{ "resourceType": "Questionnaire", "id": "Item-Extension-Example-All-Items", "meta": { "profile": [ "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/questionnaire-s37-sdc" ] }, "text": { "status": "generated", "div": "
Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIdTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" Example : QuestionnaireQuestionnairehttp://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06#1.0.0-S37
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-qo3cyvy8fgh<p style="text-align:left;"><strong>DATE_TIME_LABEL</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/datetime/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-2zpvlwq3a1c<p style="text-align:left;"><strong>DERIVED_FIELD_LABLE</strong></p>0..1questionDefinition: https://science37.com/NG/widget/id/derived/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-q6zbrgullmr<p style="text-align:left;"><strong>FILE_UPLOAD_LABEL</strong></p>1..1attachmentDefinition: https://science37.com/NG/widget/id/fileupload/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-isdfu9s0df8us8dfy<p style="text-align:left;"><strong>IMAGE_UPLOAD_LABEL</strong></p>1..1attachmentDefinition: https://science37.com/NG/widget/id/image/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-p8wrfhsd01p1<p style="text-align:left;"><strong>What is you current mood?</strong></p>1..*questionDefinition: https://science37.com/NG/widget/id/MultiSelect/version/2.3
Options: 4 options
Initial Value: string = 554
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-jntlfakzc05<p style="text-align:left;"><strong>NUMBER_LABEL</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/decimal/version/2.3
Initial Value: decimal = 1.5
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-jntlfakzc05<p style="text-align:left;"><strong>NUMBER_LABEL</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/number/version/2.3
Initial Value: integer = 1
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-6qupvhtl05b<p style="text-align:left;"><strong>NRS_LABEL</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/ratingscale/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-2cg5vgg5kdh<p><span style="color: rgb(0,0,0);">RICHTEXT</span></p>\n1..1displayDefinition: https://science37.com/NG/widget/id/richText/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-p8wrfhsd01p2<p style="text-align:left;"><strong>What is you current mood?</strong></p>1..1choiceDefinition: https://science37.com/NG/widget/id/Select/version/2.3
Options: 4 options
Initial Value: string = 554
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-rtqqwsi13dj<B>Describe your current mood.<B>1..1questionMax Length: 245
Definition: https://science37.com/NG/widget/id/text/version/2.3
Initial Value: string = Replacement for defaultPlaceholder
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-1nhurf7a3d8<p style="text-align:left;"><strong>TEXT_AREA_LABEL</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/textarea/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3
\".\"\".\"\".\" __S37-form-fields-xynvdph4mrt<p>HEADER</p>1..1displayDefinition: https://science37.com/NG/widget/id/header/version/2.3
\".\"\".\"\".\" __S37-form-fields-h0ae575xlf8<p style="text-align:left;"><strong>Please tap on the scale to indicate how your health is TODAY</strong></p>1..1questionDefinition: https://science37.com/NG/widget/id/vasscale/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nw<p style="text-align:left;"><strong>FOOTER_TEXT</strong></p>1..1displayDefinition: https://science37.com/NG/widget/id/footer/version/2.3
\".\"\".\"\".\" __S37-form-fields-adhas4b1899nwPAGE BREAK0..1displayDefinition: https://science37.com/NG/widget/id/page-break/version/2.3

