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Packageca.on.health.idms.agreementmvp
Resource TypeQuestionnaire
IdScreening - Single Source.json
FHIR VersionR5

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Source1

{
  "resourceType": "Questionnaire",
  "id": "6d46c026-9700-4b8d-a8ed-67dc7d8fa3be",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2024-07-26T15:16:59.730+00:00",
    "source": "#smileutil-1c681e",
    "profile": [
      "https://health.gov.on.ca/idms/fhir/StructureDefinition/IDMS-Questionnaire|1.0.0"
    ]
  },
  "version": "3.0.10",
  "title": "Screening, Drug Submission Single Source, New Chemical Entity, New Brand Product, New Indication",
  "status": "active",
  "experimental": false,
  "publisher": "DIRECT",
  "description": "Screening, Drug Submission Single Source, New Chemical Entity, New Brand Product, New Indication",
  "code": [
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
      "code": "REQUEST-CATEGORY-DRUG-SUBMISSION",
      "display": "Drug Submission"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
      "code": "REQUEST-CATEGORY-NON-FORMULARY",
      "display": "Non-Formulary"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Product-Types",
      "code": "PRODUCT-SINGLE-SOURCE",
      "display": "Single Source"
    },
    {
      "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-Submission-Types",
      "code": "SUB-NON-FORMULARY-SINGLE",
      "display": "Non-Formulary Single Source"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Submission-Types",
      "code": "SUB-BRAND-PRODUCT",
      "display": "New Brand Product (Non-New Chemical Entity)"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Submission-Types",
      "code": "SUB-NEW-INDICATION",
      "display": "New Indication"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Submission-Types",
      "code": "SUB-NEW-CHEMICAL",
      "display": "New Chemical Entity"
    },
    {
      "system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
      "code": "SCREENING",
      "display": "Screening"
    }
  ],
  "item": [
    {
      "linkId": "GENERAL",
      "text": "General",
      "type": "group",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "item": [
        {
          "linkId": "GENERALHEAD",
          "text": "General",
          "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-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "COVERLETTER",
              "text": "Is the cover letter provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTER').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "COVERLETTERDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "COVERLETTERNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "COVERLETTERGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTER').answer.valueCoding.code='YES'"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "COVERLETTERREFERENCE",
              "text": "Does the cover letter references the correct division name \"Health Programs and Delivery Division\" (HPDD)?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTER').answer.valueCoding.code='YES' and %context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTERREFERENCE').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                }
              ],
              "linkId": "COVERLETTERREFERENCEDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTER').answer.valueCoding.code='YES'"
                  }
                }
              ],
              "linkId": "COVERLETTERREFERENCECOVERLETTERNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='COVERLETTER').answer.valueCoding.code='YES'"
                  }
                }
              ],
              "linkId": "COVERLETTERREFERNCEGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "TABLEOFCONTENTS",
              "text": "Is the table of contents provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='TABLEOFCONTENTS').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "TABLEOFCONTENTSDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "TABLEOFCONTENTSNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "TABLEOFCONTENTSGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
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                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "THIRDPARTINVOLVEMENT",
              "text": "Is Third Party involvement disclosed appropriately with business arrangement letters, if applicable?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='THIRDPARTINVOLVEMENT').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "THIRDPARTINVOLVEMENTDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "THIRDPARTINVOLVEMENTNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
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                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "THIRDPARTINVOLVEMENTGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
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                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "SUBMISSIONFORMATTING",
              "text": "Is the submission formatted and organized appropriately?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
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                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='GENERAL').item.where(linkId='GENERALHEAD').item.where(linkId='SUBMISSIONFORMATTING').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "SUBMISSIONFORMATTINGDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "SUBMISSIONFORMATTINGNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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                        "display": "Group table"
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                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "SUBMISSIONFORMATTINGGROUP",
              "type": "group",
              "repeats": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "PRODUCTDETAILS",
      "text": "Product Details and Pricing",
      "type": "group",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "item": [
        {
          "linkId": "PRODUCTDETAILSHEAD",
          "text": "Product Details and Pricing",
          "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-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "PROPOSEDBENEFITPRICE",
              "text": "Is the Proposed Drug Benefit Price provided with the correct format?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='PRODUCTDETAILS').item.where(linkId='PRODUCTDETAILSHEAD').item.where(linkId='PROPOSEDBENEFITPRICE').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "PROPOSEDBENEFITPRICEDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "PROPOSEDBENEFITPRICENOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "PROPOSEDBENEFITPRICEGROUP",
