{
"description": null,
"_filename": "Questionnaire-sirb-recruitment-materials-questionnaire-populate.json",
"package_name": "hl7.fhir.us.sirb",
"subjectType": [ "ResearchStudy" ],
"date": "2023-04-20T13:44:05+00:00",
"publisher": "HL7 International - BR&R Work Group",
"jurisdiction": [ {
"text": "United States of America",
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "RecruitmentMaterials",
"item": [ {
"item": [ {
"item": [ {
"text": "Short Title of the Research Study intended for the lay audience",
"type": "display",
"linkId": "rm1.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "Study Title",
"type": "string",
"linkId": "rm1.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%lookupInitiateStudy.descendants().where(linkId = 'in1.2').answer.value"
}
} ]
}, {
"item": [ {
"text": "IRB number assigned",
"type": "display",
"linkId": "rm1.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "IRB Protocol Number",
"type": "string",
"linkId": "rm1.2",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%lookupInitiateStudy.descendants().where(linkId = 'in1.3').answer.value"
}
} ]
} ],
"text": "Research Study",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm1",
"required": false
}, {
"item": [ {
"item": [ {
"text": "The Recruitment Materials Form should be submitted to have the recruitment materials for the overall study in general reviewed and approved. Later, a Recruitment Materials Form that is customized to each specific relying site should be submitted for each relying site. Answer to indicate if this is the overall generalized recruitment materials submission.",
"type": "display",
"linkId": "rm9.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "Is this Recruitment Materials Form being submitted to request approval for the recruitment materials for the overall study?",
"type": "choice",
"linkId": "rm9.1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ]
}, {
"text": "External Data For linkId rm9.2",
"type": "open-choice",
"linkId": "ExternalDataFor_rm9.2",
"repeats": true,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%lookupInitiateStudy.repeat(item).where(linkId = 'in8.9').answer.value"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown": "See FHIR Specification Feedback Jira ticket FHIR-36338. Information obtained from other types of external sources (e.g. launch context, fhir-x-query, etc.) SHOULD only be used for initialExpression and calculatedExpression logic. Other behavior such as enableWhen or answerExpression should always be driven off of answers within the Questionnaire (even if they are hidden answers that are populated from an initialExpression)."
} ]
}, {
"item": [ {
"text": "This question and its answer will not print on the Recruitment Materials Form but are necessary for the form logic. If you do not want pre-population to occur, leave this question blank and manually fill in the relying institution and relying site principal investigator details.",
"type": "display",
"linkId": "rm9.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "If this form and the associated recruitment materials are specific to a relying site, select the relying site in order to pre-populate the relying institution and relying site principal investigator details below.",
"type": "choice",
"linkId": "rm9.2",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.repeat(item).where(linkId = 'ExternalDataFor_rm9.2').answer.value"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown": "See FHIR Specification Feedback Jira ticket FHIR-36338. Information obtained from other types of external sources (e.g. launch context, fhir-x-query, etc.) SHOULD only be used for initialExpression and calculatedExpression logic. Other behavior such as enableWhen or answerExpression should always be driven off of answers within the Questionnaire (even if they are hidden answers that are populated from an initialExpression)."
