# Simple Questionnaire - Da Vinci - Documentation Templates and Rules v2.2.0

## Questionnaire: Simple Questionnaire 

*  [Tree view](#tabs-tree) 
*  [Sample Rendering](#tabs-sample) 
*  [Form Logic](#tabs-logic) 

### Test this Questionnaire

### Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "dtr-questionnaire",
  "url" : "http://hl7.org/fhir/us/davinci-dtr/dtr-questionnaire",
  "version" : "2.2.0",
  "name" : "DTRQuestionnaire",
  "title" : "Simple Questionnaire",
  "status" : "draft",
  "subjectType" : ["Patient"],
  "date" : "2020-01-16T00:00:00+00:00",
  "publisher" : "HL7 International / Clinical Decision Support",
  "contact" : [{
    "name" : "HL7 International / Clinical Decision Support",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/dss"
    }]
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }]
}

```
