| Package | fhir.argonaut.questionnaire |
| Resource Type | Questionnaire |
| Id | questionnaire-example-sampler |
| FHIR Version | R3 |
| Source | http://fhir.org/guides/argonaut/questionnaire/http://fhir.org/guides/argonaut/questionnaire/1.0.0/Questionnaire-questionnaire-example-sampler.html |
| URL | http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler |
| Version | 0.0.0 |
| Status | draft |
| Date | 2018-07-26 |
| Title | Argonaut Questionnaire Sampler |
| Realm | us |
| Authority | hl7 |
| Copyright | You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission. |
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Note: links and images are rebased to the (stated) source
You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission.
FHIR{
"resourceType": "Questionnaire",
"id": "questionnaire-example-sampler",
"meta": {
"profile": [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"
]
},
"text": {
"status": "additional",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit",
"valueDuration": {
"value": 5,
"unit": "minute",
"system": "http://unitsofmeasure.org",
"code": "min"
}
}
],
"url": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-sampler",
"identifier": [
{
"system": "http://acme.org/q-identifiers",
"value": "questionnaire-example-sampler"
}
],
"version": "0.0.0",
"title": "Argonaut Questionnaire Sampler",
"status": "draft",
"date": "2018-07-26",
"publisher": "Argonaut Project",
"useContext": [
{
"code": {
"system": "http://hl7.org/fhir/usage-context-type",
"code": "task",
"display": "Workflow Task"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://acme.org",
"code": "example",
"display": "Example of Use"
}
]
}
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://argonautwiki.hl7.org"
}
]
}
],
"copyright": "You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission.",
"code": [
{
"system": "http://acme.org",
"code": "foo",
"display": "Argonaut Questionnaire Sampler"
}
],
"subjectType": [
"Patient"
],
"item": [
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g1",
"text": "Header Text",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g1.d",
"text": "The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project: 1. boolean, 2. decimal, 3. integer, 4. dateDate, 5. dateTime, 6. timeTime, 7. string, 8. textText, 9. urlUrl, 10. choice, 11. open-choice, 12. quantity",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"linkId": "g2",
"prefix": "1.",
"text": "boolean",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 17
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g2.q1",
"text": "Check the box if the following statement is true. The average air speed velocity of a laden European swallow is greater than a laden African swallow.",
"type": "boolean",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 2
}
],
"linkId": "g3",
"prefix": "2.",
"text": "decimal",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 7
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g3.q1",
"text": "What is the average air speed velocity of a laden swallow in m/sec?",
"type": "decimal",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 3
}
],
"linkId": "g4",
"prefix": "3.",
"text": "integer",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 3
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g4.q1",
"text": "What is the average air speed velocity of a laden swallow in m/sec?",
"type": "integer",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 4
}
],
"linkId": "g5",
"prefix": "4.",
"text": "date",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 27
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g5.q1",
"text": "If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?",
"type": "date",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 5
}
],
"linkId": "g6",
"prefix": "5.",
"text": "dateTime",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 3
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g6.q1",
"text": "If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?",
"type": "dateTime",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 6
}
],
"linkId": "g7",
"prefix": "6.",
"text": "time",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 8
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g7.q1",
"text": "If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?",
"type": "time",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 7
}
],
"linkId": "g8",
"prefix": "7.",
"text": "string",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 1
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g8.q1",
"text": "Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.",
"type": "string",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 8
}
],
"linkId": "g9",
"prefix": "8.",
"text": "text",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g9.q1",
"text": "Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.",
"type": "text",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 9
}
],
"linkId": "g10",
"prefix": "9.",
"text": "url",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 11
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g10.q1",
"text": "Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.",
"type": "url",
"required": true,
"repeats": false
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 10
}
],
"linkId": "g11",
"prefix": "10.",
"text": "choice",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g11.q1",
"text": "What is the average air speed velocity of a laden swallow in m/sec?",
"type": "choice",
"required": true,
"repeats": false,
"option": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"valueString": "10"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 43
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"valueString": "11"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 2
}
],
"valueString": "12"
}
]
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 11
}
],
"linkId": "g12",
"prefix": "11.",
"text": "open-choice",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g12.q1",
"text": "What is the average air speed velocity of a laden swallow in m/sec?",
"type": "open-choice",
"required": true,
"repeats": false,
"option": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"valueString": "10"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 43
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 1
}
],
"valueString": "11"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 0
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 2
}
],
"valueString": "12"
}
]
}
]
},
{
"extension": [
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 12
}
],
"linkId": "g13",
"prefix": "12.",
"text": "quantity",
"type": "group",
"required": true,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal": 3
},
{
"url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger": 0
}
],
"linkId": "g13.q1",
"text": "What is the average air speed velocity of a laden swallow - please provide the units?",
"type": "quantity",
"required": true,
"repeats": false
}
]
}
]
}