} ],
"enableWhen": [ {
"operator": "=",
"question": "rm9.1",
"answerCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
} ],
"text": "Submission Type and Relying Site Selection (if applicable)",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm9",
"repeats": false,
"readOnly": false,
"required": false
}, {
"item": [ {
"text": "Institution Name",
"type": "string",
"linkId": "rm2.1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.1.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.1.1').answer.value)"
}
} ]
}, {
"text": "City",
"type": "string",
"linkId": "rm2.2",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.2').answer.value)"
}
} ]
}, {
"text": "State",
"type": "string",
"linkId": "rm2.3",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.3').answer.value)"
}
} ]
}, {
"text": "Country",
"type": "string",
"linkId": "rm2.4",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.7.5').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.7.5').answer.value)"
}
} ]
} ],
"text": "Study Institution for which Recruitment Materials are being provided",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm2",
"repeats": false,
"readOnly": false,
"required": false
}, {
"item": [ {
"text": "Principal investigator at site for which recruitment materials are being submitted",
"type": "display",
"linkId": "rm3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
}, {
"item": [ {
"text": "First or given name of the site principal investigator",
"type": "display",
"linkId": "rm3.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "First Name",
"type": "string",
"linkId": "rm3.1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.1').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.1').answer.value)"
}
} ]
}, {
"item": [ {
"text": "Surname or family name",
"type": "display",
"linkId": "rm3.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "Last Name",
"type": "string",
"linkId": "rm3.3",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.2').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.2').answer.value)"
}
} ]
}, {
"item": [ {
"text": "Suffix such as Junior (Jr.), Senior (Sr.), I, II, III, IV, etc.",
"type": "display",
"linkId": "rm3.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "Suffix",
"type": "string",
"linkId": "rm3.2",
"readOnly": false,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.3').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.3').answer.value)"
}
} ]
}, {
"item": [ {
"text": "Professional and Academic degrees of the site principal investigator",
"type": "display",
"linkId": "rm3.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
} ]
} ],
"text": "Degree(s)",
"type": "string",
"linkId": "rm3.4",
"readOnly": false,
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%overallRMForm = 'Y', %lookupInitiateStudy.descendants().where(linkId = 'in7.3.4').answer.value, %lookupInitiateStudy.item.where(item.where(linkId = 'in8.9' and answer.value = %relyingSiteForForm)).item.descendants().where(linkId = 'in8.3.4').answer.value)"
}
} ]
} ],
"text": "Site Principal Investigator for the Site for which Recruitment Materials are being submitted",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm3",
"repeats": false,
"readOnly": false,
"required": false
}, {
"item": [ {
"text": "Media of any type used as part of a participant recruitment strategy.",
"type": "display",
"linkId": "rm4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
}, {
"text": "Will Recruitment Materials be Utilized?",
"type": "choice",
"linkId": "rm4.1",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ]
}, {
"enableBehavior": "all",
"linkId": "rm4.2",
"item": [ {
"text": "The distribution of audio or video content to a dispersed audience via any electronic mass communications medium.",
"type": "display",
"linkId": "rm4.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Broadcast Materials be Utilized?"
}, {
"item": [ {
"text": "Audio or video content to a dispersed audience via any electronic mass communications medium",
"type": "display",
"linkId": "rm4.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
}, {
"item": [ {
"text": "A contiguous sound recording used to relay audible information.",
"type": "display",
"linkId": "rm4.3.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Audio",
"type": "boolean",
"linkId": "rm4.3.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.3.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Audio Description",
"type": "text",
"linkId": "rm4.3.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.3.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Video content to a dispersed audience via any electronic mass communications medium",
"type": "display",
"linkId": "rm4.3.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Video",
"type": "boolean",
"linkId": "rm4.3.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.3.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Video Description",
"type": "text",
"linkId": "rm4.3.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.3.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A contiguous segment of audio broadcasting airtime.",
"type": "display",
"linkId": "rm4.3.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Radio Spot",
"type": "boolean",
"linkId": "rm4.3.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.3.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Radio Spot Description",
"type": "text",
"linkId": "rm4.3.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.3.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A contiguous segment of video broadcasting airtime.",
"type": "display",
"linkId": "rm4.3.7_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "TV Spot",
"type": "boolean",
"linkId": "rm4.3.7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.3.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "TV Spot Description",
"type": "text",
"linkId": "rm4.3.8",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.3.7",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Broadcast Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.3",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.2",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "rm4.4",
"item": [ {
"text": "Materials produced by printers or publishers, such as books, magazines, booklets, brochures, newspaper.",
"type": "display",
"linkId": "rm4.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Printed Materials be Utilized?"
