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

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

## Konsulta Prescription Slip Form

This is a sample representation of the **Use Case** implementation guide for **Konsulta Prescription 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": "K4-Questionnaire",
        "meta": {
        "profile": [
            "https://nhdr.gov.ph/fhir/StructureDefinition/PH-Questionnaire"
            ]
        },
            "status": "active",
            "item": [
            {
                "linkId": "K4-Q1",
                "text": "Have you received the above-mentioned medicines? [Y|N]",
                "type": "boolean"
            },
            {
                "linkId": "K4-Q2",
                "text": "How satisfied are you with the medicines you received?",
                "type": "string"
            },
            {
                "linkId": "K4-Q3",
                "text": "For your comment, suggestion or complaint",
                "type": "string"
            }
        ]
    }
   

```

**Questionnaire Response :**

```
    {
        "resourceType": "QuestionnaireResponse",
        "id": "K4-QuestionnaireResponse",
        "meta": {
          "profile": [
            "https://nhdr.gov.ph/fhir/StructureDefinition/PH-QuestionnaireResponse"
          ]
        },
        "status": "completed",
        "item": [
          {
            "linkId": "K4-Q1",
            "answer": [
              {
                "valueBoolean": true
              }
            ]
          },
          {
            "linkId": "K4-Q2",
            "answer": [
              {
                "valueString": "Very satisfied"
              }
            ]
          },
          {
            "linkId": "K4-Q3",
            "answer": [
              {
                "valueString": "Medicines were available and properly explained by the provider."
              }
            ]
          }
        ]
    }
    

```

