The following content has been modified for better visualization. Validation will be performed on original content
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{
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"resourceType" : "Bundle",
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"id" : "E959B538-5281-4E70-A6CC-34337EAAB720",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/eReferralBundle|1.0.0" ]
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},
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"type" : "message",
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"timestamp" : "2020-10-09T15:21:51.2112Z",
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"entry" : [ {
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"fullUrl" : "urn:uuid:1cad4077-1104-412b-83d5-9a087814c72d",
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"resource" : {
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"resourceType" : "MessageHeader",
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"id" : "4783c82c-683e-491d-b834-3d1b8931bdd9",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-MessageHeader|1.0.1" ]
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},
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"extension" : [ {
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"url" : "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options",
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"valueCodeableConcept" : {
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"coding" : [ {
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21 |
"system" : "http://ehealthontario.ca/fhir/CodeSystem/ereferral-source-types",
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22 |
"code" : "DR",
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23 |
"display" : "Referral Source Type - Primary Care Provider"
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24 |
} ]
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}
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26 |
} ],
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27 |
"eventCoding" : {
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"system" : "https://ehealthontario.ca/fhir/CodeSystem/message-event-code",
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29 |
"code" : "add-service-request"
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30 |
},
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"destination" : [ {
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"name" : "RMS Target",
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"endpoint" : "http://rmstarget.org/fhir/$process-message"
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} ],
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"author" : {
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"reference" : "urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8",
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"display" : "Dr. Jack Jones"
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},
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"source" : {
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"name" : "RMS Source",
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"software" : "Software",
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"version" : "1.1.0",
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"contact" : {
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"system" : "email",
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"value" : "tech.support@rmssource.org",
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"rank" : 1
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},
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"endpoint" : "http://rmssource.org/fhir/$process-message"
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},
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"reason" : {
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"text" : "Provide assessment for home care service provisioning"
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},
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"focus" : [ {
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"reference" : "urn:uuid:7dbecbd9-965f-4b07-b446-53a77cab414e"
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} ]
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}
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}, {
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"fullUrl" : "urn:uuid:7dbecbd9-965f-4b07-b446-53a77cab414e",
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"resource" : {
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"resourceType" : "ServiceRequest",
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"id" : "05ed7277-bd41-44ee-b017-9502c3511844",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-ServiceRequest|1.0.1" ]
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},
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"extension" : [ {
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"url" : "http://ehealthontario.ca/fhir/StructureDefinition/ext-routing-options",
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"valueCodeableConcept" : {
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"coding" : [ {
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"system" : "http://ehealthontario.ca/fhir/CodeSystem/ereferral-source-types",
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"code" : "DR",
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"display" : "Referral Source Type - Primary Care Provider"
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} ]
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}
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} ],
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"identifier" : [ {
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"system" : "http://www.rmssource.org/identifiers/ServiceRequest",
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"value" : "request-for-assessment"
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} ],
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"status" : "active",
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"intent" : "proposal",
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"category" : [ {
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"coding" : [ {
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"system" : "http://snomed.info/sct",
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"code" : "424008009",
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"display" : "Nursing care surveillance"
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} ]
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} ],
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"priority" : "routine",
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"code" : {
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"coding" : [ {
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"system" : "http://snomed.info/sct",
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"code" : "105385000",
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"display" : "Full-time nursing care at home by private nurse"
