FHIR IG analytics| Package | ca.on.health.idms.agreementmvp |
| Resource Type | Questionnaire |
| Id | Screening - Temp Benefits.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "7cba1306-e47a-4da8-a00a-a8aec0d78fab",
"meta": {
"versionId": "1",
"lastUpdated": "2024-07-26T15:17:02.436+00:00",
"source": "#smileutil-db7690",
"profile": [
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]
},
"version": "3.0.10",
"title": "Temp Benefit",
"status": "active",
"experimental": false,
"publisher": "DIRECT",
"description": "Temp Benefit - By invitation only to Manufacturers and/or internal",
"code": [
{
"system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Internal-Request-Category-Types",
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},
{
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"display": "All Product Types"
},
{
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"code": "SUB-TEMPORARY-BENEFITS",
"display": "Temporary Benefits"
},
{
"system": "https://health.gov.on.ca/idms/fhir/CodeSystem/Questionnaire-Type",
"code": "SCREENING",
"display": "Screening"
}
],
"item": [
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"text": "General",
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"required": false,
"repeats": false,
"readOnly": false,
"item": [
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"text": "General",
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"text": "Is the cover letter provided?",
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],
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],
"linkId": "THIRDPARTINVOLVEMENT",
"text": "Is Third Party involvement disclosed appropriately with business arrangement letters, if applicable?",
"type": "coding",
"required": true,
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],
"linkId": "THIRDPARTINVOLVEMENTDATE",
"text": "Date",
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"required": true
},
{
"linkId": "THIRDPARTINVOLVEMENTNOTE",
"text": "Note",
"type": "text",
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"maxLength": 1000
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],
"linkId": "SUBMISSIONFORMATTING",
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}
],
"linkId": "SUBMISSIONFORMATTINGDATE",
"text": "Date",
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{
"linkId": "SUBMISSIONFORMATTINGNOTE",
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]
},
{
"linkId": "PRODUCTDETAILS",
"text": "Product Details and Pricing",
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"linkId": "DRUG_BENEFIT_PRICE",
"text": "Is the Proposed Drug Benefit Price provided with the correct format?",
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}
],
"linkId": "DRUG_BENEFIT_PRICE_DATE",
"text": "Date",
"type": "date",
"required": true
},
{
"linkId": "DRUG_BENEFIT_PRICE_NOTE",
"text": "Note",
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},
{
"linkId": "ATTESTATIONS",
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],
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"text": "Date",
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"required": true
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{
"linkId": "CONSENTLETTERNOTE",
"text": "Note",
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],
"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"
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{
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