questionnaire-sdc-profile-example-render
type: Questionnaire
node role: treeRoot
id:
  v: questionnaire-sdc-profile-example-render
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render
    l: sdc-questionnaire-render
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire questionnaire-sdc-profile-example-render Profile: Advanced Rendering Questionnaire Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> SDCAdvancedRenderingExample Questionnaire http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-render#4.0.0 #xD; 1 Text Appearance 0..1 group #xD; 1.1 Enter your First Name 0..1 string #xD; 1.2 Please answer Yes or No to each of the following questions: 0..1 display #xD; 1.2b Please answer Yes or No to each of the following questions: 0..1 display #xD; 1.3 ALL QUESTIONS CONTAINED IN THIS QUESTIONNAIRE ARE OPTIONAL AND WILL BE KEPT STRICTLY CONFIDENTIAL. 0..1 display #xD; 1.4 null 0..1 group #xD; 1.4.1 Form ID 0..1 string #xD; 1.4.2 Event ID 0..1 string #xD; 2 Control Appearance 0..1 group #xD; 2.1 If you have any other medical problems or serious injuries, please describe them here: 0..1 text #xD; 2.2 Gender: 0..1 choice Options: 4 options #xD; 2.3 Rate your doctor: 0..1 integer Initial Value: integer = 50 #xD; 2.3.1 Completely dissatisfied 0..1 display #xD; 2.3.2 Completely satisfied 0..1 display #xD; 2.4 Medical History 0..1 group #xD; 2.4.1 Diabetes 0..1 choice Options: 2 options #xD; 2.4.2 Other Information 0..1 choice Options: 4 options #xD; 2.5 null 0..1 group #xD; 2.5.1 Relationship to patient 0..1 choice Options: 3 options #xD; 2.5.2 Name 0..1 string #xD; 2.5.3 Gender 0..1 choice Options: 4 options #xD; 2.6 Lifestyle Factors 0..1 group #xD; 2.6.1 Exercise Habits 0..1 choice Options: 4 options #xD; 2.6.2 Smoking Frequency 0..1 choice Options: 4 options #xD; 2.6.3 Alcohol Consumption 0..1 choice Options: 4 options #xD; 3 Additional Display Content 0..1 group #xD; 3.1 Have you traveled outside the country within the last 14 days? 0..1 choice Options: 2 options #xD; 3.2 Select Platelet: 0..1 choice Value Set: LOINC Answer Codes for LL715-4 #xD; 3.3 Gender: 0..1 choice Options: 4 options #xD; 3.4 En…
contained: ValueSet
  id:
    v: LL2821-8
  url:
    v: http://example.org/ValueSet/LL2821-8
    l: LL2821-8
  name:
    v: TimingOfHarmAssessmentValueSet
  title:
    v: Timing of harm assessment [AHRQ]
  status:
    v: active
  description:
    v: The answer list for timing of harm assessment
  copyright:
    v: This content from LOINC® is copyright © 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use
  compose:
    include:
      system:
        v: http://loinc.org
        l: loinc.org
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
    l: artifact-versionAlgorithm
  value: Coding
    system:
      v: http://hl7.org/fhir/version-algorithm
      l: version-algorithm
    code:
      v: semver
modifier extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension
    l: sdc-rendering-criticalExtension
  value: Canonical
    v: http://hl7.org/fhir/StructureDefinition/rendering-style|5.3.0-ballot-tc1
    l: http://hl7.org/fhir/StructureDefinition/rendering-style
modifier extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension
    l: sdc-rendering-criticalExtension
  value: Canonical
    v: http://hl7.org/fhir/StructureDefinition/rendering-xhtml|5.3.0-ballot-tc1
    l: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
url:
  v: http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-render
  l: questionnaire-sdc-profile-example-render
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.40.17.35.16
version:
  v: 4.0.0
name:
  v: SDCAdvancedRenderingExample
status:
  v: active
date:
  v: 2026-03-24T16:31:45+11:00
publisher:
  v: HL7 International / FHIR Infrastructure
contact:
  name:
    v: HL7 International / FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
contact:
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
item:
  link id:
    v: 1
  text:
    v: Text Appearance
  type:
    v: group
  item:
    link id:
      v: 1.1
    text:
      v: Enter your First Name
      extension:
        value: String
    type:
      v: string
  item:
    link id:
      v: 1.2
    text:
      v: Please answer Yes or No to each of the following questions:
      extension:
        value: String
    type:
      v: display
  item:
    link id:
      v: 1.2b
    text:
      v: Please answer Yes or No to each of the following questions:
      extension:
        value: Markdown
    type:
      v: display
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory
        l: questionnaire-displayCategory
      value: CodeableConcept
    link id:
      v: 1.3
    text:
      v: ALL QUESTIONS CONTAINED IN THIS QUESTIONNAIRE ARE OPTIONAL AND WILL BE KEPT STRICTLY CONFIDENTIAL.
    type:
      v: display
  item:
    link id:
      v: 1.4
    type:
      v: group
    item:
      extension:
        value: Boolean
      link id:
        v: 1.4.1
      text:
        v: Form ID
      type:
        v: string
    item:
      link id:
        v: 1.4.2
      text:
        v: Event ID
      type:
        v: string
item:
  link id:
    v: 2
  text:
    v: Control Appearance
  type:
    v: group
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: 2.1
    text:
      v: If you have any other medical problems or serious injuries, please describe them here:
    type:
      v: text
  item:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
        l: questionnaire-choiceOrientation
      value: Code
        v: horizontal
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
        l: questionnaire-itemControl
      value: CodeableConcept
    link id:
      v: 2.2