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} ]
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},
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"subject" : {
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"reference" : "urn:uuid:7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b"
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},
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"authoredOn" : "2020-10-09",
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"requester" : {
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"reference" : "urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8",
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"display" : "Dr Jack Jones"
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},
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"performer" : [ {
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"reference" : "urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312"
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} ],
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"supportingInfo" : [ {
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"reference" : "urn:uuid:9cea3cb8-d24f-4be2-acbf-dbc6c3801493",
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"display" : "Referral Form"
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} ]
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}
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}, {
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"fullUrl" : "urn:uuid:7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b",
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"resource" : {
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"resourceType" : "Patient",
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"id" : "7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Patient|1.0.1" ]
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},
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"identifier" : [ {
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"extension" : [ {
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"url" : "http://ehealthontario.ca/fhir/StructureDefinition/ext-id-health-card-version-code",
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"valueString" : "EX"
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} ],
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"use" : "official",
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"type" : {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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129 |
"code" : "JHN"
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130 |
} ],
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"text" : "Ontario, Canada Personal Health Number"
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},
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"system" : "https://fhir.infoway-inforoute.ca/NamingSystem/ca-on-patient-hcn",
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"value" : "1234567890"
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}, {
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"type" : {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code" : "MR"
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} ],
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"text" : "The Hospital"
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},
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"system" : "http://ehealthontario.ca/fhir/NamingSystem/id-example1-uri",
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"value" : "ABC12345"
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} ],
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"active" : true,
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"name" : [ {
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"family" : "Doe",
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"given" : [ "Jane" ]
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} ],
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"telecom" : [ {
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"system" : "phone",
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"value" : "1 (555) 867 5309",
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"rank" : 1
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}, {
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"system" : "email",
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"value" : "janedoe@example.com",
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"rank" : 2
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} ],
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"gender" : "female",
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"birthDate" : "1951-02-19",
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"deceasedBoolean" : false,
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"address" : [ {
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"use" : "home",
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"type" : "physical",
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"line" : [ "123 Any Street" ],
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"city" : "Waterloo",
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"state" : "ON",
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"postalCode" : "N2L 3G1"
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} ],
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"contact" : [ {
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"relationship" : [ {
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"coding" : [ {
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"system" : "http://ehealthontario.ca/fhir/CodeSystem/patient-contact-relationship",
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"code" : "EC",
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"display" : "Emergency Contact"
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} ],
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"text" : "Emergency Contact"
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} ],
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"name" : {
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"family" : "McContact",
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"given" : [ "David" ]
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},
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"telecom" : [ {
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"system" : "phone",
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"value" : "(555) 555 1212",
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"rank" : 1
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} ],
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"address" : {
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"line" : [ "50 Another St.", "Unit 2" ],
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"city" : "Waterloo",
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192 |
"state" : "ON",
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193 |
"postalCode" : "N2L 3G2"
