{ "description": "This is based on Med 3 from DWP purely for demonstration purposes", "_filename": "examples/UKCore-Questionnaire-FitnessForWork-Example.json", "package_name": "fhir.r4.ukcore.stu3.currentbuild", "subjectType": [ "Patient" ], "date": null, "publisher": null, "name": null, "item": [ { "text": "Assessment Date", "type": "date", "linkId": "Q1", "required": true }, { "item": [ { "text": "Condition (Coded)", "type": "choice", "linkId": "Q2g", "repeats": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "code": "autocomplete", "system": "http://hl7.org/fhir/questionnaire-item-control", "display": "Auto-complete" } ] } } ], "answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode" } ], "text": "Condition(s)", "type": "group", "linkId": "Q2" }, { "code": [ { "code": "365524007", "system": "http://snomed.info/sct", "display": "Fitness for work - finding" } ], "text": "I find you", "type": "choice", "linkId": "Q3", "required": true, "answerOption": [ { "valueCoding": { "code": "160910001", "system": "http://snomed.info/sct", "display": "Unfit for work" } }, { "valueCoding": { "code": "225891002", "system": "http://snomed.info/sct", "display": "Fit for work with restrictions" } } ] } ], "type": null, "experimental": "true", "resourceType": "Questionnaire", "title": "Statement of Fitness for Work (Mock up)", "package_version": "0.20.0-pre-release", "status": "draft", "id": "90339201-8e74-4ede-9c2b-60059a158b9b", "kind": null, "url": "https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-Example", "code": [ { "code": "18381000000107", "system": "http://snomed.info/sct", "display": "Sickness certificates" } ], "version": null }