{ "description": null, "_filename": "Questionnaire-questionnaire-example-sampler.json", "package_name": "fhir.argonaut.questionnaire", "subjectType": [ "Patient" ], "date": "2018-07-26", "meta": { "profile": [ "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire" ] }, "publisher": "Argonaut Project", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166", "display": "United States of America" } ] } ], "name": null, "item": [ { "item": [ { "text": "The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project: 1. boolean, 2. decimal, 3. integer, 4. dateDate, 5. dateTime, 6. timeTime, 7. string, 8. textText, 9. urlUrl, 10. choice, 11. open-choice, 12. quantity", "type": "display", "linkId": "g1.d", "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "Header Text", "type": "group", "linkId": "g1", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] }, { "item": [ { "text": "Check the box if the following statement is true. The average air speed velocity of a laden European swallow is greater than a laden African swallow.", "type": "boolean", "linkId": "g2.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 17 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "boolean", "type": "group", "linkId": "g2", "prefix": "1.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 1 } ] }, { "item": [ { "text": "What is the average air speed velocity of a laden swallow in m/sec?", "type": "decimal", "linkId": "g3.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 7 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "decimal", "type": "group", "linkId": "g3", "prefix": "2.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 2 } ] }, { "item": [ { "text": "What is the average air speed velocity of a laden swallow in m/sec?", "type": "integer", "linkId": "g4.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 3 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "integer", "type": "group", "linkId": "g4", "prefix": "3.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 3 } ] }, { "item": [ { "text": "If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?", "type": "date", "linkId": "g5.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 27 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "date", "type": "group", "linkId": "g5", "prefix": "4.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 4 } ] }, { "item": [ { "text": "If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?", "type": "dateTime", "linkId": "g6.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 3 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "dateTime", "type": "group", "linkId": "g6", "prefix": "5.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 5 } ] }, { "item": [ { "text": "If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?", "type": "time", "linkId": "g7.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 8 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "time", "type": "group", "linkId": "g7", "prefix": "6.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 6 } ] }, { "item": [ { "text": "Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.", "type": "string", "linkId": "g8.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 1 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "string", "type": "group", "linkId": "g8", "prefix": "7.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 7 } ] }, { "item": [ { "text": "Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.", "type": "text", "linkId": "g9.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 0 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "text", "type": "group", "linkId": "g9", "prefix": "8.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 8 } ] }, { "item": [ { "text": "Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.", "type": "url", "linkId": "g10.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 11 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "url", "type": "group", "linkId": "g10", "prefix": "9.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 9 } ] }, { "item": [ { "text": "What is the average air speed velocity of a laden swallow in m/sec?", "type": "choice", "linkId": "g11.q1", "option": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 0 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ], "valueString": "10" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 43 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 1 } ], "valueString": "11" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 0 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 2 } ], "valueString": "12" } ], "repeats": false, "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "choice", "type": "group", "linkId": "g11", "prefix": "10.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 10 } ] }, { "item": [ { "text": "What is the average air speed velocity of a laden swallow in m/sec?", "type": "open-choice", "linkId": "g12.q1", "option": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 0 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ], "valueString": "10" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 43 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 1 } ], "valueString": "11" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 0 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 2 } ], "valueString": "12" } ], "repeats": false, "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "open-choice", "type": "group", "linkId": "g12", "prefix": "11.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 11 } ] }, { "item": [ { "text": "What is the average air speed velocity of a laden swallow - please provide the units?", "type": "quantity", "linkId": "g13.q1", "repeats": false, "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue", "valueDecimal": 3 }, { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 0 } ] } ], "text": "quantity", "type": "group", "linkId": "g13", "prefix": "12.", "required": true, "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder", "valueInteger": 12 } ] } ], "useContext": [ { "code": { "code": "task", "system": "http://hl7.org/fhir/usage-context-type", "display": "Workflow Task" }, "valueCodeableConcept": { "coding": [ { "code": "example", "system": "http://acme.org", "display": "Example of Use" } ] } } ], "copyright": "You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission.", "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Argonaut Questionnaire Sampler", "package_version": "1.0.0", "extension": [ { "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit", "valueDuration": { "code": "min", "unit": "minute", "value": 5, "system": "http://unitsofmeasure.org" } } ], "status": "draft", "id": "2a1ee9e2-ec65-4824-8b9f-fe735ffe7113", "kind": null, "url": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler", "code": [ { "code": "foo", "system": "http://acme.org", "display": "Argonaut Questionnaire Sampler" } ], "identifier": [ { "value": "questionnaire-example-sampler", "system": "http://acme.org/q-identifiers" } ], "version": "0.0.0", "contact": [ { "telecom": [ { "value": "http://argonautwiki.hl7.org", "system": "url" } ] } ] }