}, {
"item": [ {
"item": [ {
"text": "A large outdoor advertising space designed to capture the attention of motorists and pedestrians.",
"type": "display",
"linkId": "rm4.5.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Billboard/Bus Ad",
"type": "boolean",
"linkId": "rm4.5.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Billboard/Bus Ad Description",
"type": "text",
"linkId": "rm4.5.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A small book or magazine that contains images and information about a company or organization's products and/or services.",
"type": "display",
"linkId": "rm4.5.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Brochure/Pamphlet",
"type": "boolean",
"linkId": "rm4.5.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Brochure/Pamphlet Description",
"type": "text",
"linkId": "rm4.5.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A small piece of paper with information on it about a product or event",
"type": "display",
"linkId": "rm4.5.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Flyer/Notice",
"type": "boolean",
"linkId": "rm4.5.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Flyer/Notice Description",
"type": "text",
"linkId": "rm4.5.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A periodical publication containing articles and illustrations.",
"type": "display",
"linkId": "rm4.5.7_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Magazine",
"type": "boolean",
"linkId": "rm4.5.7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Magazine Description",
"type": "text",
"linkId": "rm4.5.8",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.7",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Letters and packages conveyed by the postal system.",
"type": "display",
"linkId": "rm4.5.9_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Mail",
"type": "boolean",
"linkId": "rm4.5.9",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.10_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Mail Description",
"type": "text",
"linkId": "rm4.5.10",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.9",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A printed publication (usually issued daily or weekly) consisting of folded unstapled sheets and containing news, feature articles and advertisements.",
"type": "display",
"linkId": "rm4.5.11_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Newspaper",
"type": "boolean",
"linkId": "rm4.5.11",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.12_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Newspaper Description",
"type": "text",
"linkId": "rm4.5.12",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.11",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A message by mail without an envelope.",
"type": "display",
"linkId": "rm4.5.13_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Postcard",
"type": "boolean",
"linkId": "rm4.5.13",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.14_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Postcard Description",
"type": "text",
"linkId": "rm4.5.14",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.13",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A large printed picture, photograph, or notice that you stick or pin to a wall or board, usually for decoration or to advertise something.",
"type": "display",
"linkId": "rm4.5.15_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Poster/Sign",
"type": "boolean",
"linkId": "rm4.5.15",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.16_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Poster/Sign Description",
"type": "text",
"linkId": "rm4.5.16",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.15",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A self-standing promotional unit created from printed and folded card stock for table tops.",
"type": "display",
"linkId": "rm4.5.17_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Table Tent",
"type": "boolean",
"linkId": "rm4.5.17",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.5.18_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Table Tent Description",
"type": "text",
"linkId": "rm4.5.18",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.5.17",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Printed Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.5",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.4",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "rm4.6",
"item": [ {
"text": "Computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities.",
"type": "display",
"linkId": "rm4.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Electronic Materials be Utilized?"
}, {
"item": [ {
"item": [ {
"text": "Messages distributed by electronic means from one computer user to one or more recipients via a network.",
"type": "display",
"linkId": "rm4.7.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Email",
"type": "boolean",
"linkId": "rm4.7.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Email Description",
"type": "text",
"linkId": "rm4.7.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "An online platform that allows users to create a public profile and interact with other users on the website.",
"type": "display",
"linkId": "rm4.7.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Networking Site",
"type": "boolean",
"linkId": "rm4.7.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Networking Site Description",
"type": "text",
"linkId": "rm4.7.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A digital audio file made available on the internet for download to a computer or mobile device. Typically available as a series.",
"type": "display",
"linkId": "rm4.7.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Podcast",
"type": "boolean",
"linkId": "rm4.7.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Podcast Description",
"type": "text",
"linkId": "rm4.7.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A computer-based technology that facilitates the sharing of ideas and information and the building of virtual networks and communities.",
"type": "display",
"linkId": "rm4.7.7_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Social Media",
"type": "boolean",
"linkId": "rm4.7.7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Social Media Description",
"type": "text",
"linkId": "rm4.7.8",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.7",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A form of advertising on the Word Wide Web delivered by an ad server and/or embedded in a web page.",
"type": "display",
"linkId": "rm4.7.11_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Web Page Advertising",
"type": "boolean",
"linkId": "rm4.7.11",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.12_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Web Page Ad Description",
"type": "text",
"linkId": "rm4.7.12",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.11",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Communication posted for public viewing or an electronic message sent to & displayed on an online forum.",
"type": "display",
"linkId": "rm4.7.13_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Web/Internet Posting",
"type": "boolean",
"linkId": "rm4.7.13",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.14_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Web/Internet Posting Description",
"type": "text",
"linkId": "rm4.7.14",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.13",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A page or collection of pages on the World Wide Web that contains specific information which was all provided by one person, group or an organization",
"type": "display",
"linkId": "rm4.7.15_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Website",
"type": "boolean",
"linkId": "rm4.7.15",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.16_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Website Description",
"type": "text",
"linkId": "rm4.7.16",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.15",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Communication of messages between two or more users using mobile phones.",
"type": "display",
"linkId": "rm4.7.17_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Text messaging",
"type": "boolean",
"linkId": "rm4.7.17",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.18_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Texting Description",
"type": "text",
"linkId": "rm4.7.18",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.17",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Communication to user(s) via the eHealth Portal or similar electronic medical record system",
"type": "display",
"linkId": "rm4.7.19_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "eHealth Portal",
"type": "boolean",
"linkId": "rm4.7.19",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.20_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "eHealthPortal Description",
"type": "text",
"linkId": "rm4.7.20",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.19",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Use of two-way video communications via a computer, tablet or mobile phone",
"type": "display",
"linkId": "rm4.7.21_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Video Conferencing",
"type": "boolean",
"linkId": "rm4.7.21",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.7.22_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Video Conferencing Description",
"type": "text",
"linkId": "rm4.7.22",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.7.21",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Electronic Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.7",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.6",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "rm4.8",
"item": [ {
"text": "Communication addressed to a specific person.",
"type": "display",
"linkId": "rm4.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Direct Communication Materials be Utilized?"
