{ "description": null, "_filename": "example/Questionnaire-home-o2-sdc-questionnaire.json", "package_name": "hl7.fhir.us.davinci", "subjectType": [ "Patient" ], "date": "2020-01-13T00:00:00+00:00", "meta": { "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-sdc-questionnaire" ] }, "publisher": "HL7 Clinical Decision Support Work Group", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "name": "HomeOxygenTherapySDCQuestionnaire", "item": [ { "item": [ { "text": "Last Name", "type": "string", "linkId": "1.1", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minLength", "valueInteger": 2 }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-supportLink", "valueUri": "https://example.com/supportLink" } ] }, { "text": "Fist Name", "type": "string", "linkId": "1.2", "required": true }, { "text": "Middle Name", "type": "string", "linkId": "1.3", "required": false } ], "text": "Patient Information", "type": "group", "linkId": "1" }, { "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/mimeType", "valueCode": "application/pdf" }, { "url": "http://hl7.org/fhir/StructureDefinition/maxSize", "valueDecimal": 1048576 } ] }, { "item": [ { "text": "Deadline for submission (7 days from now)", "type": "date", "linkId": "3.1", "readOnly": true, "extension": [ { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression", "valueExpression": { "language": "text/fhirpath", "expression": "today() + 7 days", "description": "deadline for submission" } } ] } ], "text": "Calculation", "type": "group", "linkId": "2" } ], "type": null, "experimental": null, "resourceType": "Questionnaire", "title": "Home Oxygen Therapy Order Template (SDC)", "package_version": "dtr-1.1.0-ballot", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive", "valueBoolean": false }, { "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode", "valueCode": "sequential" } ], "status": "draft", "id": "cad6e6d4-8603-4340-8363-ac710200a8d2", "kind": null, "url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-sdc-questionnaire", "version": "1.1.0-ballot", "contact": [ { "name": "HL7 Clinical Decision Support Work Group", "telecom": [ { "value": "http://www.hl7.org/Special/committees/dss", "system": "url" } ] } ] }