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Packageca.on.health.idms.agreementmvp
Resource TypeQuestionnaire
IdExternal - Additional Information.json
FHIR VersionR5

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Source1

{
  "resourceType": "Questionnaire",
  "id": "d50b083f-15e0-4b2c-a5a9-46f095d89226",
  "meta": {
    "versionId": "6",
    "lastUpdated": "2026-03-18T13:09:44.934+00:00",
    "source": "#8078b097d84e2520",
    "profile": [
      "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-Questionnaire|1.0.0"
    ]
  },
  "extension": [
    {
      "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Questionnaire-External-Indicator",
      "valueBoolean": true
    }
  ],
  "version": "3.0.10",
  "title": "Additional Information - External Correspondence",
  "status": "active",
  "experimental": false,
  "publisher": "DIRECT",
  "description": "Questionnaire for external users to submit additional information as part of correspondence",
  "code": [
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
      "code": "ADDITIONAL-INFO",
      "display": "Additional Information"
    }
  ],
  "item": [
    {
      "linkId": "ADDITIONALINFO",
      "text": "Additional Information",
      "type": "group",
      "required": true,
      "item": [
        {
          "linkId": "ADDITIONALINFONAV",
          "text": "Additional Information",
          "type": "group",
          "required": false,
          "repeats": false,
          "readOnly": false,
          "item": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
                  "valueCode": "application/vnd.ms-excel"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
                  "valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
                  "valueCode": "application/msword"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
                  "valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/mimeType",
                  "valueCode": "application/pdf"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/maxSize",
                  "valueDecimal": 10
                }
              ],
              "linkId": "correspondence.attachment",
              "text": "Supporting Document(s)",
              "type": "attachment",
              "required": false,
              "repeats": true
            },
            {
              "linkId": "correspondence.notes",
              "text": "Comments/Notes",
              "type": "text",
              "required": true,
              "maxLength": 2000,
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "help",
                            "display": "Help-Button"
                          }
                        ],
                        "text": "Help-Button"
                      }
                    }
                  ],
                  "linkId": "NOTESHELP",
                  "text": "In addition to documents uploaded above, please use this field to provide any further information requested in the NDSS letter",
                  "type": "display"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}