{
  "description": null,
  "_filename": "examples/QuestionnaireCreateRequest.json",
  "package_name": "synapxe.sgcdi",
  "date": null,
  "publisher": null,
  "name": null,
  "item": [ {
    "code": [ {
      "code": "oral",
      "system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
      "display": "Oral Screening"
    } ],
    "item": [ {
      "text": "Is the participant currently wearing dentures or has dentures?",
      "type": "choice",
      "linkId": "1.1",
      "answerOption": [ {
        "valueCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      }, {
        "valueCoding": {
          "code": "no",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "No"
        }
      } ]
    } ],
    "type": "group",
    "linkId": "1"
  }, {
    "code": [ {
      "code": "vision",
      "system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
      "display": "Vision Screening"
    } ],
    "item": [ {
      "code": [ {
        "code": "29271-4",
        "system": "http://loinc.org",
        "display": "Visual acuity left eye"
      } ],
      "text": "Snellen Test Result",
      "type": "choice",
      "linkId": "2.1",
      "answerOption": [ {
        "valueCoding": {
          "code": "6-6",
          "system": "http://loinc.org",
          "display": "6/6"
        }
      }, {
        "valueCoding": {
          "code": "6-12",
          "system": "http://loinc.org",
          "display": "6/12"
        }
      } ]
    } ],
    "type": "group",
    "linkId": "2"
  }, {
    "code": [ {
      "code": "hearing",
      "system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
      "display": "Hearing Screening"
    } ],
    "item": [ {
      "text": "Is the participant wearing hearing aids?",
      "type": "choice",
      "linkId": "3.1",
      "answerOption": [ {
        "valueCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      }, {
        "valueCoding": {
          "code": "no",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "No"
        }
      } ]
    }, {
      "text": "Does the participant need to change the hearing aids?",
      "type": "choice",
      "linkId": "3.2",
      "enableWhen": [ {
        "operator": "=",
        "question": "3.1",
        "answerCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      } ],
      "answerOption": [ {
        "valueCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      }, {
        "valueCoding": {
          "code": "no",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "No"
        }
      } ]
    }, {
      "text": "Proceed with hearing screening?",
      "type": "choice",
      "linkId": "3.3",
      "enableWhen": [ {
        "operator": "=",
        "question": "3.1",
        "answerCoding": {
          "code": "no",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "No"
        }
      } ],
      "answerOption": [ {
        "valueCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      }, {
        "valueCoding": {
          "code": "no",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "No"
        }
      } ]
    }, {
      "text": "Visual Examination (Left Ear)",
      "type": "choice",
      "linkId": "3.4",
      "enableWhen": [ {
        "operator": "=",
        "question": "3.3",
        "answerCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      } ],
      "answerOption": [ {
        "valueCoding": {
          "code": "pass",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Pass"
        }
      }, {
        "valueCoding": {
          "code": "refer",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Refer"
        }
      } ]
    }, {
      "code": [ {
        "code": "91375-6",
        "system": "http://loinc.org",
        "display": "Hearing threshold 250 Hz Ear-L"
      } ],
      "text": "Pure Tone Test Result (Left Ear)",
      "type": "choice",
      "linkId": "3.5",
      "enableWhen": [ {
        "operator": "=",
        "question": "3.3",
        "answerCoding": {
          "code": "yes",
          "system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
          "display": "Yes"
        }
      } ],
      "answerOption": [ {
        "valueCoding": {
          "code": "0-25",
          "system": "http://loinc.org",
          "display": "0-25 dB"
        }
      }, {
        "valueCoding": {
          "code": ">25",
          "system": "http://loinc.org",
          "display": ">25 dB"
        }
      } ]
    } ],
    "type": "group",
    "linkId": "3"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Project Silver Screen Assessment",
  "package_version": "1.0.3",
  "status": "active",
  "id": "b8880116-7345-41ab-919c-247e7e036c0b",
  "kind": null,
  "url": "https://fhir.synapxe.sg/Questionnaire/pss-screen",
  "code": [ {
    "code": "pss-screen",
    "system": "https://fhir.synapxe.sg/CodeSystem/assessment-type",
    "display": "Project Silver Screen"
  } ],
  "version": "1.0.0",
  "effectivePeriod": {
    "end": "2025-12-31",
    "start": "2025-09-16"
  }
}