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Packageca.on.health.idms.agreementmvp
Resource TypeQuestionnaire
IdInternal Generic Questionnaire.json
FHIR VersionR5

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Source1

{
  "resourceType": "Questionnaire",
  "id": "62d6f70c-2613-4d84-b78b-ccf465a62d23",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2025-10-24T15:30:37.216+00:00",
    "source": "#7ea714e2e1f1c6f5"
  },
  "extension": [
    {
      "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Questionnaire-External-Indicator",
      "valueBoolean": false
    },
    {
      "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Questionnaire-Internal-Indicator",
      "valueBoolean": true
    }
  ],
  "version": "3.0.10",
  "title": "Generic Dummy Questionnaire",
  "status": "active",
  "experimental": false,
  "publisher": "DIRECT",
  "code": [
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
      "code": "SUBMIT",
      "display": "Submit "
    },
    {
      "code": "SUB-BRAND-PRODUCT",
      "display": "New Brand Product (Non-New Chemical Entity)"
    },
    {
      "code": "SUB-CLASSIFICATION",
      "display": "Classification Change"
    },
    {
      "code": "SUB-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-DIN-CHANGE",
      "display": "Drug Identification Number (DIN) Change"
    },
    {
      "code": "SUB-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-DRUG-PRODUCT-NAME",
      "display": "Drug Product Name Change"
    },
    {
      "code": "SUB-FORMULATION",
      "display": "Formulation Change"
    },
    {
      "code": "SUB-GENERIC-LINE",
      "display": "Generic Line Extension"
    },
    {
      "code": "SUB-GENERIC-PRODUCT",
      "display": "New Generic Product"
    },
    {
      "code": "SUB-LINE-EXTENSION",
      "display": "Line Extension"
    },
    {
      "code": "SUB-NEW-INDICATION",
      "display": "New Indication"
    },
    {
      "code": "SUB-NEW-NATURAL",
      "display": "New Natural Health Product"
    },
    {
      "code": "SUB-NEW-OVER-COUNTER",
      "display": "New Over the Counter (OTC) Product"
    },
    {
      "code": "SUB-NEW-CHEMICAL",
      "display": "New Chemical Entity"
    },
    {
      "code": "SUB-NEW-NUTRITIONAL",
      "display": "New Nutrition Product"
    },
    {
      "code": "SUB-NUTRITIONAL-LINE",
      "display": "Line Extension"
    },
    {
      "code": "SUB-NEW-BIOSIMILAR",
      "display": "New Biosimilar"
    },
    {
      "code": "SUB-BIOSIMILAR-LINE",
      "display": "Line Extension"
    },
    {
      "code": "SUB-NEW-DIABETIC",
      "display": "New Diabetic Testing Agent (DTA)"
    },
    {
      "code": "SUB-NEW-GLUCOUSE",
      "display": "New Flash Glucose Monitoring (FGM) Product"
    },
    {
      "code": "SUB-NON-FORMULARY-SINGLE",
      "display": "Non-Formulary Single Source"
    },
    {
      "code": "SUB-NON-FORMULARY-MULTIPLE",
      "display": "Non-Formulary Multiple Source "
    },
    {
      "code": "SUB-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-PRODUCT-MONOGRAPH",
      "display": "Product Monograph Change"
    },
    {
      "code": "SUB-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-TEMPORARY-BENEFITS",
      "display": "Temporary Benefits"
    },
    {
      "code": "SUB-VALVED",
      "display": "New Valved Holding Chamber (VHC)"
    },
    {
      "code": "SUB-REDESIGNATION-BENEFITS",
      "display": "Re-Designation of Benefits"
    },
    {
      "code": "SUB-MANUFACTURER-INQUIRIES",
      "display": "Manufacturer Inquiries"
    },
    {
      "code": "SUB-CHALLENGES",
      "display": "Challenges"
    },
    {
      "code": "SUB-NEW-LINE",
      "display": "Line Extension"
    },
    {
      "code": "SUB-MULTI-DIN-CHANGE",
      "display": "Drug Identification Number (DIN) Change"
    },
    {
      "code": "SUB-MULTI-DRUG-PRODUCT-NAME",
      "display": "Drug Product Name Change"
    },
    {
      "code": "SUB-MULTI-PRODUCT-MONOGRAPH",
      "display": "Product Monograph Change"
    },
    {
      "code": "SUB-MULTI-FORMULATION",
      "display": "Formulation Change"
    },
    {
      "code": "SUB-MULTI-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-MULTI-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-MULTI-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-MULTI-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-MULTI-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-MULTI-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-MULTI-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-BIO-DIN-CHANGE",
      "display": "Drug Identification Number (DIN) Change"
    },
    {
      "code": "SUB-BIO-DRUG-PRODUCT-NAME",
      "display": "Drug Product Name Change"
    },
    {
      "code": "SUB-BIO-PRODUCT-MONOGRAPH",
      "display": "Product Monograph Change"
    },
    {
      "code": "SUB-BIO-FORMULATION",
      "display": "Formulation Change"
    },
    {
      "code": "SUB-BIO-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-BIO-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-BIO-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-BIO-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-BIO-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-BIO-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-BIO-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-OTC-DIN-CHANGE",
      "display": "Drug Identification Number (DIN) Change"
    },
    {
      "code": "SUB-OTC-DRUG-PRODUCT-NAME",
      "display": "Drug Product Name Change"
    },
    {
      "code": "SUB-OTC-PRODUCT-MONOGRAPH",
      "display": "Product Monograph Change"
    },
    {
      "code": "SUB-OTC-FORMULATION",
      "display": "Formulation Change"
    },
    {
