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UKCore-Questionnaire-FitnessForWork-Example
An example to illustrate a fitness for work form questions
Table View
| Questionnaire.id[0] | UKCore-Questionnaire-FitnessForWork-Example |
| Questionnaire.text[0].status[0] | additional |
| Questionnaire.text[0].div[0] | <div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate a fitness for work form questions</div> |
| Questionnaire.url[0] | https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-Example |
| Questionnaire.title[0] | Statement of Fitness for Work (Mock up) |
| Questionnaire.status[0] | draft |
| Questionnaire.experimental[0] | True |
| Questionnaire.subjectType[0] | Patient |
| Questionnaire.description[0] | This is based on Med 3 from DWP purely for demonstration purposes |
| Questionnaire.code[0].system[0] | http://snomed.info/sct |
| Questionnaire.code[0].code[0] | 18381000000107 |
| Questionnaire.code[0].display[0] | Sickness certificates |
| Questionnaire.item[0].linkId[0] | Q1 |
| Questionnaire.item[0].text[0] | Assessment Date |
| Questionnaire.item[0].type[0] | date |
| Questionnaire.item[0].required[0] | True |
| Questionnaire.item[1].linkId[0] | Q2 |
| Questionnaire.item[1].text[0] | Condition(s) |
| Questionnaire.item[1].type[0] | group |
| Questionnaire.item[1].item[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| Questionnaire.item[1].item[0].extension[0].value[0].coding[0].system[0] | http://hl7.org/fhir/questionnaire-item-control |
| Questionnaire.item[1].item[0].extension[0].value[0].coding[0].code[0] | autocomplete |
| Questionnaire.item[1].item[0].extension[0].value[0].coding[0].display[0] | Auto-complete |
| Questionnaire.item[1].item[0].linkId[0] | Q2g |
| Questionnaire.item[1].item[0].text[0] | Condition (Coded) |
| Questionnaire.item[1].item[0].type[0] | choice |
| Questionnaire.item[1].item[0].repeats[0] | True |
| Questionnaire.item[1].item[0].answerValueSet[0] | https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode |
| Questionnaire.item[2].linkId[0] | Q3 |
| Questionnaire.item[2].code[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].code[0].code[0] | 365524007 |
| Questionnaire.item[2].code[0].display[0] | Fitness for work - finding |
| Questionnaire.item[2].text[0] | I find you |
| Questionnaire.item[2].type[0] | choice |
| Questionnaire.item[2].required[0] | True |
| Questionnaire.item[2].answerOption[0].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].answerOption[0].value[0].code[0] | 160910001 |
| Questionnaire.item[2].answerOption[0].value[0].display[0] | Unfit for work |
| Questionnaire.item[2].answerOption[1].value[0].system[0] | http://snomed.info/sct |
| Questionnaire.item[2].answerOption[1].value[0].code[0] | 225891002 |
| Questionnaire.item[2].answerOption[1].value[0].display[0] | Fit for work with restrictions |
Tree View
| Questionnaire |
| id : UKCore-Questionnaire-FitnessForWork-Example |
| text |
| status : additional |
| url : https://example.com/base/Questionnaire/UKCore-Questionnaire-FitnessForWork-Example |
| title : Statement of Fitness for Work (Mock up) |
| status : draft |
| experimental : True |
| subjectType : Patient |
| description : This is based on Med 3 from DWP purely for demonstration purposes |
| code |
| system : http://snomed.info/sct |
| code : 18381000000107 |
| display : Sickness certificates |
| item |
| linkId : Q1 |
| text : Assessment Date |
| type : date |
| required : True |
| item |
| linkId : Q2 |
| text : Condition(s) |
| type : group |
| item |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl |
| value |
| coding |
| system : http://hl7.org/fhir/questionnaire-item-control |
| code : autocomplete |
| display : Auto-complete |
| linkId : Q2g |
| text : Condition (Coded) |
| type : choice |
| repeats : True |
| answerValueSet : https://fhir.hl7.org.uk/ValueSet/UKCore-ConditionCode |
| item |
| linkId : Q3 |
| code |
| system : http://snomed.info/sct |
| code : 365524007 |
| display : Fitness for work - finding |
| text : I find you |
| type : choice |
| required : True |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 160910001 |
| display : Unfit for work |
| answerOption |
| value |
| system : http://snomed.info/sct |
| code : 225891002 |
| display : Fit for work with restrictions |
XML View
--- We have skipped the narrative for better readability of the resource ---
</text>
</code>
</item>
</coding>
</valueCodeableConcept>
</extension>
</item>
</item>
</code>
</valueCoding>
</answerOption>
</valueCoding>
</answerOption>
</item>
</Questionnaire>
JSON View
{
--- We have skipped the narrative for better readability of the resource ---
},
"Patient"
],
{
}
],
{
},
{
{
{
{
}
]
}
}
],
}
]
},
{
{
}
],
{
}
},
{
}
}
]
}
]
}