url:
  v: http://hl7.org/fhir/StructureDefinition/valueset-label
  l: valueset-label
value: String
  v: A.

v: LA20752-4

v: Within 24 hours

url:
  v: http://hl7.org/fhir/StructureDefinition/valueset-label
  l: valueset-label
value: String
  v: B.

v: LA20753-2

v: After 24 hours but before 3 days

url:
  v: http://hl7.org/fhir/StructureDefinition/valueset-label
  l: valueset-label
value: String
  v: C.

v: LA20754-0

v: Three days or later

url:
  v: http://hl7.org/fhir/StructureDefinition/valueset-label
  l: valueset-label
value: String
  v: D.

v: LA4489-6

v: Unknown

String
v: color:green;

String
v: Please answer Yes or No to each of the following questions:

Markdown
v: _Please_ answer **Yes** or **No** to each of the following questions:

system:
  v: http://hl7.org/fhir/questionnaire-display-category
  l: questionnaire-display-category
code:
  v: security
display:
  v: Security

v: The text provides guidance on how the information will be handled from a security perspective.

Boolean
v: true

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: text-box
display:
  v: Text Box

v: A control where a user can type in their answer freely.

system:
  v: http://hl7.org/fhir/questionnaire-item-control
  l: questionnaire-item-control
code:
  v: radio-button
display:
  v: Radio Button

v: A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.

v: Gender:

v: choice

value: Coding
  system:
    v: http://hl7.org/fhir/administrative-gender
    l: administrative-gender
  code:
    v: female
  display:
    v: Female
initial selected:
  v: true

value: Coding
  system:
    v: http://hl7.org/fhir/administrative-gender
    l: administrative-gender
  code:
    v: male
  display:
    v: Male

value: Coding
  system:
    v: http://hl7.org/fhir/administrative-gender
    l: administrative-gender
  code:
    v: other
  display:
    v: Other

value: Coding
  system:
    v: http://hl7.org/fhir/administrative-gender
    l: administrative-gender
  code:
    v: unknown
  display:
    v: Unknown