      "code": "SUB-OTC-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-OTC-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-OTC-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-OTC-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-OTC-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-OTC-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-OTC-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-DIABETIC-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-DIABETIC-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-DIABETIC-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-DIABETIC-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-DIABETIC-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-DIABETIC-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-DIABETIC-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-DIABETIC-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-DIABETIC-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-GLUCOSE-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-GLUCOSE-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-GLUCOSE-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-GLUCOSE-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-GLUCOSE-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-GLUCOSE-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-GLUCOSE-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-GLUCOSE-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-GLUCOSE-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-VALVED-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-VALVED-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-VALVED-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-VALVED-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-VALVED-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-VALVED-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-VALVED-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-VALVED-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-VALVED-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-NATURAL-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-NATURAL-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-NATURAL-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-NATURAL-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-NATURAL-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-NATURAL-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-NATURAL-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-NATURAL-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-NATURAL-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-OTHER-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-OTHER-PRODUCT-CHANGE",
      "display": "Product Change"
    },
    {
      "code": "SUB-OTHER-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-OTHER-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-OTHER-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-OTHER-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-OTHER-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-OTHER-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-OTHER-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "code": "SUB-NUTRITIONAL-PRODUCT-NAME",
      "display": "Product Name Change"
    },
    {
      "code": "SUB-NUTRITIONAL-FORMULATION",
      "display": "Formulation Change"
    },
    {
      "code": "SUB-NUTRITIONAL-DRUG-REGULATION",
      "display": "Change in Food and Drug Regulation Classification"
    },
    {
      "code": "SUB-ADVERTISING-POLICY",
      "display": "Change in Advertising Policy"
    },
    {
      "code": "SUB-NUTRITIONAL-CHANGE-TO-LABEL",
      "display": "Change to Label"
    },
    {
      "code": "SUB-NUTRITIONAL-OWNERSHIP",
      "display": "Ownership Change"
    },
    {
      "code": "SUB-NUTRITIONAL-DISTRIBUTOR",
      "display": "Distributor Change"
    },
    {
      "code": "SUB-NUTRITIONAL-ORG-NAME",
      "display": "Organization Name Change"
    },
    {
      "code": "SUB-NUTRITIONAL-PRODUCT-DISCONTINUE",
      "display": "Product Discontinuation"
    },
    {
      "code": "SUB-NUTRITIONAL-DELISTING",
      "display": "Delisting"
    },
    {
      "code": "SUB-NUTRITIONAL-PRICE-CHANGE",
      "display": "Price Change"
    },
    {
      "code": "SUB-NUTRITIONAL-OTHER-TYPE-IN",
      "display": "Other"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Generic-Classification",
      "code": "NEW-GENERIC-OFI-STREAMLINED",
      "display": "OFI - New Streamlined Product"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Generic-Classification",
      "code": "NEW-GENERIC-FOR-SINGLE",
      "display": "Multiple Source for Single Source Listing"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Generic-Classification",
      "code": "NEW-GENERIC-NON-STREAMLINED",
      "display": "New Non-Streamlined Product"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Generic-Classification",
      "code": "NEW-GENERIC-STREAMLINED",
      "display": "New Streamlined Product"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Generic-Classification",
      "code": "NEW-GENERIC-OFI-NON-STREAMLINED",
      "display": "OFI - New Non-Streamlined Product"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
      "code": "REQUEST-CATEGORY-CLINICIAN-LED-SUBMISSION",
      "display": "Clinician-Led Submissions"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
      "code": "REQUEST-CATEGORY-SPECIAL-PROJECT",
      "display": "Special Projects"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Product-Types",
      "code": "PRODUCT-NON-FORMULARY-SINGLE",
      "display": "Non-Formulary Single Source"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Product-Types",
      "code": "PRODUCT-NON-FORMULARY-MULTIPLE",
      "display": "Non-Formulary Multiple Source "
    }
  ]
}