FHIR IG Statistics: Questionnaire/Questionnaire-example-duplicate-2

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{
  "resourceType": "Questionnaire",
  "url": "https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-AdditionalMHReferralInformation",
  "version": "0.0.1",
  "name": "SHD-Questionnaire-AdditionalMHReferralInformation",
  "title": "SHD-Questionnaire-AdditionalMHReferralInformation",
  "status": "draft",
  "date": "2021-08-25T17:00:00Z",
  "publisher": "NottsCC",
  "description": "Additional Mental Health referral information completed by Hospital Staff and shared as part of a Supported Hospital Discharge with third parties",
  "purpose": "Additional Mental Health referral information completed by Hospital Staff and shared as part of a Supported Hospital Discharge with third parties",
  "subjectType": [
    "Patient"
  ],
  "item": [
    {
      "linkId": "1",
      "text": "Additional Mental Health Supported Discharge Referral Information",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "1.1",
          "text": "Ward Manager / Named Nurse",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.2",
          "text": "Ward Telephone Number",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.3",
          "text": "MH Act Legal Status (e.g. DOLs Requirement, Section 117 Eligible, Section 2, Section 3, CTO, CTR listed, Informal Patient who is no longer detained, etc)",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.4",
          "text": "Provide any communication needs (e.g. sign language, braille, interpreter required)",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.5",
          "text": "Provide details of any relevent Safeguarding Requirements",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.6",
          "text": "Has the patient been involved/agreed in the referral for assessment? If not provide details of why not",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.7",
          "text": "Does the patient have capacity for the referral? If not provide details",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.8",
          "text": "What involvement have any carers had in the referral?  Also provide details of any additional/informal carers other than the primary named carer",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.9",
          "text": "Provide details of any advocacy requirement",
          "type": "text",
          "required": false
        },
        {
          "linkId": "1.10",
          "text": "Any other information relevant to the referral",
          "type": "text",
          "required": false
        }
      ]
    }
  ]
}