              "type": "group",
              "repeats": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "HEALTHCANADADOCUMETANTION",
      "text": "Health Canada Documentation",
      "type": "group",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "item": [
        {
          "linkId": "HEALTHCANADADOCUMETANTIONHEAD",
          "text": "Health Canada Documentation",
          "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-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "NOTICEOFCOMPLIANCE",
              "text": "Is the Notice of Compliance provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='NOTICEOFCOMPLIANCE').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "NOTICEOFCOMPLIANCEDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "NOTICEOFCOMPLIANCENOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='NOTICEOFCOMPLIANCE').answer.valueCoding.code='NO'"
                  }
                }
              ],
              "linkId": "PRENOC",
              "text": "Is this product Pre-NOC?",
              "type": "boolean",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "NOTICEOFCOMPLIANCEGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean.exists().not() or %context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean=false"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPH",
              "text": "Is the Product Monograph provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.exists() and (%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean.exists().not() or %context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean=false)"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='NOTICEOFCOMPLIANCE').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                }
              ],
              "linkId": "PRODUCTMONOGRAPHDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean.exists().not() or %context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean=false"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean.exists().not() or %context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRENOC').answer.valueBoolean=false"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.valueCoding.code='NA'"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHSUPPORTINGDOCUMENTS",
              "text": "Are the appropriate Supporting Documents provided in place of the Product Monograph?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0",
              "item": [
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.valueCoding.code='NA'"
                      }
                    },
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/questionnaire-item-control",
                            "code": "help",
                            "display": "Help-Button"
                          }
                        ]
                      }
                    }
                  ],
                  "linkId": "PRODUCTMONOGRAPHSUPPORTINGDOCUMENTSHELP",
                  "text": "<div>List of the appropriate supporting documents:</div><ul><li>Pharmaceutical information.</li><li>Information with respect to the product's clinical pharmacology.</li><li>Information as to the product's indications and clinical use.</li><li>A list of any contra-indications, warnings or precautions in the use of the product and of possible adverse reactions to its use.</li><li>A list of symptoms of an overdose of the product and information as to the treatment of an overdose.</li><li>Information with respect to the dosage and administration of the product.</li><li>Information regarding the availability of dosage forms for each strength of the product marketed in Canada.</li>",
                  "type": "display"
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.valueCoding.code='NA' and %context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPHSUPPORTINGDOCUMENTS').answer.exists()"
                  }
                },
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHSUPPORTINGDOCUMENTSDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.valueCoding.code='NA'"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHSUPPORTINGDOCUMENTSNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='HEALTHCANADADOCUMETANTION').item.where(linkId='HEALTHCANADADOCUMETANTIONHEAD').item.where(linkId='PRODUCTMONOGRAPH').answer.valueCoding.code='NA'"
                  }
                }
              ],
              "linkId": "PRODUCTMONOGRAPHSUPPORTINGDOCUMENTSGROUP",
              "type": "group",
              "repeats": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "ATTESTATIONS",
      "text": "Attestations",
      "type": "group",
      "required": false,
      "repeats": false,
      "readOnly": false,
      "item": [
        {
          "linkId": "ATTESTATIONSHEAD",
          "text": "Attestations",
          "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-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "CONSENTLETTER",
              "text": "Is the Letter of Consent provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='ATTESTATIONS').item.where(linkId='ATTESTATIONSHEAD').item.where(linkId='CONSENTLETTER').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "CONSENTLETTERDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "CONSENTLETTERNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "CONSETLETTERGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "EVIDENCELETTER",
              "text": "Is the Evidence Confirming Ability to Supply Letter provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='ATTESTATIONS').item.where(linkId='ATTESTATIONSHEAD').item.where(linkId='EVIDENCELETTER').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "EVIDENCELETTERDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "EVIDENCELETTERNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "EVIDENCELETTERGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "CERTIFICATIONLETTER",
              "text": "Is the Certification Confirming that No Rebates Letter provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='ATTESTATIONS').item.where(linkId='ATTESTATIONSHEAD').item.where(linkId='CERTIFICATIONLETTER').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "CERTIFICATIONLETTERDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "CERTIFICATIONLETTERNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
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                        "display": "Group table"
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                    "text": "Group table"
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                }
              ],
              "linkId": "CERTIFICATIONLETTERGROUP",
              "type": "group",
              "repeats": false
