FHIR IG analytics| Package | ca.on.health.idms.agreementmvp |
| Resource Type | Questionnaire |
| Id | Screening - Clinician Submission.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "f7546566-7b11-4cd5-8eca-0aa3cde3e7eb",
"meta": {
"versionId": "69",
"lastUpdated": "2025-07-10T18:30:46.221+00:00",
"source": "#smileutil-4488fb",
"profile": [
"https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-Questionnaire|1.0.0"
]
},
"version": "3.0.10",
"title": "Clinician Submission",
"status": "active",
"experimental": false,
"publisher": "DIRECT",
"description": "To Clinician Groups and internal",
"code": [
{
"system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
"code": "REQUEST-CATEGORY-CLINICIAN-LED-SUBMISSION",
"display": "Clinician-Led Submission"
},
{
"system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
"code": "SCREENING",
"display": "Screening"
}
],
"item": [
{
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"text": "General",
"type": "group",
"required": false,
"repeats": false,
"readOnly": false,
"item": [
{
"linkId": "GENERALHEAD",
"text": "General",
"type": "group",
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"repeats": false,
"readOnly": false,
"item": [
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}
],
"linkId": "SIGNED_COVERLETTER",
"text": "Is the signed cover letter provided?",
"type": "coding",
"required": true,
"answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
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{
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"linkId": "SIGNED_COVERLETTER_DATE",
"text": "Date",
"type": "date",
"required": true
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{
"linkId": "SIGNED_COVERLETTER_NOTE",
"text": "Note",
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"linkId": "SIGNED_COVERLETTER_GROUP",
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"linkId": "COVERLETTERREFERENCE",
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"linkId": "COVERLETTERREFERENCEDATE",
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{
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],
"linkId": "JURISDICTIONAL_SCAN",
"text": "Is the Jurisdictional Scan provided?",
"type": "coding",
"required": true,
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"linkId": "JURISDICTIONAL_SCAN_DATE",
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"required": true
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{
"linkId": "JURISDICTIONAL_SCAN_NOTE",
"text": "Note",
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"maxLength": 1000
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"display": "Radio Button"
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],
"text": "Radio Button"
}
}
],
"linkId": "PATIENT_SUBMISSION",
"text": "Is there an optional patient submission component provided?",
"type": "coding",
"required": true,
"answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
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{
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"required": true
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{
"linkId": "PATIENT_SUBMISSION_NOTE",
"text": "Note",
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"maxLength": 1000
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],
"linkId": "SUBMISSIONFORMATTING",
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],
"linkId": "SUBMISSIONFORMATTINGDATE",
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},
{
"linkId": "SUBMISSIONFORMATTINGNOTE",
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]
}
]
},
{
"linkId": "ATTESTATIONS",
"text": "Attestations",
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"repeats": false,
"readOnly": false,
"item": [
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}
],
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},
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],
"linkId": "CONSENTLETTERDATE",
"text": "Date",
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"required": true
},
{
"linkId": "CONSENTLETTERNOTE",
"text": "Note",
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],
"text": "Radio Button"
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}
],
"linkId": "CONFLICT_OF_INTEREST",
"text": "Are Conflict of Interest Declarations provided?",
"type": "coding",
"required": true,
"answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
},
{
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}
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}
}
],
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{
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"code": "radio-button",
"display": "Radio Button"
}
],
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}
}
],
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}
},
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}
}
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{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "table",
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}
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"linkId": "PHARMACOECONOMICANALYSISSUMMARYGROUP",
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{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
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{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button",
"display": "Radio Button"
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],
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}
}
],
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}
]
}