{
  "description": "Complex StructureMap extraction questionnaire example",
  "_filename": "Questionnaire-extract-complex-smap.json",
  "package_name": "hl7.fhir.uv.sdc.r4",
  "date": "2024-12-17T01:55:34+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extr-smap" ]
  },
  "publisher": "HL7 International / FHIR Infrastructure",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "ExtractComplexSmap",
  "item": [ {
    "item": [ {
      "item": [ {
        "text": "Given Name(s)",
        "type": "string",
        "linkId": "given",
        "repeats": true
      }, {
        "text": "Family/Surname",
        "type": "string",
        "linkId": "family"
      } ],
      "text": "Name",
      "type": "group",
      "linkId": "name",
      "repeats": true
    }, {
      "text": "Gender",
      "type": "choice",
      "linkId": "gender",
      "answerValueSet": "http://hl7.org/fhir/ValueSet/administrative-gender"
    }, {
      "text": "Date of Birth",
      "type": "date",
      "linkId": "dob"
    }, {
      "text": "National Identifier (IHI)",
      "type": "string",
      "linkId": "ihi"
    }, {
      "text": "Mobile Phone number",
      "type": "string",
      "linkId": "mobile-phone"
    } ],
    "text": "Patient Information",
    "type": "group",
    "linkId": "patient"
  }, {
    "item": [ {
      "text": "Name",
      "type": "string",
      "linkId": "contact-name"
    }, {
      "text": "Relationship",
      "type": "choice",
      "linkId": "relationship",
      "answerValueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship"
    }, {
      "text": "Phone",
      "type": "string",
      "linkId": "phone"
    } ],
    "text": "Contacts",
    "type": "group",
    "linkId": "contacts",
    "repeats": true
  }, {
    "item": [ {
      "text": "What is your current height (m)",
      "type": "decimal",
      "linkId": "height"
    }, {
      "text": "What is your current weight (kg)",
      "type": "decimal",
      "linkId": "weight"
    }, {
      "text": "Have you had a Sigmoidoscopy Complication (concern with invasive procedure, for example)",
      "type": "boolean",
      "linkId": "complication"
    } ],
    "text": "Observations",
    "type": "group",
    "linkId": "obs"
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "Complex Extract Demonstration - StructureMap",
  "package_version": "4.0.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
    "valueCoding": {
      "code": "semver",
      "system": "http://hl7.org/fhir/version-algorithm"
    }
  }, {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
    "valueCanonical": "http://hl7.org/fhir/uv/sdc/StructureMap/ExtractComplexSmap"
  } ],
  "status": "draft",
  "id": "c91beca3-3ace-4e99-88bf-6ea832cc00d9",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/sdc/Questionnaire/extract-complex-smap",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.33",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "4.0.0-ballot",
  "contact": [ {
    "name": "HL7 International / FHIR Infrastructure",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  }, {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  } ]
}