{

"resourceType": "Questionnaire",
"id": "bb",
"text": {
  "status": "generated",
  "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <pre>\n        <b>Birth details - To be completed by health professional</b>\n  Name of child: ____________________________________\n            Sex: __\n            \n  Neonatal Information\n    Birth Weight (kg): ___________\n    Birth Length (cm): ___________\n    Vitamin K given  : __\n             1st dose: ___________\n             2nd dose: ___________\n    Hep B given      : __\n      Date given     : ___________\n    Abnormalities noted at birth:\n      _______________________________________________\n      </pre>\n    </div>"
},
"url": "http://hl7.org/fhir/Questionnaire/bb",
"title": "NSW Government My Personal Health Record",
"status": "draft",
"date": "2013-02-19",
"publisher": "New South Wales Department of Health",
"jurisdiction": [
  {
    "coding": [
      {
        "system": "urn:iso:std:iso:3166",
        "code": "AU"
      }
    ]
  }
],
"subjectType": [
  "Patient"
],
"item": [
  {
    "linkId": "birthDetails",
    "text": "Birth details - To be completed by health professional",
    "type": "group",
    "item": [
      {
        "linkId": "group",
        "type": "group",
        "item": [
          {
            "linkId": "nameOfChild",
            "text": "Name of child",
            "type": "string"
          },
          {
            "linkId": "sex",
            "text": "Sex",
            "type": "choice",
            "option": [
              {
                "valueCoding": {
                  "code": "F"
                }
              },
              {
                "valueCoding": {
                  "code": "M"
                }
              }
            ]
          }
        ]
      },
      {
        "linkId": "neonatalInformation",
        "text": "Neonatal Information",
        "type": "group",
        "item": [
          {
            "linkId": "birthWeight",
            "text": "Birth weight (kg)",
            "type": "decimal"
          },
          {
            "linkId": "birthLength",
            "text": "Birth length (cm)",
            "type": "decimal"
          },
          {
            "linkId": "vitaminKgiven",
            "text": "Vitamin K given",
            "type": "choice",
            "option": [
              {
                "valueCoding": {
                  "code": "INJECTION"
                }
              },
              {
                "valueCoding": {
                  "code": "INTRAVENOUS"
                }
              },
              {
                "valueCoding": {
                  "code": "ORAL"
                }
              }
            ],
            "item": [
              {
                "linkId": "vitaminKgivenDoses",
                "type": "group",
                "enableWhen": [
                  {
                    "question": "vitaminKgiven",
                    "hasAnswer": true
                  }
                ],
                "item": [
                  {
                    "linkId": "vitaminiKDose1",
                    "text": "1st dose",
                    "type": "dateTime"
                  },
                  {
                    "linkId": "vitaminiKDose2",
                    "text": "2nd dose",
                    "type": "dateTime"
                  }
                ]
              }
            ]
          },
          {
            "linkId": "hepBgiven",
            "text": "Hep B given y / n",
            "type": "boolean",
            "item": [
              {
                "linkId": "hepBgivenDate",
                "text": "Date given",
                "type": "date"
              }
            ]
          },
          {
            "linkId": "abnormalitiesAtBirth",
            "text": "Abnormalities noted at birth",
            "type": "string"
          }
        ]
      }
    ]
  }
]

}