{
  "resourceType": "Questionnaire",
  "id": "hca-06-q-en-s1",
  "meta": {
    "profile": [
      "http://hl7.org.au/fhir/ch/v1/StructureDefinition/ncdhc-questionnaire-base"
    ]
  },
  "language": "en-AU",
  "version": "hca06-v1",
  "title": "Health Check Assessment 0-6 Questionnaire",
  "experimental": "false",
  "status": "active",
  "date": "2019-09-24",
  "publisher": "National Children's Digital Health Collaborative (NCDHC)",
  "description": "Question model to represent Newborn Delivery Section of the longitudinal summary",
  "code": [
    {
      "system": "http://hl7.org.au/fhir/ch/v1/CodeSystem/ncdhc-questionnaire-type",
      "code": "NBDELQ",
      "display": "Newborn Delivery Questionnaire"
    }
  ],
  "subjectType": [
    "Patient",
    "Observation"   
  ],
  "item": [
    {
      "linkId": "1",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-patient-baby-definitions.html#Patient.extension:birthPlace",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "169812000"
        }
      ],
      "text": "Facility / Location",
      "type": "string"
    },
    {
      "linkId": "2",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-patient-baby-definitions.html#Patient.birthDate.extension:birthTime",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "184099003"
        }
      ],
      "text": "Birth Date / Time",
      "type": "dateTime"
    },
    {
      "linkId": "3",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-patient-baby-definitions.html#Patient.gender",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "734000001"
        }
      ],
      "text": "Sex",
      "type": "choice"
    },
    {
      "linkId": "4",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-estimated-gestation-definitions.html#Observation.valueQuantity:valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "444135009"
        }
      ],
      "text": "Estimated Gestation",
      "type": "string"
    },
    {
      "linkId": "5",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-method-of-delivery-definitions.html#Observation.valueCodeableConcept:valueCodeableConcept",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "289258004"
        }
      ],
      "text": "Type of Birth",
      "type": "choice"
    },
    {
      "linkId": "6",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-labour-induced-definitions.html#Observation.valueCodeableConcept:valueCodeableConcept",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "20236002"
        }
      ],
      "text": "Labour Initiation",
      "type": "choice"
    },
    {
      "linkId": "7",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "609496007"
        }
      ],
      "text": "Pregnancy Complications",
      "type": "open-choice",
      "item": [
        {
          "linkId": "7.1",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-pregnancy-complication-definitions.html#Observation.value[x]",         
          "type": "open-choice"
        },
        {
          "linkId": "7.2",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-pregnancy-complication-definitions.html#Observation.comment",         
          "type": "text"
        }
      ]
    },
    {
      "linkId": "8",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "414025005"
        }
      ],
      "text": "Abnormalities Noted",
      "type": "open-choice",
      "item": [
        {
          "linkId": "8.1",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-birth-abnormalities-definitions.html#Observation.value[x]",         
          "type": "open-choice"
        },
        {
          "linkId": "8.2",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-birth-abnormalities-definitions.html#Observation.comment",          
          "type": "text"
        }
      ]
    },
    {
      "linkId": "9",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "198609003"
        }
      ],
      "text": "Birth Complications",
      "type": "open-choice",
      "item": [
        {
          "linkId": "9.1",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-birth-complication-definitions.html#Observation.value[x]",         
          "type": "open-choice"
        },
        {
          "linkId": "9.2",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-birth-complication-definitions.html#Observation.comment",         
          "type": "text"
        }
      ]
    },
    {
      "linkId": "10",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "302083008"
        }
      ],
      "text": "APGAR",
      "type": "group",
      "item": [
        {
          "linkId": "10.1",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-apgar-score-definitions.html#Observation.value[x]:valueQuantity",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "169895004"
            }
          ],
          "text": "1 minute",
          "type": "quantity"
        },
        {
          "linkId": "10.2",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-apgar-score-definitions.html#Observation.value[x]:valueQuantity",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "169909004"
            }
          ],
          "text": "5 minute",
          "type": "quantity"
        },
        {
          "linkId": "10.3",
          "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-apgar-score-definitions.html#Observation.value[x]:valueQuantity",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "169922007"
            }
          ],
          "text": "10 minute",
          "type": "quantity"
        }
      ]
    },
    {
      "linkId": "11",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-vitalsign-bodyweight-definitions.html#Observation.valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "364589006"
        }
      ],
      "text": "Birth Weight",
      "type": "quantity"
    },
    {
      "linkId": "12",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-vitalsign-bodyheight-definitions.html#Observation.valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "248334005"
        }
      ],
      "text": "Birth Length",
      "type": "quantity"
    },
    {
      "linkId": "13",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-observation-vitalsign-headcircum-definitions.html#Observation.valueQuantity",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "363812007"
        }
      ],
      "text": "Head Circumference",
      "type": "quantity"
    },
    {
      "linkId": "14",
      "code": [
        {
          "system": "http://snomed.info/sct",
          "code": "66656000"
        }
      ],
      "text": "Vitamin K",
      "type": "group",
      "item": [
        {
          "linkId": "14.1",
          "code": [
            {
              "system": "http://snomed.info/sct",
              "code": "169895004"
            }
          ],
          "text": "Vitamin K1",
          "type": "question",
          "item": [
            {
              "linkId": "14.1.1",
              "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-medicationstatement-vitamink-definitions.html#MedicationStatement.dosage.dose[x]",
              "text": "Dose",
              "type": "open-choice"
            },
            {
              "linkId": "14.1.2",
              "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-medicationstatement-vitamink-definitions.html#MedicationStatement.effectiveDateTime:effectiveDateTime",
              "text": "Date",
              "type": "dateTime"
            },
            {
              "linkId": "14.1.3",
              "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-medicationstatement-vitamink-definitions.html#MedicationStatement.dosage.route",
              "text": "Route",
              "type": "choice"
            }
          ]
        }
      ]
    },
    {
      "linkId": "15",
      "definition": "http://build.fhir.org/ig/hl7au/au-fhir-childhealth/StructureDefinition-ncdhc-encounter-definitions.html#Encounter.participant.individual",
      "text": "Examiner",
      "type": "group",
      "item": [
        {
          "linkId": "15.1",
          "text": "Designation",
          "type": "choice"
        },
        {
          "linkId": "15.2",
          "text": "Venue",
          "type": "string"
        },
        {
          "linkId": "15.3",
          "text": "Date & Time",
          "type": "dateTime"
        }
      ]
    }
  ]
}