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}
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} ],
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"communication" : [ {
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"language" : {
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"coding" : [ {
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"system" : "urn:ietf:bcp:47",
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"code" : "en",
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"display" : "English"
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} ],
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"text" : "english"
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}
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} ],
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"generalPractitioner" : [ {
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"reference" : "urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8"
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} ]
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}
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}, {
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"fullUrl" : "urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8",
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"resource" : {
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"resourceType" : "PractitionerRole",
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"id" : "86fa8373-34c8-440d-9e8f-832c1a571da8",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-PractitionerRole|1.0.0" ]
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},
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"identifier" : [ {
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"use" : "official",
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"type" : {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
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"code" : "RRI"
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} ]
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},
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"system" : "http://ehealthontario.ca/fhir/NamingSystem/id-ppr-epid",
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"value" : "56442"
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} ],
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"active" : true,
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"practitioner" : {
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"reference" : "urn:uuid:8b9f61af-55ce-4ade-9987-f40fe54cc79e",
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"display" : "Dr Jack Jones"
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},
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"organization" : {
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"reference" : "urn:uuid:334ec4c8-7932-4620-86fe-d6b33b3fc7e4",
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"display" : "Primary Care Medical Clinics"
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},
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"code" : [ {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/practitioner-role",
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"code" : "doctor",
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"display" : "Doctor"
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} ]
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} ],
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"specialty" : [ {
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"coding" : [ {
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"system" : "https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension",
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"code" : "394802001",
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"display" : "General medicine"
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} ]
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} ],
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"location" : [ {
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"reference" : "urn:uuid:25470f9e-0092-4997-af53-aa3ef0f50879",
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"display" : "279 Yonge St, Barrie, ON L4N 7T9"
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} ],
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"telecom" : [ {
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"system" : "phone",
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"value" : "(555) 987-1234",
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"use" : "work",
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"rank" : 1
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}, {
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"system" : "fax",
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263 |
"value" : "(555) 987-1234",
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264 |
"use" : "work",
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"rank" : 3
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266 |
}, {
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"system" : "email",
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268 |
"value" : "jack.jones@example.org",
|
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"use" : "work",
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"rank" : 2
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} ]
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}
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}, {
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"fullUrl" : "urn:uuid:8b9f61af-55ce-4ade-9987-f40fe54cc79e",
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"resource" : {
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"resourceType" : "Practitioner",
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"id" : "8b9f61af-55ce-4ade-9987-f40fe54cc79e",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Practitioner|1.0.0" ]
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},
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281 |
"identifier" : [ {
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"type" : {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
|
285 |
"code" : "LN"
|
286 |
} ],
|
287 |
"text" : "Ontario Medical License Number"
|
288 |
},
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289 |
"system" : "http://infoway-inforoute.ca/fhir/NamingSystem/ca-on-license-physician",
|
290 |
"value" : "111789"
|
291 |
} ],
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292 |
"name" : [ {
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293 |
"use" : "official",
|
294 |
"family" : "Jones",
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295 |
"given" : [ "Jack" ]
|
296 |
} ],
|
297 |
"telecom" : [ {
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298 |
"system" : "phone",
|
299 |
"value" : "(555) 987-1234",
|
300 |
"use" : "work",
|
301 |
"rank" : 1
|
302 |
}, {
|
303 |
"system" : "fax",
|
304 |
"value" : "(555) 987-1234",
|
305 |
"use" : "work",
|
306 |
"rank" : 1
|
307 |
} ],
|
308 |
"address" : [ {
|
309 |
"use" : "work",
|
310 |
"type" : "physical",
