{
  "description": null,
  "_filename": "UKCore-Questionnaire-InpatientSurvey-Example.json",
  "package_name": "fhir.r4.ukcore.stu3.currentbuild",
  "subjectType": [ "Patient" ],
  "date": "2021-02-15T13:50:00+00:00",
  "publisher": "Leeds Teaching Hospitals NHS Trust",
  "purpose": "A questionnaire used as part of a survey of new patient admissions to Acute Medicine.",
  "name": null,
  "item": [ {
    "text": "Do you have allergies?",
    "type": "string",
    "linkId": "1"
  }, {
    "item": [ {
      "text": "What is your gender?",
      "type": "string",
      "linkId": "2.1"
    }, {
      "text": "What is your date of birth?",
      "type": "date",
      "linkId": "2.2"
    }, {
      "text": "What is your country of birth?",
      "type": "string",
      "linkId": "2.3"
    }, {
      "text": "What is your marital status?",
      "type": "string",
      "linkId": "2.4"
    } ],
    "text": "General questions",
    "type": "group",
    "linkId": "2"
  }, {
    "item": [ {
      "text": "Do you smoke?",
      "type": "boolean",
      "linkId": "3.1"
    }, {
      "text": "Do you drink alcohol?",
      "type": "boolean",
      "linkId": "3.2"
    } ],
    "text": "Intoxications",
    "type": "group",
    "linkId": "3"
  } ],
  "type": null,
  "experimental": "false",
  "resourceType": "Questionnaire",
  "title": null,
  "package_version": "0.0.6-pre-release",
  "status": "active",
  "id": "8fdc2541-275a-4e79-a2f1-1b0da558d8bd",
  "kind": null,
  "url": "https://example.com/base/Questionnaire/UKCore-Questionnaire-InpatientSurvey-Example",
  "identifier": [ {
    "value": "dbba41f5-2905-4a5f-baba-e5987cbd9cca",
    "assigner": {
      "reference": "Organization/UKCore-Organization-LeedsTeachingHospital-Example"
    }
  } ],
  "version": null,
  "contact": [ {
    "name": "Leeds Teaching Hospitals NHS Trust",
    "telecom": [ {
      "use": "work",
      "rank": 1,
      "value": "01132433144",
      "system": "phone"
    } ]
  } ],
  "effectivePeriod": {
    "end": "2021-05-15T13:50:00+00:00",
    "start": "2021-02-15T13:50:00+00:00"
  }
}