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        }
      ]
    },
    {
      "linkId": "CLINICALEVIDENCE",
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      "repeats": false,
      "readOnly": false,
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          "linkId": "CLINICALEVIDENCEHEAD",
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                }
              ],
              "linkId": "APPROPRIATEEVIDENCE",
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              "linkId": "APPROPRIATEEVIDENCENOTE",
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                    "text": "Radio Button"
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                }
              ],
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              "linkId": "UNPUBLISHEDSTUDIESNOTE",
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              "linkId": "CLINICALDATACHECKLISTNOTE",
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              "required": false,
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              ],
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                }
              ],
              "linkId": "BIAMODEL",
              "text": "Is the BIA model provided?",
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                },
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              ],
              "linkId": "BIAMODELDATE",
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              "required": true
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            {
              "linkId": "BIAMODELNOTE",
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              "required": false,
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              "linkId": "BIAMODELGROUP",
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                    "text": "Radio Button"
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              ],
              "linkId": "FINANCIALIMPACTSTUDY",
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    },
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      "linkId": "PHARMACOECONOMICANALYSIS",
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              ],
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              ],
              "linkId": "PHARMACOECONOMICANALYSISREPORTDATE",
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              "required": true
            },
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              "linkId": "PHARMACOECONOMICANALYSISREPORTNOTE",
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              "required": false,
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              "linkId": "PHARMACOECONOMICANALYSISREPORTGROUP",
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            {
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                    ],
                    "text": "Radio Button"
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                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISMODEL",
              "text": "Is the Pharmacoeconomic Analysis model provided?",
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              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='PHARMACOECONOMICANALYSIS').item.where(linkId='PHARMACOECONOMICANALYSISHEAD').item.where(linkId='PHARMACOECONOMICANALYSISMODEL').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISMODELDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "PHARMACOECONOMICANALYSISMODELNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISMODELGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISSUMMARY",
              "text": "Is the Pharmacoeconomic Analysis Summary Sheet provided?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='PHARMACOECONOMICANALYSIS').item.where(linkId='PHARMACOECONOMICANALYSISHEAD').item.where(linkId='PHARMACOECONOMICANALYSISSUMMARY').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISSUMMARYDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "PHARMACOECONOMICANALYSISSUMMARYNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISSUMMARYGROUP",
              "type": "group",
              "repeats": false
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-choiceOrientation",
                  "valueCode": "horizontal"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "radio-button",
                        "display": "Radio Button"
                      }
                    ],
                    "text": "Radio Button"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISWORKSHEET",
              "text": "Is the Pharmacoeconomic Analysis Worksheet provided, if applicable?",
              "type": "coding",
              "required": true,
              "answerValueSet": "https://health.gov.on.ca/idms/fhir/ValueSet/Form-Yes-No-NA|1.0.0"
            },
            {
              "extension": [
                {
                  "url": "https://health.gov.on.ca/idms/fhir/StructureDefinition/Extension-Question-Required-Level",
                  "valueCode": "QUESTIONNAIRE-REQUIRED-LEVEL-REQUIRED"
                },
                {
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/cqf-calculatedValue",
                      "valueExpression": {
                        "language": "text/fhirpath",
                        "expression": "today() + 1 day"
                      }
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/maxValue"
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "%context.item.where(linkId='PHARMACOECONOMICANALYSIS').item.where(linkId='PHARMACOECONOMICANALYSISHEAD').item.where(linkId='PHARMACOECONOMICANALYSISWORKSHEET').answer.exists()"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
                  "valueExpression": {
                    "language": "text/fhirpath",
                    "expression": "today() + 1 day"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISWORKSHEETDATE",
              "text": "Date",
              "type": "date",
              "required": true
            },
            {
              "linkId": "PHARMACOECONOMICANALYSISWORKSHEETNOTE",
              "text": "Note",
              "type": "text",
              "required": false,
              "maxLength": 1000
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/questionnaire-item-control",
                        "code": "table",
                        "display": "Group table"
                      }
                    ],
                    "text": "Group table"
                  }
                }
              ],
              "linkId": "PHARMACOECONOMICANALYSISWORKSHEETGROUP",
              "type": "group",
              "repeats": false
            }
          ]
        }
      ]
    }
  ]
}