{
  "description": null,
  "_filename": "example/Questionnaire-home-o2-std-questionnaire.json",
  "package_name": "hl7.fhir.us.davinci-dtr.r4b",
  "subjectType": [ "Patient" ],
  "date": "2020-01-13T00:00:00+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/dtr-std-questionnaire" ]
  },
  "publisher": "HL7 International / Clinical Decision Support",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "HomeOxygenTherapyStdQuestionnaire",
  "item": [ {
    "item": [ {
      "text": "Last Name",
      "type": "string",
      "linkId": "1.1",
      "required": true
    }, {
      "text": "Fist Name",
      "type": "string",
      "linkId": "1.2",
      "required": true
    }, {
      "text": "Middle Name",
      "type": "string",
      "linkId": "1.3",
      "required": false
    }, {
      "text": "What is this person's gender?",
      "type": "choice",
      "linkId": "1.gender",
      "required": true,
      "definition": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-question-library#Demographics.sex",
      "answerValueSet": "http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype"
    }, {
      "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/maxSize",
        "valueDecimal": 1048576
      } ]
    } ],
    "text": "Patient Information",
    "type": "group",
    "linkId": "1"
  }, {
    "item": [ {
      "text": "Deadline for submission (7 days from now)",
      "type": "date",
      "linkId": "2.1",
      "readOnly": true
    } ],
    "text": "Calculation",
    "type": "group",
    "linkId": "2"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Home Oxygen Therapy Order Template",
  "package_version": "2.1.0-preview",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
    "valueBoolean": false
  }, {
    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode",
    "valueCode": "sequential"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/cqf-library",
    "valueCanonical": "http://example.org/fhir/Library/quick"
  } ],
  "status": "draft",
  "id": "d603a192-c92c-48bd-8cf6-e6219234abc4",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-dtr/Questionnaire/home-o2-std-questionnaire",
  "version": "2.1.0-preview",
  "contact": [ {
    "name": "HL7 International / Clinical Decision Support",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/dss",
      "system": "url"
    } ]
  } ]
}