\"doco\" Documentation for this format

Option Sets

Answer options for __S37-form-fields-p8wrfhsd01p1

Answer options for __S37-form-fields-p8wrfhsd01p2

" }, "extension": [ { "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/standard-variable", "valueString": "FormLevel-StandardVariable" }, { "extension": [ { "url": "type", "valueString": "device0" }, { "extension": [ { "url": "source", "valueString": "source01" }, { "url": "target", "valueString": "target01" } ], "url": "map" }, { "extension": [ { "url": "source", "valueString": "source01" }, { "url": "target", "valueString": "target01" } ], "url": "map" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/device" }, { "extension": [ { "url": "type", "valueString": "device1" }, { "extension": [ { "url": "source", "valueString": "source01" }, { "url": "target", "valueString": "target01" } ], "url": "map" }, { "extension": [ { "url": "source", "valueString": "source01" }, { "url": "target", "valueString": "target01" } ], "url": "map" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/device" }, { "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/sub-status", "valueString": "deleted" }, { "extension": [ { "url": "createdAt", "valueDateTime": "2015-02-07T13:28:17Z" }, { "url": "updatedAt", "valueDateTime": "2022-01-01T10:08:10Z" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/resource-create-update-at-datetime" }, { "extension": [ { "url": "language", "valueCode": "en-US" }, { "url": "language", "valueCode": "en-SG" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/supported-languages" }, { "extension": [ { "extension": [ { "url": "id", "valueString": "FORM_ID" }, { "url": "label", "valueString": "id" }, { "url": "hidden", "valueBoolean": true }, { "url": "description", "valueString": "description" }, { "url": "pattern", "valueString": "[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}" }, { "url": "unique", "valueBoolean": true }, { "url": "disabled", "valueBoolean": true }, { "url": "type", "valueString": "text" }, { "url": "value", "valueString": "b41ca7b6-7842-4bad-b266-0c7cc1ccdf97" }, { "url": "required", "valueBoolean": true }, { "url": "maxLength", "valueInteger": 22 }, { "url": "minLength", "valueInteger": 22 }, { "url": "maxValue", "valueInteger": 2222 }, { "url": "minValue", "valueInteger": 2 }, { "url": "version", "valueId": "2.9.2-monkeystuff" } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "FORM_TYPE" }, { "url": "label", "valueString": "Form Type" }, { "url": "hidden", "valueBoolean": true }, { "url": "description", "valueString": "description" }, { "url": "pattern", "valueString": "pattern" }, { "url": "unique", "valueBoolean": true }, { "url": "disabled", "valueBoolean": true }, { "url": "type", "valueString": "text" }, { "url": "value", "valueString": "epro" }, { "url": "required", "valueBoolean": true }, { "url": "version", "valueId": "2.9.2-monkeystuff" } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "CONTROL_SCHEMA_VERSION" }, { "url": "hidden", "valueBoolean": true }, { "url": "type", "valueString": "text" }, { "url": "value", "valueInteger": 22 }, { "url": "required", "valueBoolean": true }, { "url": "version", "valueId": "2.9.2-monkeystuff" } ], "url": "setting" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" } ], "url": "http://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06", "identifier": [ { "value": "Form ID-odfu9sdfyisyd78y877" } ], "version": "1.0.0-S37", "name": "Example : Questionnaire", "title": "Example : Questionnaire", "status": "unknown", "subjectType": [ "Patient" ], "date": "2022-08-01T20:41:40+00:00", "publisher": "Science37", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden", "valueBoolean": false }, { "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version", "valueId": "1.0.1-header-Version" }, { "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/questionnaire-item-control", "code": "header", "display": "header" } ], "text": "header" } }, { "extension": [ { "extension": [ { "url": "id", "valueString": "linkId" }, { "url": "label", "valueString": "LinkId" }, { "url": "value", "valueString": "__S37-form-fields-xynvdph4mrt" }, { "url": "type", "valueString": "text" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": true }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "value" }, { "url": "value", "valueString": "

HEADER

" }, { "url": "type", "valueString": "richtext" }, { "url": "hidden", "valueBoolean": false }, { "url": "required", "valueBoolean": false }, { "url": "maxLength", "valueInteger": 100000 }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "datetimeType" }, { "url": "version", "valueId": "1.0.2-datetimeType" }, { "url": "label", "valueString": "Type" }, { "url": "value", "valueString": "dt" }, { "url": "type", "valueString": "select" }, { "url": "hidden", "valueBoolean": false }, { "url": "required", "valueBoolean": true }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "dateTimeOptions" }, { "url": "version", "valueId": "1.0.2-dateTimeOptions" }, { "url": "value", "valueString": "captureDateonSubmit" }, { "url": "type", "valueString": "radiogroup" }, { "url": "hidden", "valueBoolean": false }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "captureTimeonSubmit" }, { "url": "version", "valueId": "1.0.2-captureTimeonSubmit" }, { "url": "label", "valueString": "Capture time on submit" }, { "url": "value", "valueBoolean": false }, { "url": "type", "valueString": "checkbox" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "description", "valueString": "Date field is not editable by user (read only)" }, { "url": "maxLength", "valueInteger": 256 }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "minDate" }, { "url": "version", "valueId": "1.0.2-minDate" }, { "url": "label", "valueString": "Minimum Date" }, { "url": "value", "valueDateTime": "2013-06-08T10:57:34+01:00" }, { "url": "type", "valueString": "dateTime" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "maxDate" }, { "url": "version", "valueId": "1.0.2-maxDate" }, { "url": "label", "valueString": "Maximum Date" }, { "url": "value", "valueDateTime": "2022-06-08T10:57:34+01:00" }, { "url": "type", "valueString": "dateTime" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "completionPeriodOfTime" }, { "url": "version", "valueId": "1.0.2-completionPeriodOfTime" }, { "url": "label", "valueString": "Period of time" }, { "url": "value", "valueString": "xxx" }, { "url": "type", "valueString": "select" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "description", "valueString": "Constrain the response by months, days or hours" }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "completionNoOfHours" }, { "url": "version", "valueId": "1.0.2-completionPeriodOfTime" }, { "url": "label", "valueString": "Number of Hours" }, { "url": "value" }, { "url": "type", "valueString": "integer" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false }, { "url": "minValue", "valueInteger": 1 } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "completionNoOfDays" }, { "url": "version", "valueId": "1.0.2-completionNoOfDays" }, { "url": "label", "valueString": "Number of Days" }, { "url": "value" }, { "url": "type", "valueString": "integer" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false }, { "url": "minValue", "valueInteger": 1 } ], "url": "setting" }, { "extension": [ { "url": "id", "valueString": "completionNoOfMonths" }, { "url": "version", "valueId": "1.0.2-completionNoOfMonths" }, { "url": "label", "valueString": "Number of Months" }, { "url": "value" }, { "url": "type", "valueString": "integer" }, { "url": "hidden", "valueBoolean": true }, { "url": "required", "valueBoolean": false }, { "url": "unique", "valueBoolean": false }, { "url": "disabled", "valueBoolean": false }, { "url": "minValue", "valueInteger": 1 } ], "url": "setting" } ], "url": "https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering" } ], "linkId": "__S37-form-fields-xynvdph4mrt", "definition": 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