}, {
"item": [ {
"item": [ {
"text": "Involves a person's physical presence rather than communication by phone, email, etc.,",
"type": "display",
"linkId": "rm4.9.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "In-Person Discussion",
"type": "boolean",
"linkId": "rm4.9.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.9.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "In-Person Discussion Description",
"type": "text",
"linkId": "rm4.9.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.9.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A written, typed, or printed communication, especially one sent in an envelope by mail or messenger:",
"type": "display",
"linkId": "rm4.9.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Letter/Invitation",
"type": "boolean",
"linkId": "rm4.9.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.9.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Letter/Invitation Description",
"type": "text",
"linkId": "rm4.9.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.9.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A communication or conversation by phone.",
"type": "display",
"linkId": "rm4.9.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Phone Call",
"type": "boolean",
"linkId": "rm4.9.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.9.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Phone Call Description",
"type": "text",
"linkId": "rm4.9.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.9.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Direct Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.9",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.8",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "rm4.10",
"item": [ {
"text": "Communication addressed to a defined group of people.",
"type": "display",
"linkId": "rm4.10_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Group Communication Materials be Utilized?"
}, {
"item": [ {
"item": [ {
"text": "An ad that may take many different forms. It could be a banner, a graphic image or an animated GIF of a designated pixel size and byte size.",
"type": "display",
"linkId": "rm4.11.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Advertisement",
"type": "boolean",
"linkId": "rm4.11.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.11.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Advertisement Description",
"type": "text",
"linkId": "rm4.11.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.11.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A website or web page where users can post comments about a particular issue or topic and reply to other users' postings.",
"type": "display",
"linkId": "rm4.11.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Bulletin Board",
"type": "boolean",
"linkId": "rm4.11.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.11.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Bulletin Board Description",
"type": "text",
"linkId": "rm4.11.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.11.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Communication issued periodically to the members of a society, business, or organization.",
"type": "display",
"linkId": "rm4.11.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Newsletter",
"type": "boolean",
"linkId": "rm4.11.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.11.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Newsletter Description",
"type": "text",
"linkId": "rm4.11.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.11.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A scholarly journal addressed to a particular professional audience such as doctors, teachers or engineers and published by a professional organization.",
"type": "display",
"linkId": "rm4.11.7_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Professional Journal",
"type": "boolean",
"linkId": "rm4.11.7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.11.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Professional Journal Description",
"type": "text",
"linkId": "rm4.11.8",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.11.7",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A publication that containing the latest information/tips/predictions for a particular business or stock market information or horse racing results, etc.",
"type": "display",
"linkId": "rm4.11.9_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Tip Sheet",
"type": "boolean",
"linkId": "rm4.11.9",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.11.10_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Tip Sheet Description",
"type": "text",
"linkId": "rm4.11.10",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.11.9",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Group Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.11",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.10",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"enableBehavior": "all",
"linkId": "rm4.12",
"item": [ {
"text": "Communication addressed to the public.",
"type": "display",
"linkId": "rm4.12_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"enableWhen": [ {
"operator": "=",
"question": "rm4.1",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"required": false,
"text": "Will Public Communication Materials be Utilized?"
