{
  "description": null,
  "_filename": "Questionnaire-questionnaire-sdc-profile-example-render.json",
  "package_name": "hl7.fhir.uv.sdc",
  "subjectType": [ "Patient" ],
  "date": "2018-08",
  "publisher": null,
  "name": null,
  "item": [ {
    "code": [ {
      "code": "DEMOGRAPHICS",
      "system": "http://example.org/system/code/sections"
    } ],
    "item": [ {
      "text": "Please complete the questionnaire",
      "type": "display",
      "_text": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
          "valueString": "color:green;"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
          "valueString": "Please complete the questionnaire"
        } ]
      },
      "linkId": "1.0",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory",
        "valueCodeableConcept": {
          "text": "The text provides guidance on how to populate or use a portion of the questionnaire (or the questionnaire as a whole).",
          "coding": [ {
            "code": "instructions",
            "system": "http://hl7.org/fhir/questionnaire-display-category",
            "display": "Instructions"
          } ]
        }
      } ]
    }, {
      "text": "First Name",
      "type": "string",
      "linkId": "1.1",
      "extension": [ {
        "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-optionalDisplay",
        "valueBoolean": true
      } ]
    }, {
      "text": "Hidden Name",
      "type": "string",
      "linkId": "1.2",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
        "valueBoolean": true
      } ]
    }, {
      "text": "Middle Name",
      "type": "string",
      "linkId": "1.3",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink",
        "valueUri": "http://hl7.org/fhir/"
      } ]
    }, {
      "text": "Last Name",
      "type": "string",
      "linkId": "1.4",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired",
        "valueCodeableConcept": {
          "text": "the signature of a witness to any other signature.",
          "coding": [ {
            "code": "1.2.840.10065.1.12.1.8",
            "system": "urn:iso-astm:E1762-95:2013",
            "display": "Signature Witness Signature"
          } ]
        }
      } ],
      "modifierExtension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode",
        "valueCode": "capture"
      } ]
    }, {
      "text": "Gender",
      "type": "choice",
      "linkId": "1.5",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
        "valueCode": "horizontal"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "text": "A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.",
          "coding": [ {
            "code": "radio-button",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Radio Button"
          } ]
        }
      } ],
      "answerOption": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
          "valueString": "(a)"
        } ],
        "valueCoding": {
          "code": "F",
          "display": "Female"
        },
        "initialSelected": true
      }, {
        "valueCoding": {
          "code": "M",
          "display": "Male"
        }
      }, {
        "valueCoding": {
          "code": "O",
          "display": "Other"
        }
      }, {
        "valueCoding": {
          "code": "U",
          "display": "Unknown"
        }
      } ]
    } ],
    "text": "Demographics",
    "type": "group",
    "linkId": "1",
    "prefix": "1",
    "_prefix": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
        "valueString": "color:red;"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
        "valueString": "1"
      } ]
    }
  }, {
    "code": [ {
      "code": "FAMILYDOC",
      "system": "http://example.org/system/code/sections"
    } ],
    "item": [ {
      "text": "Diabetes",
      "type": "choice",
      "linkId": "2.1",
      "answerOption": [ {
        "valueCoding": {
          "code": "diabetes-type1",
          "display": "Type 1"
        }
      }, {
        "valueCoding": {
          "code": "diabetes-type2",
          "display": "Type 2"
        }
      } ]
    }, {
      "text": "Other Information",
      "type": "choice",
      "linkId": "2.2",
      "answerOption": [ {
        "valueCoding": {
          "code": "otherinformation-hypertension",
          "display": "Hypertension"
        }
      }, {
        "valueCoding": {
          "code": "otherinformation-smoker",
          "display": "Smoker"
        }
      } ]
    } ],
    "text": "Family Physician Name",
    "type": "group",
    "linkId": "2",
    "prefix": "2",
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept": {
        "text": "Questions within the group are columns in the table with possible answers as rows. Used for 'choice' questions.",
        "coding": [ {
          "code": "htable",
          "system": "http://hl7.org/fhir/questionnaire-item-control",
          "display": "Horizontal Answer Table"
        } ]
      }
    } ]
  }, {
    "code": [ {
      "code": "SLIDER",
      "system": "http://example.org/system/code/sections"
    } ],
    "item": [ {
      "text": "Adjust the slider",
      "type": "integer",
      "linkId": "3.1",
      "initial": [ {
        "valueInteger": 50
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept": {
          "text": "A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis.",
          "coding": [ {
            "code": "slider",
            "system": "http://hl7.org/fhir/questionnaire-item-control",
            "display": "Slider"
          } ]
        }
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue",
        "valueInteger": 10
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
        "valueInteger": 100
      } ]
    } ],
    "text": "Slider demonstration",
    "type": "group",
    "linkId": "3",
    "prefix": "3"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Advanced Rendering Questionnaire Profile Demonstration",
  "package_version": "2.5.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-provenanceSignatureRequired",
    "valueBoolean": false
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired",
    "valueCodeableConcept": {
      "text": "the signature of the primary or sole author of a health information document. There can be only one primary author of a health information document.",
      "coding": [ {
        "code": "1.2.840.10065.1.12.1.1",
        "system": "urn:iso-astm:E1762-95:2013",
        "display": "Author's Signature"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
    "valueBoolean": true
  } ],
  "status": "draft",
  "id": "77a40d93-58b6-4700-b748-7e6af1dd71e6",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-render",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
      "valueString": "color:blue;"
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
      "valueString": "Advanced Rendering Questionnaire Demonstration"
    } ]
  },
  "version": "2.5.0"
}