{ "description": null, "_filename": "example/Questionnaire-home-o2-std-questionnaire.json", "package_name": "hl7.fhir.us.davinci-dtr", "subjectType": [ "Patient" ], "date": "2020-01-13T00:00:00+00:00", "meta": { "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-std-questionnaire" ] }, "publisher": "HL7 International / Clinical Decision Support", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "HomeOxygenTherapyStdQuestionnaire", "item": [ { "item": [ { "text": "Last Name", "type": "string", "linkId": "1.1", "required": true }, { "text": "Fist Name", "type": "string", "linkId": "1.2", "required": true }, { "text": "Middle Name", "type": "string", "linkId": "1.3", "required": false }, { "text": "What is this person's gender?", "type": "choice", "linkId": "1.gender", "required": true, "definition": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-question-library#Demographics.sex", "answerValueSet": "http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype" }, { "text": "Postal Code (A1A 1A1)", "type": "string", "linkId": "1.4", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/regex", "valueString": "[A-Z][0-9][A-Z] [0-9][A-Z][0-9]" } ] }, { "text": "Enter your weight in lb", "type": "decimal", "linkId": "1.5", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue", "valueDecimal": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue", "valueDecimal": 400 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces", "valueInteger": 2 } ] }, { "text": "Attach latest x-ray", "type": "attachment", "linkId": "1.6", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/mimeType", "valueCode": "image/jpeg" }, { "url": "http://hl7.org/fhir/StructureDefinition/maxSize", "valueDecimal": 1048576 } ] } ], "text": "Patient Information", "type": "group", "linkId": "1" }, { "item": [ { "text": "Deadline for submission (7 days from now)", "type": "date", "linkId": "2.1", "readOnly": true } ], "text": "Calculation", "type": "group", "linkId": "2" } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Home Oxygen Therapy Order Template", "package_version": "2.0.1", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive", "valueBoolean": false }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode", "valueCode": "sequential" }, { "url": "http://hl7.org/fhir/StructureDefinition/cqf-library", "valueCanonical": "http://example.org/fhir/Library/quick" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "cds" } ], "status": "draft", "id": "a648e463-955d-4d2e-8fd2-571b9b1be7d8", "kind": null, "url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire", "version": "2.0.1", "contact": [ { "name": "HL7 International / Clinical Decision Support", "telecom": [ { "value": "http://www.hl7.org/Special/committees/dss", "system": "url" } ] } ] }