}, {
"item": [ {
"item": [ {
"text": "A public and typically formal statement about a fact, occurrence, or intention.",
"type": "display",
"linkId": "rm4.13.1_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Announcement",
"type": "boolean",
"linkId": "rm4.13.1",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.13.2_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Announcement Description",
"type": "text",
"linkId": "rm4.13.2",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.13.1",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A written statement about a matter of public interest which is given to the press by an organization concerned with the matter.",
"type": "display",
"linkId": "rm4.13.3_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Press Release",
"type": "boolean",
"linkId": "rm4.13.3",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.13.4_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Press Release Description",
"type": "text",
"linkId": "rm4.13.4",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.13.3",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A method of communication involving asking for or trying to obtain something from someone in public.",
"type": "display",
"linkId": "rm4.13.5_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Public Solicitation",
"type": "boolean",
"linkId": "rm4.13.5",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.13.6_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Public Solicitation Description",
"type": "text",
"linkId": "rm4.13.6",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.13.5",
"answerBoolean": true
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "A technique among social scientists who wish to work with a population that is difficult to identify or locate.",
"type": "display",
"linkId": "rm4.13.7_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Snowball Sampling",
"type": "boolean",
"linkId": "rm4.13.7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
} ]
}, {
"item": [ {
"text": "Specify when, where, duration and frequency of the recruitment materials that will be published, aired, distributed, posted or sent.",
"type": "display",
"linkId": "rm4.13.8_help",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"text": "Snowball Sampling Description",
"type": "text",
"linkId": "rm4.13.8",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.13.7",
"answerBoolean": true
} ],
"enableBehavior": "all"
} ],
"text": "Public Communication",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.13",
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.12",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ],
"enableBehavior": "all"
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.33.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.33.2"
} ],
"text": "Attachments for Broadcast Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.33",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.2",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.35.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.35.2"
} ],
"text": "Attachments for Printed Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.35",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.4",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.37.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.37.2"
} ],
"text": "Attachments for Electronic Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.37",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.6",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.39.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.39.2"
} ],
"text": "Attachments for Direct Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.39",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.8",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.41.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.41.2"
} ],
"text": "Attachments for Group Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.41",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.10",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm4.43.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm4.43.2"
} ],
"text": "Attachments for Public Communication Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#2a623d; font-size: 125%"
} ]
},
"linkId": "rm4.43",
"repeats": true,
"required": false,
"enableWhen": [ {
"operator": "=",
"question": "rm4.12",
"answerCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532"
}
} ]
} ],
"text": "Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm4",
"required": false
}, {
"item": [ {
"text": "If recruitment material is being mailed, emailed, texted or otherwise distributed, describe where/how the distribution list will be obtained.",
"type": "text",
"linkId": "rm6.1",
"required": false
}, {
"text": "Describe methods that will be used to identify audiences for advertising messages (eg. web advertising will be displayed on web sites popular with a particular demographic)",
"type": "text",
"linkId": "rm6.2",
"required": false
}, {
"text": "Any necessary permission will be obtained for posting/airing these (for example, permission to post a flyer on a bulletin board).",
"type": "choice",
"linkId": "rm6.3",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"answerOption": [ {
"valueCoding": {
"code": "Y",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "Yes"
}
}, {
"valueCoding": {
"code": "N",
"system": "http://terminology.hl7.org/CodeSystem/v2-0532",
"display": "No"
}
} ]
} ],
"text": "Distribution List and Audience Identification",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm6",
"repeats": false,
"readOnly": false,
"required": false
}, {
"item": [ {
"text": "When potential participants respond to recruitment material, describe the information that will be provided to them about the study.",
"type": "text",
"linkId": "rm7.1",
"required": false
}, {
"text": "Describe the plan to respond to potential participants who respond to recruitment materials. Include how many times you will attempt to respond to call the participant back, leave a voice message, send a reply email or conduct other follow-up communication.",
"type": "text",
"linkId": "rm7.2",
"required": false
}, {
"text": "Types of communication methods that will be used to reply to potential participants who respond to recruitment materials",
"type": "open-choice",
"linkId": "rm7.3",
"repeats": true,
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Check box",
