{ "description": null, "_filename": "example/Questionnaire-questionnaire1.json", "package_name": "hl7.fhir.us.eltss", "date": "2023-12-15T20:58:10+00:00", "meta": { "source": "#KZ0jzPjXDrhCiMif", "profile": [ "http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss" ], "versionId": "1", "lastUpdated": "2020-09-03T10:16:03.512-04:00" }, "publisher": "HL7 International / Human and Social Services", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "Questionnaire1", "item": [ { "text": "Did you choose the setting in which you reside?", "type": "boolean", "linkId": "q1" }, { "text": "What alternative home and community-based settings were considered?", "type": "string", "linkId": "q2" }, { "text": "Were you given a choice of services outlined in the plan?", "type": "boolean", "linkId": "q3" }, { "text": "Did you participate in the selection of services outlined in the plan?", "type": "boolean", "linkId": "q4" }, { "text": "Do you agree to the services outlined in the plan?", "type": "boolean", "linkId": "q5" }, { "text": "Were you offered a choice of providers for each service?", "type": "boolean", "linkId": "q6" }, { "text": "Do you feel you made an informed choice in selecting the provider for each service?", "type": "boolean", "linkId": "q7" } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": null, "package_version": "2.0.0-ballot", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "hsswg" } ], "status": "active", "id": "a67523bc-dcfd-431e-8640-739efc5b189a", "kind": null, "url": "http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1", "version": "2.0.0-ballot", "contact": [ { "name": "HL7 International / Human and Social Services", "telecom": [ { "value": "http://www.hl7.org/Special/committees/hsswg", "system": "url" }, { "value": "hhswg@lists.HL7.org", "system": "email" } ] } ] }