Questionnaire-example-bluebook.json

Neonate record from New South Wales, Australia "My Personal Health Record" example

{
  "resourceType": "Questionnaire",
  "id": "bb",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "status": "draft",
  "date": "2013-02-19",
  "publisher": "New South Wales Department of Health",
  "group": {
    "title": "NSW Government My Personal Health Record",
    "group": [
      {
        "title": "Birth details - To be completed by health professional",
        "group": [
          {
            "question": [
              {
                "text": "Name of child"
              },
              {
                "text": "Sex"
              }
            ]
          },
          {
            "title": "Neonatal Information",
            "question": [
              {
                "text": "Birth weight (kg)"
              },
              {
                "text": "Birth length (cm)"
              },
              {
                "text": "Vitamin K given",
                "group": [
                  {
                    "extension": [
                      {
                        "url": "http://example.org/Profile/questionnaire#visibilityCondition",
                        "valueString": "HAS_VALUE(../choice/code) AND NEQ(../choice/code,'NO')"
                      }
                    ],
                    "question": [
                      {
                        "text": "1st dose"
                      },
                      {
                        "text": "2nd dose"
                      }
                    ]
                  }
                ]
              },
              {
                "text": "Hep B given y / n",
                "group": [
                  {
                    "question": [
                      {
                        "text": "Date given"
                      }
                    ]
                  }
                ]
              },
              {
                "text": "Abnormalities noted at birth"
              }
            ]
          }
        ]
      }
    ]
  }
}