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: slider
      display:
        v: Slider
    text:
      v: A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-sliderStepValue
    l: questionnaire-sliderStepValue
  value: Integer
    v: 10
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/minValue
    l: minValue
  value: Integer
    v: 0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/maxValue
    l: maxValue
  value: Integer
    v: 100
link id:
  v: 2.3
text:
  v: Rate your doctor:
type:
  v: integer
initial:
  value: Integer
    v: 50
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 2.3.1
  text:
    v: Completely dissatisfied
  type:
    v: display
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 2.3.2
  text:
    v: Completely satisfied
  type:
    v: display

v: lower

v: Lower-bound

v: upper

v: Upper-bound

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: htable
      display:
        v: Horizontal Answer Table
    text:
      v: Questions within the group are columns in the table with possible answers as rows. Used for 'choice' questions.
link id:
  v: 2.4
text:
  v: Medical History
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a box beside them. The box can be toggled to select or de-select a given choice. Multiple selections may be possible.
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-width
      l: sdc-questionnaire-width
    value: Quantity
      value:
        v: 65
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  link id:
    v: 2.4.1
  text:
    v: Diabetes
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: diabetes-type1
      display:
        v: Type 1
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: diabetes-type2
      display:
        v: Type 2
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a box beside them. The box can be toggled to select or de-select a given choice. Multiple selections may be possible.
  extension:
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-width
      l: sdc-questionnaire-width
    value: Quantity
      value:
        v: 35
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  link id:
    v: 2.4.2
  text:
    v: Other Information
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: diabetes-type1
      display:
        v: Type 1
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: diabetes-type2
      display:
        v: Type 2
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: otherinformation-hypertension
      display:
        v: Hypertension
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/conditions
        l: conditions
      code:
        v: otherinformation-smoker
      display:
        v: Smoker

v: check-box

v: Check-box

v: check-box

v: Check-box

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-collapsible
    l: sdc-questionnaire-collapsible
  value: Code
    v: default-closed
link id:
  v: 2.5
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 2.5.1
  text:
    v: Relationship to patient
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: FTH
      display:
        v: Father
  answer option:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: MTH
      display:
        v: Mother
  answer option:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-RoleCode
        l: v3-RoleCode
      code:
        v: SIB
      display:
        v: Sibling
item:
  link id:
    v: 2.5.2
  text:
    v: Name
  type:
    v: string
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  link id:
    v: 2.5.3
  text:
    v: Gender
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: female
      display:
        v: Female
    initial selected:
      v: true
  answer option:
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: male
      display:
        v: Male
  answer option:
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: other
      display:
        v: Other
  answer option:
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: unknown
      display:
        v: Unknown

v: drop-down

v: Drop down

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: htable
      display:
        v: Horizontal Answer Table
    text:
      v: Questions within the group are columns in the table with possible answers as rows. Used for 'choice' questions.
link id:
  v: 2.6
text:
  v: Lifestyle Factors
type:
  v: group
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a box beside them. The box can be toggled to select or de-select a given choice. Multiple selections may be possible.
  link id:
    v: 2.6.1
  text:
    v: Exercise Habits
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: daily
      display:
        v: Daily
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: weekly
      display:
        v: Weekly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: monthly
      display:
        v: Monthly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: never
      display:
        v: Never
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a box beside them. The box can be toggled to select or de-select a given choice. Multiple selections may be possible.
  link id:
    v: 2.6.2
  text:
    v: Smoking Frequency
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: daily
      display:
        v: Daily
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: weekly
      display:
        v: Weekly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: monthly
      display:
        v: Monthly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: never
      display:
        v: Never
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a box beside them. The box can be toggled to select or de-select a given choice. Multiple selections may be possible.
  link id:
    v: 2.6.3
  text:
    v: Alcohol Consumption
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: daily
      display:
        v: Daily
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: weekly
      display:
        v: Weekly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: monthly
      display:
        v: Monthly
  answer option:
    value: Coding
      system:
        v: http://example.org/CodeSystem/lifestyle
        l: lifestyle
      code:
        v: never
      display:
        v: Never

