{ "description": null, "_filename": "example/Questionnaire-home-o2-questionnaire.json", "package_name": "hl7.fhir.us.davinci-dtr", "subjectType": [ "Patient" ], "date": "2019-03-11T00:00:00-04:00", "meta": { "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-questionnaire-r4" ] }, "publisher": "Da Vinci DTR", "name": "Home-o2-questionnaire", "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": "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": "1.1", "answerString": "5" }, { "operator": "=", "question": "1.3", "answerString": "S" } ] }, { "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": "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": "#gender" } ], "text": "Patient Information", "type": "group", "linkId": "1" } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Home Oxygen Therapy Order Template", "package_version": "0.2.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/cqf-library", "valueCanonical": "todo/Library/home-oxygen-logic" } ], "contained": [ { "id": "gender", "name": "Gender", "status": "draft", "compose": { "include": [ { "system": "todo", "concept": [ { "code": "M", "display": "Male" }, { "code": "F", "display": "Female" }, { "code": "Other", "display": "Other" } ] } ] }, "identifier": [ { "value": "todo", "system": "http://hl7.org/fhir/ValueSet/administrative-gender" } ], "description": "Gender", "resourceType": "ValueSet" } ], "status": "draft", "id": "82129c88-df8f-4a2b-b155-02805272d403", "kind": null, "url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-questionnaire", "version": "0.2.0", "contact": [ { "name": "Example Author" } ] }