{
"description": "This is based on Med 3 from DWP purely for demonstration purposes",
"_filename": "examples/UKCore-Questionnaire-FitnessForWork-Example.json",
"package_name": "fhir.r4.ukcore.stu3.currentbuild",
"subjectType": [ "Patient" ],
"date": null,
"publisher": null,
"name": null,
"item": [ {
"text": "Assessment Date",
"type": "date",
"linkId": "Q1",
"required": true
}, {
"item": [ {
"text": "Condition (Coded)",
"type": "choice",
"linkId": "Q2g",
"repeats": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "autocomplete",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Auto-complete"
} ]
}
} ],
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode"
} ],
"text": "Condition(s)",
"type": "group",
"linkId": "Q2"
}, {
"code": [ {
"code": "365524007",
"system": "http://snomed.info/sct",
"display": "Fitness for work - finding"
} ],
"text": "I find you",
"type": "choice",
"linkId": "Q3",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "160910001",
"system": "http://snomed.info/sct",
"display": "Unfit for work"
}
}, {
"valueCoding": {
"code": "225891002",
"system": "http://snomed.info/sct",
"display": "Fit for work with restrictions"
}
} ]
} ],
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "Statement of Fitness for Work (Mock up)",
"package_version": "0.24.0-pre-release",
"status": "draft",
"id": "1d771acf-2c0e-4043-b4d6-b1fdd0f68de7",
"kind": null,
"url": "https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-Example",
"code": [ {
"code": "18381000000107",
"system": "http://snomed.info/sct",
"display": "Sickness certificates"
} ],
"version": null
}