playground-basic-task-app/assets/questionnaire.json at main · smilecdr/playground-basic-task-app · GitHub

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
{
  "resourceType": "Questionnaire",
  "id": "f201",
  "url": "http://hl7.org/fhir/Questionnaire/f201",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "date": "2021-08-12",
  "item": [
    {
      "linkId": "1",
      "text": "Do you have allergies?",
      "type": "boolean"
    },
    {
      "linkId": "2",
      "text": "What is your gender?",
      "type": "choice",
      "option": [
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "male",
            "display": "Male"
          }
        },
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "female",
            "display": "Female"
          }
        },
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "other",
            "display": "Other"
          }
        }
      ]
    },
    {
      "linkId": "3",
      "text": "What is your date of birth?",
      "type": "date"
    },
    {
      "linkId": "4",
      "text": "What is your country of birth?",
      "type": "string"
    },
    {
      "linkId": "5",
      "text": "What is your marital status?",
      "type": "choice",
      "option": [
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "married",
            "display": "Married"
          }
        },
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "single",
            "display": "Single"
          }
        },
        {
          "valueCoding": {
            "system": "http://hl7.fhir/org",
            "code": "divorced",
            "display": "Divorced"
          }
        }
      ]
    },
    {
      "linkId": "6",
      "text": "Do you smoke?",
      "type": "boolean"
    },
    {
      "linkId": "7",
      "text": "Do you drink alchohol?",
      "type": "boolean"
    }
  ]
}