{
  "description": "Questionnaire used to identify patient",
  "_filename": "Questionnaire-cpg-common-identity.json",
  "package_name": "hl7.fhir.uv.cpg.r4",
  "subjectType": [ "Patient" ],
  "date": "2024-11-26T17:38:52+00:00",
  "publisher": "HL7 International / Clinical Decision Support",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "CPG_Common_Questionnaire_Identity",
  "item": [ {
    "text": "Name",
    "type": "string",
    "linkId": "name",
    "required": true
  }, {
    "text": "Birthdate",
    "type": "date",
    "linkId": "birthdate",
    "required": true
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "CPG Common Questionnaire - Identifying information",
  "package_version": "2.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cds"
  } ],
  "status": "active",
  "id": "c605ee1a-1aa2-4a30-ba12-6ddc4400df25",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cpg/Questionnaire/cpg-common-identity",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.48.35.3",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "2.0.0",
  "contact": [ {
    "name": "HL7 International / Clinical Decision Support",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/dss",
      "system": "url"
    } ]
  } ]
}