{ "description": "Questionnaire completed by Hospital Staff, to share details of any COVID-19 related information with third parties as part of a Supported Hospital Discharge", "_filename": "examples/SHD-Questionnaire-COVID19.json", "package_name": "supportedhospitaldischarge.stu3", "subjectType": [ "Patient" ], "date": "2020-04-21T17:59:11.362Z", "publisher": "NottsCC", "purpose": "Questionnaire completed by Hospital Staff, to share details of any COVID-19 related information with third parties as part of a Supported Hospital Discharge", "name": "SHD-Questionnaire-COVID19", "item": [ { "item": [ { "text": "What is the person’s Covid 19 Test result?", "type": "choice", "linkId": "1.1", "option": [ { "valueCoding": { "code": "untested", "display": "Untested" } }, { "valueCoding": { "code": "positive", "display": "Positive" } }, { "valueCoding": { "code": "negative", "display": "Negative" } }, { "valueCoding": { "code": "awaiting-result", "display": "Awaiting Result" } } ], "required": false }, { "text": "Will the person be self-isolating on discharge?", "type": "choice", "linkId": "1.2", "option": [ { "valueCoding": { "code": "yes", "display": "Yes" } }, { "valueCoding": { "code": "no", "display": "No" } } ], "required": false }, { "text": "If Yes – Why and for how long? (E.g shielding or in a vulnerable category)", "type": "text", "linkId": "1.2.1", "required": true, "enableWhen": [ { "question": "1.2", "answerCoding": { "code": "yes" } } ] }, { "text": "Does the person need food delivery or shopping support?", "type": "choice", "linkId": "1.3", "option": [ { "valueCoding": { "code": "yes", "display": "Yes" } }, { "valueCoding": { "code": "no", "display": "No" } } ], "required": false }, { "text": "If Yes- give details", "type": "text", "linkId": "1.3.1", "required": true, "enableWhen": [ { "question": "1.3", "answerCoding": { "code": "yes" } } ] }, { "text": "Does the person need medication delivery support?", "type": "choice", "linkId": "1.4", "option": [ { "valueCoding": { "code": "yes", "display": "Yes" } }, { "valueCoding": { "code": "no", "display": "No" } } ], "required": false }, { "text": "If Yes- give details", "type": "text", "linkId": "1.4.1", "required": true, "enableWhen": [ { "question": "1.4", "answerCoding": { "code": "yes" } } ] } ], "text": "Covid 19 Emergency Humanitarian response", "type": "group", "linkId": "1", "required": false } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "SHD-Questionnaire-COVID19", "package_version": "0.1.5", "status": "draft", "id": "27c2eeab-89ce-4288-9f68-a0268da52fa0", "kind": null, "url": "https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-COVID19", "version": "0.0.1" }