{
  "description": "A form to be used in conjunction with patient registration workflows",
  "_filename": "examples/Questionnaire-Patient-Registration.json",
  "package_name": "uk.nhsdigital.r4",
  "subjectType": [ "Patient" ],
  "date": null,
  "publisher": null,
  "name": "PatientRegistration",
  "item": [ {
    "text": "Title",
    "type": "string",
    "linkId": "prefix",
    "required": true
  }, {
    "text": "First Name",
    "type": "string",
    "linkId": "forename",
    "required": true
  }, {
    "text": "Middle Name(s)",
    "type": "string",
    "linkId": "middlenames",
    "required": false
  }, {
    "text": "Last name",
    "type": "string",
    "linkId": "surname",
    "required": true
  }, {
    "text": "Previous last name",
    "type": "string",
    "linkId": "previous_surname"
  }, {
    "text": "Date of Birth",
    "type": "date",
    "linkId": "date_of_birth",
    "required": true
  }, {
    "text": "NHS Number (if known)",
    "type": "string",
    "linkId": "nhs_number",
    "maxLength": 10
  }, {
    "text": "Your postcode used when you last registered with a UK GP",
    "type": "string",
    "linkId": "previous_postcode"
  }, {
    "text": "Your current address",
    "type": "string",
    "linkId": "current_address"
  }, {
    "item": [ {
      "text": "Contact Type",
      "type": "choice",
      "linkId": "contact_type",
      "required": false,
      "answerValueSet": "http://hl7.org/fhir/ValueSet/contact-point-system"
    }, {
      "text": "Contact Number or email",
      "type": "string",
      "linkId": "contact_value"
    } ],
    "text": "Contact Preference",
    "type": "group",
    "linkId": "contact_group",
    "repeats": true
  }, {
    "text": "Gender assigned at Birth",
    "type": "choice",
    "linkId": "gender_birth",
    "answerOption": [ {
      "valueCoding": {
        "code": "female",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Female"
      }
    }, {
      "valueCoding": {
        "code": "male",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Male"
      }
    }, {
      "valueCoding": {
        "code": "other",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Non Binary"
      }
    }, {
      "valueCoding": {
        "code": "unknown",
        "system": "http://hl7.org/fhir/administrative-gender",
        "display": "Prefer to self describe"
      }
    } ]
  }, {
    "text": "Ethnic Category",
    "type": "choice",
    "linkId": "ethnic",
    "required": false,
    "answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-DeathNotificationStatus"
  }, {
    "text": "Have you ever been a member of the UK Armed Forces or are a family member registered with the Defence Medical Services?",
    "type": "boolean",
    "linkId": "armed_forces"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Patient Registration",
  "package_version": "2.6.1",
  "status": "draft",
  "id": "10691575-3636-4521-9e5f-1cc401f55a0d",
  "kind": null,
  "url": "https://example.nhs.uk/Questionnaire/Patient-Registration",
  "version": null
}