LinkId	Text	Cardinality	Type	Flags	Description & Constraints
SDCAdvancedRenderingExample			Questionnaire		http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-render#3.0.0
1	Text Appearance	0..1	group
1.1	Enter your First Name	0..1	string
1.2	Please answer Yes or No to each of the following questions:	0..1	display
1.3	ALL QUESTIONS CONTAINED IN THIS QUESTIONNAIRE ARE OPTIONAL AND WILL BE KEPT STRICTLY CONFIDENTIAL.	0..1	string
1.4	null	0..1	group
1.4.1	Form ID	0..1	string
1.4.2	Event ID	0..1	string
2	Control Appearance	0..1	group
2.1	If you have any other medical problems or serious injuries, please describe them here:	0..1	text
2.2	Gender:	0..1	choice		Options: 4 options
2.3	Rate your doctor:	0..1	integer		Initial Value: integer = 50
2.4	Medical History	0..1	group
2.4.1	Diabetes	0..1	choice		Options: 2 options
2.4.2	Other Information	0..1	choice		Options: 2 options
2.5	null	0..1	group
2.5.1	Relationship to patient	0..1	choice		Options: 3 options
2.5.2	Name	0..1	string
2.5.3	Gender	0..1	choice		Options: 4 options
3	Additional Display Content	0..1	group
3.1	Have you traveled outside the country within the last 14 days?	0..1	choice		Options: 2 options
3.2	Select Platelet:	0..1	choice		Value Set: http://loinc.org/vs/LL715-4
3.3	Gender:	0..1	choice		Options: 4 options
3.4	Enter timing of harm assessment:	0..1	choice		Value Set: Timing of harm assessment [AHRQ]
3.5	Birth Date	0..1	date
3.6	IMPORTANT: Please complete questionnaire.	0..1	display
3.7	Enter your Middle Name	0..1	string
3.8	During the past year, what was the total combined income for you and the family members you live with? This information will help us determine if you are eligible for any benefits.	0..1	decimal
Documentation for this format

Option Sets

Answer options for 2.2

• http://hl7.org/fhir/administrative-gender: female ("Female")
• http://hl7.org/fhir/administrative-gender: male ("Male")
• http://hl7.org/fhir/administrative-gender: other ("Other")
• http://hl7.org/fhir/administrative-gender: unknown ("Unknown")

Answer options for 2.4.1

• http://example.org/CodeSystem/conditions#diabetes-type1 ("Type 1")
• http://example.org/CodeSystem/conditions#diabetes-type2 ("Type 2")

Answer options for 2.4.2

• http://example.org/CodeSystem/conditions#otherinformation-hypertension ("Hypertension")
• http://example.org/CodeSystem/conditions#otherinformation-smoker ("Smoker")

Answer options for 2.5.1

• http://terminology.hl7.org/CodeSystem/v3-RoleCode: FTH ("Father")
• http://terminology.hl7.org/CodeSystem/v3-RoleCode: MTH ("Mother")
• http://terminology.hl7.org/CodeSystem/v3-RoleCode: SIB ("Sibling")

Answer options for 2.5.3

• http://hl7.org/fhir/administrative-gender: female ("Female")
• http://hl7.org/fhir/administrative-gender: male ("Male")
• http://hl7.org/fhir/administrative-gender: other ("Other")
• http://hl7.org/fhir/administrative-gender: unknown ("Unknown")

Answer options for 3.1

• http://terminology.hl7.org/CodeSystem/v2-0532: Y ("Yes")
• http://terminology.hl7.org/CodeSystem/v2-0532: N ("No")

Answer options for 3.3

• http://hl7.org/fhir/administrative-gender: female ("Female")
• http://hl7.org/fhir/administrative-gender: male ("Male")
• http://hl7.org/fhir/administrative-gender: other ("Other")
• http://hl7.org/fhir/administrative-gender: unknown ("Unknown")