FHIR IG analytics| Package | ca.on.health.idms.agreementmvp |
| Resource Type | Questionnaire |
| Id | External-DrgLstChgDistributor.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "7f642494-12d0-4c07-92fc-5fa4930b51b0",
"meta": {
"versionId": "6",
"lastUpdated": "2025-12-31T15:14:41.597+00:00",
"source": "#1d8251fca275bbdf"
},
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Questionnaire-External-Indicator",
"valueBoolean": true
}
],
"version": "3.0.10",
"title": "DrugListChg",
"status": "active",
"experimental": false,
"publisher": "DIRECT",
"code": [
{
"code": "SUB-DISTRIBUTOR",
"display": "Distributor Change"
},
{
"code": "SUB-MULTI-DISTRIBUTOR",
"display": "Distributor Change"
},
{
"code": "SUB-BIO-DISTRIBUTOR",
"display": "Distributor Change"
},
{
"system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
"code": "SUBMIT",
"display": "Submit "
}
],
"item": [
{
"linkId": "CHANGEDETAILSNAV",
"text": "Change Details",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
"linkId": "CHANGEDETAILSGROUP",
"text": "Change Details",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "CURRENTVALUE",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Indication').valueString",
"text": "Value as it currently appears",
"type": "text",
"required": true,
"maxLength": 100
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "NEWVALUE",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Indication').valueString",
"text": "New Value",
"type": "text",
"required": true,
"maxLength": 100
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
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{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
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{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
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{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 10
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "CHANGERATIONALEDOC",
"text": "Rationale for the change(s)",
"type": "attachment",
"required": true,
"repeats": false
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "EFFECTIVECHANGEDATE",
"text": "Effective date for the change(s)",
"type": "date",
"required": true,
"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": "EFFECTIVECHANGEDATEHELP",
"text": "If no specific date is available, please specify the expected target date for the change.",
"type": "display"
}
]
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "DISCONTINUEDDATE",
"text": "Date the currently listed product will be discontinued and removed from the market",
"type": "date",
"required": true
},
{
"linkId": "EXPIRYDATE",
"text": "Expiry date of the last lot of the currently listed product",
"type": "date",
"required": false
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
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},
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"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check box"
}
],
"text": "Check box"
}
}
],
"linkId": "CHANGEMASTERFORMULATIONCHANGES",
"text": "I confirm that the master formulation for the Product has not changed",
"type": "boolean",
"required": true
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
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{
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"valueCodeableConcept": {
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"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "check-box",
"display": "Check box"
}
],
"text": "Check box"
}
}
],
"linkId": "BIOAVAILABILITYAFFECTED",
"text": "I confirm that the the bioavailability of the Product has not been affected",
"type": "boolean",
"required": true
}
]
}
]
},
{
"linkId": "HEALTHCANADADOCUMENTATIONNAV",
"text": "Health Canada Documentation",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
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"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemExtractionContext",
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"expression": "ServiceRequest"
}
}
],
"linkId": "HEALTHCANADADOCUMENTATIONGROUP",
"text": "Health Canada Documentation",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
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"code": "check-box",
"display": "Check box"
}
],
"text": "Check box"
}
}
],
"linkId": "HEALTHCANADAAPPROVEDCHANGES",
"text": "Please confirm that Health Canada has approved the change(s)",
"type": "boolean",
"required": true
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Repeating-Group-Label",
"valueString": "Notice of Compliance"
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Group-Column-Count",
"valueInteger": 3
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
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}
}
],
"linkId": "NOCAPPROVALGROUP1",
"text": "Notice of Compliance (NOC) or No Objection Letter (NOL) Information",
"type": "group",
"required": true,
"repeats": true,
"item": [
{
"extension": [
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"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
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{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
"valueExpression": {
"language": "text/fhirpath",
"expression": "today() + 1 day"
}
}
],
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}
],
"linkId": "NOCAPPROVEDDATE1",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/NOC-Complex').extension.where(url='NOC-Date').valueDate",
"text": "New NOC or NOL Approved Date",
"type": "date",
"required": true
},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 5
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[0-9]*"
