yesnodontknow"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId" : "2",
      "code" : [
        {
          "system" : "http://example.org/system/code/sections",
          "code" : "HISTOPATHOLOGY"
        }
      ],
      "type" : "group",
      "item" : [
        {
          "linkId" : "2.1",
          "code" : [
            {
              "system" : "http://example.org/system/code/sections",
              "code" : "ABDOMINAL"
            }
          ],
          "type" : "group",
          "item" : [
            {
              "linkId" : "2.1.2",
              "code" : [
                {
                  "system" : "http://example.org/system/code/questions",
                  "code" : "STADPT",
                  "display" : "pT category"
                }
              ],
              "type" : "choice"
            }
          ]
        }
      ]
    }
  ]
}