# Konsulta Availment Slip Form - NHDR Implementation Guide Release 1.0 v0.1.0

* [**Table of Contents**](toc.md)
* **Konsulta Availment Slip Form**

## Konsulta Availment Slip Form

This is a sample representation of the **Use Case** implementation guide for **Konsulta Availment Slip Form**

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### Implementation Rules

* name.given is an array that captures the first name and middle name. 
1. name.`given[0]`is used to capture a person's**first name**.
1. name.`given[1]`is used to capture a person's**middle name**.
 

**Questionnaire:**

```
    {
        "resourceType": "Questionnaire",
        "id": "K3-Questionnaire",
        "meta": {
        "profile": [
            "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"
            ]
        },
            "status": "active",
            "item": [
            {
                "linkId": "K3-Q1",
                "text": "Consent Confirmation",
                "type": "boolean"
            },
            {
                "linkId": "K3-Q2",
                "text": "Konsulta Services Performed?",
                "type": "boolean"
            },
            {
                "linkId": "K3-Q3",
                "text": "Have you received the above-mentioned essential service? [Y|N]",
                "type": "boolean"
            },
            {
                "linkId": "K3-Q4",
                "text": "How satisfied are you with the services provided?",
                "type": "string"
            },
            {
                "linkId": "K3-Q5",
                "text": "For your comment, suggestion or complaint",
                "type": "string"
            }
        ]
    }


```

**Questionnaire Response:**

```
    {
        "resourceType": "QuestionnaireResponse",
            "id": "K3-QuestionnaireResponse",
            "meta": {
            "profile": [
                "https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"
            ]
            },
        "status": "completed",
        "item": [
        {
            "linkId": "K3-Q1",
            "answer": [
            {
                "valueBoolean": true
            }
            ]
        },
        {
            "linkId": "K3-Q2",
            "answer": [
            {
                "valueBoolean": true
            }
            ]
        },
        {
            "linkId": "K3-Q3",
            "answer": [
            {
                "valueBoolean": true
            }
            ]
        },
        {
            "linkId": "K3-Q4",
            "answer": [
            {
                "valueString": "Very satisfied"
            }
            ]
        },
        {
            "linkId": "K3-Q5",
            "answer": [
            {
                "valueString": "The staff were courteous and the service was fast."
            }
            ]
        }
        ]
    }


```

