| Package | hl7.fhir.us.eltss |
| Resource Type | Questionnaire |
| Id | questionnaire1 |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/eltss/https://build.fhir.org/ig/HL7/eLTSS/Questionnaire-questionnaire1.html |
| URL | http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1 |
| Version | 2.0.0 |
| Status | active |
| Date | 2024-05-23T18:52:32+00:00 |
| Name | Questionnaire1 |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Questionnaire | http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1#2.0.0 | ||
![]() ![]() | Did you choose the setting in which you reside? | 0..1 | boolean | |
![]() ![]() | What alternative home and community-based settings were considered? | 0..1 | string | |
![]() ![]() | Were you given a choice of services outlined in the plan? | 0..1 | boolean | |
![]() ![]() | Did you participate in the selection of services outlined in the plan? | 0..1 | boolean | |
![]() ![]() | Do you agree to the services outlined in the plan? | 0..1 | boolean | |
![]() ![]() | Were you offered a choice of providers for each service? | 0..1 | boolean | |
![]() ![]() | Do you feel you made an informed choice in selecting the provider for each service? | 0..1 | boolean | |
{
"resourceType": "Questionnaire",
"id": "questionnaire1",
"meta": {
"versionId": "1",
"lastUpdated": "2020-09-03T10:16:03.512-04:00",
"source": "#KZ0jzPjXDrhCiMif",
"profile": [
"http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.999"
}
],
"version": "2.0.0",
"name": "Questionnaire1",
"status": "active",
"date": "2024-05-23T18:52:32+00:00",
"publisher": "HL7 International / Human and Social Services",
"contact": [
{
"name": "HL7 International / Human and Social Services",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/hsswg"
},
{
"system": "email",
"value": "hhswg@lists.HL7.org"
}
]
}
],
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"item": [
{
"linkId": "q1",
"text": "Did you choose the setting in which you reside?",
"type": "boolean"
},
{
"linkId": "q2",
"text": "What alternative home and community-based settings were considered?",
"type": "string"
},
{
"linkId": "q3",
"text": "Were you given a choice of services outlined in the plan?",
"type": "boolean"
},
{
"linkId": "q4",
"text": "Did you participate in the selection of services outlined in the plan?",
"type": "boolean"
},
{
"linkId": "q5",
"text": "Do you agree to the services outlined in the plan?",
"type": "boolean"
},
{
"linkId": "q6",
"text": "Were you offered a choice of providers for each service?",
"type": "boolean"
},
{
"linkId": "q7",
"text": "Do you feel you made an informed choice in selecting the provider for each service?",
"type": "boolean"
}
]
}