v: check-box

v: Check-box

v: check-box

v: Check-box

v: check-box

v: Check-box

link id:
  v: 3
text:
  v: Additional Display Content
type:
  v: group
item:
  extension:
    extension:
      url:
        v: label
        l: label
      value: String
        v: More info
    extension:
      url:
        v: link
        l: link
      value: Uri
        v: http://example.org/more-info
        l: more-info
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-supportHyperlink
      l: questionnaire-supportHyperlink
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.
  link id:
    v: 3.1
  text:
    v: Have you traveled outside the country within the last 14 days?
  type:
    v: choice
  answer option:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
        l: v2-0532
      code:
        v: Y
      display:
        v: Yes
  answer option:
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
        l: v2-0532
      code:
        v: N
      display:
        v: No
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: code
    extension:
      url:
        v: label
        l: label
      value: String
        v: CODE
    extension:
      url:
        v: width
        l: width
      value: Quantity
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: false
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  extension:
    extension:
      url:
        v: path
        l: path
      value: String
        v: display
    extension:
      url:
        v: label
        l: label
      value: String
        v: DESCRIPTION
    extension:
      url:
        v: width
        l: width
      value: Quantity
    extension:
      url:
        v: forDisplay
        l: forDisplay
      value: Boolean
        v: true
    url:
      v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn
      l: sdc-questionnaire-choiceColumn
  link id:
    v: 3.2
  text:
    v: Select Platelet:
  type:
    v: choice
  answer value set:
    v: http://loinc.org/vs/LL715-4
    l: LL715-4
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
      l: questionnaire-itemControl
    value: CodeableConcept
      text:
        v: A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.
  link id:
    v: 3.3
  text:
    v: Gender:
  type:
    v: choice
  answer option:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
        l: questionnaire-optionPrefix
      value: String
        v: (a)
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: female
      display:
        v: Female
    initial selected:
      v: true
  answer option:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
        l: questionnaire-optionPrefix
      value: String
        v: (b)
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: male
      display:
        v: Male
  answer option:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
        l: questionnaire-optionPrefix
      value: String
        v: (c)
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: other
      display:
        v: Other
  answer option:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
        l: questionnaire-optionPrefix
      value: String
        v: (d)
    value: Coding
      system:
        v: http://hl7.org/fhir/administrative-gender
        l: administrative-gender
      code:
        v: unknown
      display:
        v: Unknown

v: radio-button

v: Radio Button

v: drop-down

v: Drop down

v: 25

v: %

v: 75

v: %

v: radio-button

v: Radio Button

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation
    l: questionnaire-choiceOrientation
  value: Code
    v: vertical
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl
    l: questionnaire-itemControl
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/questionnaire-item-control
        l: questionnaire-item-control
      code:
        v: radio-button
      display:
        v: Radio Button
    text:
      v: A control where choices are listed with a button beside them. The button can be toggled to select or de-select a given choice. Selecting one item deselects all others.
link id:
  v: 3.4
text:
  v: Enter timing of harm assessment:
type:
  v: choice
answer value set:
  v: #LL2821-8
  l: LL2821-8

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/entryFormat
    l: entryFormat
  value: String
    v: mm-dd-yyyy
link id:
  v: 3.5
text:
  v: Birth Date
type:
  v: date

link id:
  v: 3.6
text:
  v: IMPORTANT: Please complete questionnaire.
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/rendering-style
      l: rendering-style
    value: String
      v: color:red;
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/rendering-xhtml
      l: rendering-xhtml
    value: String
      v: IMPORTANT: Please complete questionnaire.
type:
  v: display

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-optionalDisplay
    l: sdc-questionnaire-optionalDisplay
  value: Boolean
    v: true
link id:
  v: 3.7
text:
  v: Enter your Middle Name
type:
  v: string

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-shortText
    l: sdc-questionnaire-shortText
  value: String
    v: Annual family income
link id:
  v: 3.8
text:
  v: 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.
type:
  v: decimal

extension:
  url:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-columnCount
    l: sdc-questionnaire-columnCount
  value: PositiveInt
    v: 3
link id:
  v: 3.9
text:
  v: Which of the following time-slots are you available for?
type:
  v: string
answer option:
  value: String
    v: 9-10am
answer option:
  value: String
    v: 10-11am
answer option:
  value: String
    v: 11am-12pm
answer option:
  value: String
    v: 1-2pm
answer option:
  value: String
    v: 2-3pm
answer option:
  value: String
    v: 3-4pm

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/preferredTerminologyServer
    l: preferredTerminologyServer
  value: Url
    v: https://tx.fhir.org/r4
    l: r4
link id:
  v: 3.10
text:
  v: Select a condition (terminology server: tx.fhir.org)
type:
  v: choice
answer value set:
  v: http://snomed.info/sct
  l: http://snomed.info/sct