|
311 |
"line" : [ "279 Yonge St" ],
|
312 |
"city" : "Barrie",
|
313 |
"state" : "ON",
|
314 |
"postalCode" : "M5B 1N8",
|
315 |
"country" : "CAN"
|
316 |
} ],
|
317 |
"gender" : "male",
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318 |
"birthDate" : "1979-02-26",
|
319 |
"communication" : [ {
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320 |
"coding" : [ {
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321 |
"system" : "urn:ietf:bcp:47",
|
322 |
"code" : "en",
|
323 |
"display" : "English"
|
324 |
} ],
|
325 |
"text" : "English"
|
326 |
} ]
|
327 |
}
|
328 |
}, {
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329 |
"fullUrl" : "urn:uuid:334ec4c8-7932-4620-86fe-d6b33b3fc7e4",
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330 |
"resource" : {
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"resourceType" : "Organization",
|
332 |
"id" : "334ec4c8-7932-4620-86fe-d6b33b3fc7e4",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Organization|1.0.0" ]
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},
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"type" : [ {
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"coding" : [ {
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"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
|
339 |
"code" : "prov",
|
340 |
"display" : "Healthcare Provider"
|
341 |
} ]
|
342 |
} ],
|
343 |
"name" : "Primary Care Medical Clinics",
|
344 |
"telecom" : [ {
|
345 |
"system" : "phone",
|
346 |
"value" : "(555) 987-1234",
|
347 |
"use" : "work",
|
348 |
"rank" : 1
|
349 |
}, {
|
350 |
"system" : "fax",
|
351 |
"value" : "(555) 987-1234",
|
352 |
"use" : "work",
|
353 |
"rank" : 1
|
354 |
} ],
|
355 |
"address" : [ {
|
356 |
"use" : "work",
|
357 |
"type" : "physical",
|
358 |
"line" : [ "279 Yonge St" ],
|
359 |
"city" : "Barrie",
|
360 |
"state" : "ON",
|
361 |
"postalCode" : "M5B 1N8",
|
362 |
"country" : "CAN"
|
363 |
} ]
|
364 |
}
|
365 |
}, {
|
366 |
"fullUrl" : "urn:uuid:25470f9e-0092-4997-af53-aa3ef0f50879",
|
367 |
"resource" : {
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"resourceType" : "Location",
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"id" : "25470f9e-0092-4997-af53-aa3ef0f50879",
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"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-Location|1.0.1" ]
|
372 |
},
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373 |
"name" : "Yonge Street Medical Office",
|
374 |
"address" : {
|
375 |
"type" : "physical",
|
376 |
"line" : [ "279 Yonge St" ],
|
377 |
"city" : "Barrie",
|
378 |
"state" : "ON",
|
379 |
"postalCode" : "M5B 1N8",
|
380 |
"country" : "CAN"
|
381 |
},
|
382 |
"position" : {
|
383 |
"longitude" : -79.38248,
|
384 |
"latitude" : 43.6556497
|
385 |
}
|
386 |
}
|
387 |
}, {
|
388 |
"fullUrl" : "urn:uuid:5c8926df-537c-4a71-b183-e30d15b05312",
|
389 |
"resource" : {
|
390 |
"resourceType" : "HealthcareService",
|
391 |
"id" : "5c8926df-537c-4a71-b183-e30d15b05312",
|
392 |
"meta" : {
|
393 |
"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-HealthcareService" ]
|
394 |
},
|
395 |
"identifier" : [ {
|
396 |
"system" : "http://healthcareservice-system-uri.ca",
|
397 |
"value" : "service-id"
|
398 |
} ],
|
399 |
"active" : true,
|
400 |
"type" : [ {
|
401 |
"text" : "Gastroenterology"
|
402 |
} ],
|
403 |
"name" : "Gastroenterology Specialty Clinic"
|
404 |
}
|
405 |
}, {
|
406 |
"fullUrl" : "urn:uuid:9cea3cb8-d24f-4be2-acbf-dbc6c3801493",
|
407 |
"resource" : {
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"resourceType" : "QuestionnaireResponse",
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"id" : "9cea3cb8-d24f-4be2-acbf-dbc6c3801493",
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410 |
"meta" : {
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"profile" : [ "http://ehealthontario.ca/fhir/StructureDefinition/ca-on-eReferral-profile-QuestionnaireResponse|1.0.0" ]
|
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},
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"identifier" : {
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"system" : "http://www.rmssource.org/identifiers/questionnaire-ids",
|
415 |
"value" : "9cea3cb8-d24f-4be2-acbf-dbc6c3801493"
|
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},
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"status" : "completed",
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"subject" : {
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"reference" : "urn:uuid:7f7ad826-f47b-4c18-9d4a-bd3d0988ad3b"
|
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},
|
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"authored" : "2020-10-09",
|
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"author" : {
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"reference" : "urn:uuid:86fa8373-34c8-440d-9e8f-832c1a571da8"
|
424 |
},
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425 |
"item" : [ {
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426 |
"linkId" : "1",
|
427 |
"text" : "Section 1 Header",
|
428 |
"item" : [ {
|
429 |
"linkId" : "1.1",
|
430 |
"text" : "String Question in Section 1",
|
431 |
"answer" : [ {
|
432 |
"valueString" : "String Answer"
|
433 |
} ]
|
434 |
}, {
|
435 |
"linkId" : "1.2",
|
436 |
"text" : "Boolean Question in Section 1",
|
437 |
"answer" : [ {
|
438 |
"valueBoolean" : true
|
439 |
} ]
|
440 |
}, {
|
441 |
"linkId" : "1.3",
|
442 |
"text" : "Number Question in Section 1",
|
443 |
"answer" : [ {
|
444 |
"valueInteger" : 365
|
445 |
} ]
|
446 |
}, {
|
447 |
"linkId" : "1.4",
|
448 |
"text" : "Decimal question in Section 1",
|
449 |
"answer" : [ {
|
450 |
"valueDecimal" : 364.9
|
451 |
} ]
|
452 |
}, {
|
453 |
"linkId" : "1.5",
|
454 |
"text" : "DateTime Question in Section 2",
|
455 |
"answer" : [ {
|
456 |
"valueDateTime" : "2021-05-07T13:28:17Z"
|
457 |
} ]
|
458 |
} ]
|
459 |
}, {
|
460 |
"linkId" : "2",
|
461 |
"text" : "Section 2 Header",
|
462 |
"item" : [ {
|
463 |
"linkId" : "2.1",
|
464 |
"text" : "Integer Question in Section 2",
|
465 |
"answer" : [ {
|
466 |
"valueInteger" : 365
|
467 |
} ]
|
468 |
}, {
|
469 |
"linkId" : "2.2",
|
470 |
"text" : "Multi-Select Question in Section 2",
|
471 |
"answer" : [ {
|
472 |
"valueString" : "tag1"
|
473 |
}, {
|
474 |
"valueString" : "tag2"
|
475 |
}, {
|
476 |
"valueString" : "tag3"
|
477 |
} ]
|
478 |
}, {
|
479 |
"linkId" : "2.3",
|
480 |
"text" : "Date Question in Section 2",
|
481 |
"answer" : [ {
|
482 |
"valueDate" : "2019-09-05"
|
483 |
} ]
|
484 |
}, {
|
485 |
"linkId" : "2.4",
|
486 |
"text" : "Time Question in Section 2",
|
487 |
"answer" : [ {
|
488 |
"valueTime" : "12:34:56"
|
489 |
} ]
|
490 |
} ]
|
491 |
}, {
|
492 |
"linkId" : "3",
|
493 |
"text" : "CONDITIONAL Section 3 with Question",
|
494 |
"answer" : [ {
|
495 |
"valueBoolean" : true,
|
496 |
"item" : [ {
|
497 |
"linkId" : "3.1",
|
498 |
"text" : "Conditional Question 1:",
|
499 |
"answer" : [ {
|
500 |
"valueString" : "ConditionalAnswer1"
|
501 |
} ]
|
502 |
}, {
|
503 |
"linkId" : "3.2",
|
504 |
"text" : "Conditional Question 2:",
|
505 |
"answer" : [ {
|
506 |
"valueString" : "ConditionalAnswer2"
|
507 |
} ]
|
508 |
} ]
|
509 |
} ]
|
510 |
} ]
|
511 |
}
|
512 |
} ]
|
513 |
}
|