{
  "description": null,
  "_filename": "example/Questionnaire-home-o2-questionnaire.json",
  "package_name": "hl7.fhir.us.davinci-dtr",
  "subjectType": [ "Patient" ],
  "date": "2019-03-11T00:00:00+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaire-r4" ]
  },
  "publisher": "HL7 Clinical Decision Support Work Group",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "HomeOxygenTherapyQuestionnaire",
  "item": [ {
    "item": [ {
      "text": "Last Name",
      "type": "string",
      "linkId": "1.1",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "PatientLastName"
        }
      } ]
    }, {
      "text": "Middle Initial",
      "type": "text",
      "linkId": "1.3",
      "required": false,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "PatientMiddleInitial"
        }
      } ]
    }, {
      "text": "First Name",
      "type": "string",
      "linkId": "1.2",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "PatientFirstName"
        }
      } ],
      "enableWhen": [ {
        "operator": "=",
        "question": "1.3",
        "answerString": "S"
      } ]
    }, {
      "text": "Date Of Birth",
      "type": "date",
      "linkId": "1.4",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "PatientDateOfBirth"
        }
      } ]
    }, {
      "text": "Gender",
      "type": "choice",
      "linkId": "1.5",
      "required": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/cqf-expression",
        "valueExpression": {
          "language": "text/cql",
          "expression": "PatientGender"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
    } ],
    "text": "Patient Information",
    "type": "group",
    "linkId": "1"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Home Oxygen Therapy Order Template",
  "package_version": "1.1.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-library",
    "valueCanonical": "#HomeOxygenTherapy-prepopulation"
  } ],
  "status": "draft",
  "id": "303c7642-508e-4819-8bdb-5b79703f6a79",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-questionnaire",
  "version": "1.1.0-ballot",
  "contact": [ {
    "name": "HL7 Clinical Decision Support Work Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/dss",
      "system": "url"
    } ]
  } ]
}