{ "description": null, "_filename": "example/Questionnaire-cdex-questionnaire-example1.json", "package_name": "hl7.fhir.us.davinci-cdex", "subjectType": [ "Patient" ], "date": "2022-01-17", "meta": { "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-sdc-questionnaire" ] }, "publisher": "HL7 International - Patient Care Work Group", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "HomeOxygenTherapyQuestionnaire", "item": [ { "text": "Relevant Patient Diagnoses (conditions that might be expected to improve with oxygen therapy)", "type": "text", "linkId": "1", "required": true }, { "text": "Order Reason", "type": "choice", "linkId": "2", "required": true, "answerOption": [ { "valueCoding": { "code": "1", "system": "http://example.org", "display": "Initial or original order for certification" } }, { "valueCoding": { "code": "2", "system": "http://example.org", "display": "Change in status" } }, { "valueCoding": { "code": "3", "system": "http://example.org", "display": "Revision or change in equipment" } }, { "valueCoding": { "code": "4", "system": "http://example.org", "display": "Replacement" } } ] } ], "copyright": "Used by permission of HL7 International all rights reserved Creative Commons License", "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Home Oxygen Therapy Questionnaire", "package_version": "2.0.0", "status": "draft", "id": "1925de75-15c6-409b-ad68-b9ebdf5799bf", "kind": null, "url": "http://example.org/cdex-questionnaire-example1", "version": "2.0.0", "contact": [ { "name": "HL7 International - Patient Care Work Group", "telecom": [ { "value": "http://www.hl7.org/Special/committees/patientcare", "system": "url" }, { "value": "patientcare@lists.HL7.org", "system": "email" } ] } ] }