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{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "NOCSUBMISSIONUMBER",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/NOC-Complex').extension.where(url='NOC-Control-Number').valueString",
"text": "New NOC or NOL Control Number",
"type": "string",
"required": true,
"maxLength": 8
},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
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"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
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"valueCode": "application/msword"
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"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
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"valueCode": "application/pdf"
},
{
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"valueDecimal": 10
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "NOTICEOFCOMPLIANCEDOC",
"text": "Updated Notice of Compliance or No Objection Letter",
"type": "attachment",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Repeating-Group-Label",
"valueString": "Product Monograph"
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Group-Column-Count",
"valueInteger": 3
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/questionnaire-minOccurs",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%context.item.where(linkId='HEALTHCANADADOCUMENTATIONNAV').item.where(linkId='HEALTHCANADADOCUMENTATIONGROUP').item.where(linkId='HEALTHCANADAAPPROVEDCHANGES').answer[0].valueBoolean=true, 1, 0)"
}
},
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"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%context.item.where(linkId='HEALTHCANADADOCUMENTATIONNAV').item.where(linkId='HEALTHCANADADOCUMENTATIONGROUP').item.where(linkId='HEALTHCANADAAPPROVEDCHANGES').answer[0].valueBoolean=true"
}
}
],
"linkId": "PRODUCTMONOGRAPHGROUP1",
"text": "Product Monograph",
"type": "group",
"required": false,
"repeats": true,
"item": [
{
"extension": [
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
"valueExpression": {
"language": "text/fhirpath",
"expression": "today()+ 1 day"
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}
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"url": "http://hl7.org/fhir/StructureDefinition/maxValue"
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "PRODUCTMONONGRAPHDATE",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/Product-Monograph-Complex').extension.where(url='Product-Monograph-Date').valueDate",
"text": "Date of the new Product Monograph",
"type": "date",
"required": true
},
{
"extension": [
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"url": "http://hl7.org/fhir/StructureDefinition/minLength",
"valueInteger": 5
},
{
"url": "http://hl7.org/fhir/StructureDefinition/regex",
"valueString": "[0-9]*"
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "PRODUCTMONOGRAPHCONTROLNUMBER",
"definition": "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-ServiceRequest-New#ServiceRequest.extension.where(url='https://health.gov.on.ca/idms/fhir/StructureDefinition/Product-Monograph-Complex').extension.where(url='Product-Monograph-Control-Number').valueString",
"text": "New Product Monograph Control Number",
"type": "string",
"required": true,
"repeats": false,
"readOnly": false,
"maxLength": 8
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.ms-excel"
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"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"
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"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/msword"
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"url": "http://hl7.org/fhir/StructureDefinition/mimeType",
"valueCode": "application/pdf"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 10
},
{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "NONANNOTATEDPRODUCTMONOGRAPHDOC",
"text": "Non-annotated copy of the new Product Monograph",
"type": "attachment",
"required": true,
"repeats": false
},
{
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"valueDecimal": 10
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{
"url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
"valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-KIND-OF"
}
],
"linkId": "ANNOTATEDPRODUCTMONOGRAPHDOC",
"text": "Annotated/tracked copy of the new Product Monograph",
"type": "attachment",
"required": true,
"repeats": false
}
]
}
]
}
]
},
{
"linkId": "SUPPLEMENTALNAV",
"text": "Supplemental Information",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
"linkId": "SUPPLEMENTALGROUP",
"text": "Supplemental Information",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
"extension": [
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"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": "SUPPLEMENTALGROUPHELP",
"text": "Please provide any additional information and/or materials that may aid the ministry in assessing your submission (e.g., Health Canada evaluation reports).",
"type": "display"
},
{
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"valueCode": "application/msword"
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"valueCode": "application/vnd.openxmlformats-officedocument.wordprocessingml.document"
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"valueCode": "application/pdf"
},
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"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
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}
],
"linkId": "SUPPLEMENTALSUPPORTING",
"text": "Supporting Documents",
"type": "attachment",
"required": false,
"repeats": true,
"readOnly": false
},
{
"linkId": "SUPPLEMENTALADDITIONALINFO",
"text": "Additional Information",
"type": "text",
"required": false,
"maxLength": 1000
}
]
}
]
}
]
}