<status value="active" /> <experimental value="false" /> <date value="2018-07-03" /> <publisher value="Allied World Healthcare" /> <description value="Questionnaire for Person Demographics" /> <purpose value="Questionnaire for Person Demographics" /> <approvalDate value="2018-07-03" /> <lastReviewDate value="2018-07-03" /> <effectivePeriod> <start value="2018-07-03" /> <end value="2019-07-03" /> </effectivePeriod> <copyright value="Creative Commons" /> <subjectType value="Patient" /> <subjectType value="Person" /> <subjectType value="RelatedPerson" /> <item> <linkId value="0" /> <text value="name" /> <type value="group" /> <item> <linkId value="0.1" /> <text value="official" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> <initialString value="official" /> </item> <item> <linkId value="0.2" /> <text value="family" /> <type value="string" /> <required value="true" /> <maxLength value="20" /> </item> <item> <linkId value="0.3" /> <text value="given" /> <type value="string" /> <required value="true" /> <maxLength value="20" /> </item> </item> <item> <linkId value="1" /> <text value="telecom" /> <type value="group" /> <item> <linkId value="1.1" /> <text value="system" /> <type value="string" /> <required value="false" /> <readOnly value="true" /> <maxLength value="20" /> <initialString value="phone" /> </item> <item> <linkId value="1.2" /> <text value="value" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> </item> <item> <linkId value="1.3" /> <text value="use" /> <type value="string" /> <required value="false" /> <readOnly value="true" /> <maxLength value="20" /> <initialString value="work" /> </item> </item> <item> <linkId value="2" /> <text value="what is your gender" /> <type value="choice" /> <required value="true" /> <options> <reference value="#gender" /> </options> </item> <item> <linkId value="3" /> <text value="birthDate" /> <type value="date" /> <required value="false" /> </item> <item> <linkId value="4" /> <text value="active" /> <type value="boolean" /> <required value="false" /> </item> <item> <linkId value="5" /> <text value="address" /> <type value="group" /> <item> <linkId value="5.1" /> <text value="use" /> <type value="string" /> <required value="false" /> <readOnly value="true" /> <maxLength value="20" /> <initialString value="home" /> </item> <item> <linkId value="5.2" /> <text value="line" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> </item> <item> <linkId value="5.3" /> <text value="city" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> </item> <item> <linkId value="5.4" /> <text value="state" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> </item> <item> <linkId value="5.5" /> <text value="postalCode" /> <type value="integer" /> <required value="false" /> <maxLength value="20" /> </item> </item> <item> <linkId value="6" /> <text value="link" /> <type value="group" /> <item> <linkId value="6.1" /> <text value="target" /> <type value="group" /> <item> <linkId value="6.1.1" /> <text value="Person" /> <type value="reference" /> </item> <item> <linkId value="6.1.2" /> <text value="display" /> <type value="string" /> <required value="false" /> <maxLength value="20" /> </item> </item> </item> </Questionnaire>

Demographics Questionnaire


  
  
    
  
  
  
  
  <status value="active" />
  <experimental value="false" />
  <date value="2018-07-03" />
  <publisher value="Allied World Healthcare" />
  <description value="Questionnaire for Person Demographics" />
  <purpose value="Questionnaire for Person Demographics" />
  <approvalDate value="2018-07-03" />
  <lastReviewDate value="2018-07-03" />
  <effectivePeriod>
    <start value="2018-07-03" />
    <end value="2019-07-03" />
  </effectivePeriod>
  <copyright value="Creative Commons" />
  <subjectType value="Patient" />
  <subjectType value="Person" />
  <subjectType value="RelatedPerson" />
  <item>
    <linkId value="0" />
    <text value="name" />
    <type value="group" />
    <item>
      <linkId value="0.1" />
      <text value="official" />
      <type value="string" />
      <required value="false" />
      <maxLength value="20" />
      <initialString value="official" />
    </item>
    <item>
      <linkId value="0.2" />
      <text value="family" />
      <type value="string" />
      <required value="true" />
      <maxLength value="20" />
    </item>
    <item>
      <linkId value="0.3" />
      <text value="given" />
      <type value="string" />
      <required value="true" />
      <maxLength value="20" />
    </item>
  </item>
  <item>
    <linkId value="1" />
    <text value="telecom" />
    <type value="group" />
    <item>
      <linkId value="1.1" />
      <text value="system" />
      <type value="string" />
      <required value="false" />
      <readOnly value="true" />
      <maxLength value="20" />
      <initialString value="phone" />
    </item>
    <item>
      <linkId value="1.2" />
      <text value="value" />
      <type value="string" />
      <required value="false" />
      <maxLength value="20" />
    </item>
    <item>
      <linkId value="1.3" />
      <text value="use" />
      <type value="string" />
      <required value="false" />
      <readOnly value="true" />
      <maxLength value="20" />
      <initialString value="work" />
    </item>
  </item>
  <item>
    <linkId value="2" />
    <text value="what is your gender" />
    <type value="choice" />
    <required value="true" />
    <options>
      <reference value="#gender" />
    </options>
  </item>
  <item>
    <linkId value="3" />
    <text value="birthDate" />
    <type value="date" />
    <required value="false" />
  </item>
  <item>
    <linkId value="4" />
    <text value="active" />
    <type value="boolean" />
    <required value="false" />
  </item>
  <item>
    <linkId value="5" />
    <text value="address" />
    <type value="group" />
    <item>
      <linkId value="5.1" />
      <text value="use" />
      <type value="string" />
      <required value="false" />
      <readOnly value="true" />
      <maxLength value="20" />
      <initialString value="home" />
    </item>
    <item>
      <linkId value="5.2" />
      <text value="line" />
      <type value="string" />
      <required value="false" />
      <maxLength value="20" />
    </item>
    <item>
      <linkId value="5.3" />
      <text value="city" />
      <type value="string" />
      <required value="false" />
      <maxLength value="20" />
    </item>
    <item>
      <linkId value="5.4" />
      <text value="state" />
      <type value="string" />
      <required value="false" />
      <maxLength value="20" />
    </item>
    <item>
      <linkId value="5.5" />
      <text value="postalCode" />
      <type value="integer" />
      <required value="false" />
      <maxLength value="20" />
    </item>
  </item>
  <item>
    <linkId value="6" />
    <text value="link" />
    <type value="group" />
    <item>
      <linkId value="6.1" />
      <text value="target" />
      <type value="group" />
      <item>
        <linkId value="6.1.1" />
        <text value="Person" />
        <type value="reference" />
      </item>
      <item>
        <linkId value="6.1.2" />
        <text value="display" />
        <type value="string" />
        <required value="false" />
        <maxLength value="20" />
      </item>
    </item>
  </item>
</Questionnaire>