"coding": [ {
"code": "check-box",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Check-box"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
"valueCode": "vertical"
} ],
"answerOption": [ {
"valueCoding": {
"code": "PHONECALL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "Telephone calls"
}
}, {
"valueCoding": {
"code": "VM",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "Voice mail and telephone voice messages"
}
}, {
"valueCoding": {
"code": "VC",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "Video Conferencing"
}
}, {
"valueCoding": {
"code": "EMAIL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "Email"
}
}, {
"valueCoding": {
"code": "TXT",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "Text messages/texting"
}
}, {
"valueCoding": {
"code": "EHPRTL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "eHealth Portal messaging"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.4.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.4.2"
} ],
"text": "Attach the telephone call script for responding to potential participants",
"type": "group",
"linkId": "rm7.4",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "PHONECALL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.5.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.5.2"
} ],
"text": "Attach the voice mail/telephone voice message script for responding to potential participants",
"type": "group",
"linkId": "rm7.5",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "VM",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.6.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.6.2"
} ],
"text": "Attach the video conferencing script for responding to potential participants",
"type": "group",
"linkId": "rm7.6",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "VC",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.7.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.7.2"
} ],
"text": "Attach the email script for responding to potential participants",
"type": "group",
"linkId": "rm7.7",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "EMAIL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.8.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.8.2"
} ],
"text": "Attach the text messaging/texting script for responding to potential participants",
"type": "group",
"linkId": "rm7.8",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "TXT",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.9.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.9.2"
} ],
"text": "Attach the eHealth Portal messaging script for responding to potential participants",
"type": "group",
"linkId": "rm7.9",
"repeats": true,
"enableWhen": [ {
"operator": "=",
"question": "rm7.3",
"answerCoding": {
"code": "EHPRTL",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes"
}
} ]
}, {
"item": [ {
"text": "Describe the file that is being attached (optional)",
"type": "string",
"linkId": "rm7.10.1"
}, {
"text": "Attachment",
"type": "attachment",
"linkId": "rm7.10.2"
} ],
"text": "Attach any other script for responding to potential participants",
"type": "group",
"linkId": "rm7.10",
"repeats": true,
"enableWhen": [ {
"operator": "exists",
"question": "rm7.3",
"answerBoolean": true
} ]
} ],
"text": "Response to Recruitment Materials",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "color:#274e90; font-size: 150%"
} ]
},
"linkId": "rm7",
"repeats": false,
"readOnly": false,
"required": false
}, {
"item": [ {
"text": "Link ID prefix",
"type": "string",
"linkId": "ADMIN01",
"initial": [ {
"valueString": "rm"
} ],
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
}, {
"text": "Questionnaire Response ID for the parent Questionnaire Response (such as the Initiate a Study Questionnaire Response), if any",
"type": "string",
"linkId": "ADMIN02",
"initial": [ {
"valueString": "temporarily unavailable"
} ],
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%lookupInitiateStudy.descendants().where(linkId = 'ADMIN02').answer.value"
}
} ]
}, {
"text": "ID of the Research Study FHIR Resource associated with the study Questionnaire Responses",
"type": "string",
"linkId": "ADMIN03",
"initial": [ {
"valueString": "temporarily unavailable"
} ],
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%lookupInitiateStudy.descendants().where(linkId = 'ADMIN03').answer.value"
}
} ]
}, {
"text": "Questionnaire Response ID of the local considerations Questionnaire Response, if any",
"type": "string",
"linkId": "ADMIN04",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
} ],
"text": "Administrative Use Only",
"type": "group",
"linkId": "ADMIN00",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
} ]
} ],
"type": null,
"experimental": "false",
"resourceType": "Questionnaire",
"title": "Recruitment Materials",
"package_version": "1.0.0",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext",
"extension": [ {
"url": "name",
"valueCoding": {
"code": "sourceQuestionnaireResponse",
"system": "http://hl7.org/fhir/us/sirb/CodeSystem/temporarycodes",
"display": "The content of the Questionnaire Response transferred to this Questionnaire during form launch"
}
}, {
"url": "type",
"valueCode": "QuestionnaireResponse"
}, {
"url": "description",
"valueString": "The Initiate a Study Questionnaire Response content that will be used to pre-populate this Questionnaire"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "lookupInitiateStudy",
"language": "text/fhirpath",
"expression": "%sourceQuestionnaireResponse",
"description": "variable to store the incoming data from the launchContext extension for populate and other expressions"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "overallRMForm",
"language": "text/fhirpath",
"expression": "%resource.descendants().where(linkId = 'rm9.1').answer.valueCoding.code",
"description": "submission type (overall study or site-specific)"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "relyingSiteForForm",
"language": "text/fhirpath",
"expression": "%resource.descendants().where(linkId = 'rm9.2').answer.valueCoding.display",
"description": "site that this recruitment materials form pertains to"
}
} ],
"status": "draft",
"id": "97249783-aba5-4ff2-887b-6cf4cb94ac0a",
"kind": null,
"url": "http://hl7.org/fhir/us/sirb/Questionnaire/sirb-recruitment-materials-questionnaire-populate",
"version": "1.0.0",
"contact": [ {
"name": "HL7 International - Biomedical Research and Regulation",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/rcrim",
"system": "url"
} ]
} ]
}