FHIR IG analytics| Package | synapxe.nehr |
| Resource Type | Questionnaire |
| Id | QuestionnaireCreateRequest.json |
| FHIR Version | R5 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"url": "https://fhir.synapxe.sg/Questionnaire/pss-screen",
"version": "1.0.0",
"title": "Project Silver Screen Assessment",
"status": "active",
"effectivePeriod": {
"start": "2025-09-16",
"end": "2025-12-31"
},
"code": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-type",
"code": "pss-screen",
"display": "Project Silver Screen"
}
],
"item": [
{
"linkId": "1",
"type": "group",
"code": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
"code": "oral",
"display": "Oral Screening"
}
],
"item": [
{
"linkId": "1.1",
"text": "Is the participant currently wearing dentures or has dentures?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
}
]
}
]
},
{
"linkId": "2",
"type": "group",
"code": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
"code": "vision",
"display": "Vision Screening"
}
],
"item": [
{
"linkId": "2.1",
"text": "Snellen Test Result",
"type": "choice",
"code": [
{
"system": "http://loinc.org",
"code": "29271-4",
"display": "Visual acuity left eye"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "6-6",
"display": "6/6"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "6-12",
"display": "6/12"
}
}
]
}
]
},
{
"linkId": "3",
"type": "group",
"code": [
{
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-item-type",
"code": "hearing",
"display": "Hearing Screening"
}
],
"item": [
{
"linkId": "3.1",
"text": "Is the participant wearing hearing aids?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
}
]
},
{
"linkId": "3.2",
"text": "Does the participant need to change the hearing aids?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
}
],
"enableWhen": [
{
"question": "3.1",
"operator": "=",
"answerCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
}
]
},
{
"linkId": "3.3",
"text": "Proceed with hearing screening?",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
}
],
"enableWhen": [
{
"question": "3.1",
"operator": "=",
"answerCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "no",
"display": "No"
}
}
]
},
{
"linkId": "3.4",
"text": "Visual Examination (Left Ear)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "pass",
"display": "Pass"
}
},
{
"valueCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "refer",
"display": "Refer"
}
}
],
"enableWhen": [
{
"question": "3.3",
"operator": "=",
"answerCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
}
]
},
{
"linkId": "3.5",
"text": "Pure Tone Test Result (Left Ear)",
"type": "choice",
"code": [
{
"system": "http://loinc.org",
"code": "91375-6",
"display": "Hearing threshold 250 Hz Ear-L"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "0-25",
"display": "0-25 dB"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": ">25",
"display": ">25 dB"
}
}
],
"enableWhen": [
{
"question": "3.3",
"operator": "=",
"answerCoding": {
"system": "https://fhir.synapxe.sg/CodeSystem/assessment-answer-type",
"code": "yes",
"display": "Yes"
}
}
]
}
]
}
]
}