<?xml version="1.0" encoding="UTF-8"?>

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="Questionnaire-Item-Extension-Example-Image"/>
  <meta>
    <profile value="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/questionnaire-s37-sdc"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkId for the item">LinkId</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> Example : Questionnaire.Item Image</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06#1.0.0-S37</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.__S37-form-fields-isdfu9s0df8us8dfy" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-attachment.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Attachment" class="hierarchy"/> __S37-form-fields-isdfu9s0df8us8dfy</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">&lt;p style=&quot;text-align:left;&quot;&gt;&lt;strong&gt;IMAGE_UPLOAD_LABEL&lt;/strong&gt;&lt;/p&gt;</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment">attachment</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Definition: https://science37.com/NG/widget/id/image/version/2.3</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/standard-variable">
    <valueString value="FormLevel-StandardVariable"/>
  </extension>
  <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/sub-status">
    <valueString value="deleted"/>
  </extension>
  <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/resource-create-update-at-datetime">
    <extension url="createdAt">
      <valueDateTime value="2015-02-07T13:28:17Z"/>
    </extension>
    <extension url="updatedAt">
      <valueDateTime value="2022-01-01T10:08:10Z"/>
    </extension>
  </extension>
  <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/supported-languages">
    <extension url="language">
      <valueCode value="en-US"/>
    </extension>
    <extension url="language">
      <valueCode value="en-SG"/>
    </extension>
  </extension>
  <url value="http://science37.com/trial/098fsd0af9s/site/s0d98f0a98d0/questionnaire/97af87da0f6a06"/>
  <identifier>
    <value value="Form ID-odfu9sdfyisyd78y877"/>
  </identifier>
  <version value="1.0.0-S37"/>
  <name value="Example : Questionnaire.Item Image"/>
  <title value="Example : Questionnaire.Item Image"/>
  <status value="unknown"/>
  <subjectType value="Patient"/>
  <date value="2022-08-01T20:41:40+00:00"/>
  <publisher value="Science37"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <item>
    <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/standard-variable">
      <valueString value="ItemLevel-StandardVariable"/>
    </extension>
    <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/version">
      <valueId value="1.0.1-item"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="image"/>
          <display value="image"/>
        </coding>
        <text value="image"/>
      </valueCodeableConcept>
    </extension>
    <extension url="https://science37.github.io/FHIR-FSH-Implementation-Guide/StructureDefinition/rendering">
      <extension url="setting">
        <extension url="id">
          <valueString value="sponsorVariable"/>
        </extension>
        <extension url="label">
          <valueString value="Field OID"/>
        </extension>
        <extension url="value">
          <valueString value="IMAGE_FIELD_OID"/>
        </extension>
        <extension url="type">
          <valueString value="text"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="false"/>
        </extension>
        <extension url="description">
          <valueString value="Max of 256 characters"/>
        </extension>
        <extension url="maxLength">
          <valueInteger value="256"/>
        </extension>
        <extension url="pattern">
          <valueString value="^(?!.* ).*$"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="true"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="linkId"/>
        </extension>
        <extension url="label">
          <valueString value="LinkId"/>
        </extension>
        <extension url="value">
          <valueString value="__S37-form-fields-isdfu9s0df8us8dfy"/>
        </extension>
        <extension url="type">
          <valueString value="text"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="true"/>
        </extension>
        <extension url="required">
          <valueBoolean value="true"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="false"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="title"/>
        </extension>
        <extension url="label">
          <valueString value="Title"/>
        </extension>
        <extension url="value">
          <valueString value="IMAGE_FIELD_TITLE"/>
        </extension>
        <extension url="type">
          <valueString value="text"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="true"/>
        </extension>
        <extension url="maxLength">
          <valueInteger value="100"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="true"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="lable"/>
        </extension>
        <extension url="label">
          <valueString value="Field label"/>
        </extension>
        <extension url="value">
          <valueString value="&lt;p style=text-align:left;&gt;&lt;strong&gt;IMAGE_LABEL&lt;/strong&gt;&lt;/p&gt;"/>
        </extension>
        <extension url="type">
          <valueString value="richtext"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="true"/>
        </extension>
        <extension url="description">
          <valueString value="What will display to the respondent."/>
        </extension>
        <extension url="maxLength">
          <valueInteger value="2000"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="false"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="standardVariable"/>
        </extension>
        <extension url="label">
          <valueString value="Standard Variable"/>
        </extension>
        <extension url="value">
          <valueString value="IMAGE_FIELD_STD_VAR"/>
        </extension>
        <extension url="type">
          <valueString value="text"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="true"/>
        </extension>
        <extension url="description">
          <valueString value="Max of 256 characters"/>
        </extension>
        <extension url="maxLength">
          <valueInteger value="256"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="true"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="description"/>
        </extension>
        <extension url="label">
          <valueString value="Description"/>
        </extension>
        <extension url="value">
          <valueString value="IMAGE_FIELD_DESC"/>
        </extension>
        <extension url="type">
          <valueString value="textarea"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="false"/>
        </extension>
        <extension url="maxLength">
          <valueInteger value="256"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="false"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="requiredField"/>
        </extension>
        <extension url="label">
          <valueString value="Required field"/>
        </extension>
        <extension url="value">
          <valueString value="false"/>
        </extension>
        <extension url="type">
          <valueString value="checkbox"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="false"/>
        </extension>
        <extension url="required">
          <valueBoolean value="false"/>
        </extension>
        <extension url="unique">
          <valueBoolean value="false"/>
        </extension>
        <extension url="disabled">
          <valueBoolean value="false"/>
        </extension>
      </extension>
      <extension url="setting">
        <extension url="id">
          <valueString value="version"/>
        </extension>
        <extension url="value">
          <valueString value="1"/>
        </extension>
        <extension url="type">
          <valueString value="text"/>
        </extension>
        <extension url="hidden">
          <valueBoolean value="true"/>
        </extension>
        <extension url="required">
          <valueBoolean value="true"/>
        </extension>
      </extension>
    </extension>
    <linkId value="__S37-form-fields-isdfu9s0df8us8dfy"/>
    <definition value="https://science37.com/NG/widget/id/image/version/2.3"/>
    <text value="&lt;p style=&quot;text-align:left;&quot;&gt;&lt;strong&gt;IMAGE_UPLOAD_LABEL&lt;/strong&gt;&lt;/p&gt;"/>
    <type value="attachment"/>
    <required value="true"/>
  </item>
</Questionnaire>