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{
  "title": "Läkarintygsformulär för sjukpenning",
  "resourceType": "Questionnaire",
  "name": "FK7804",
  "status": "active",
  "publisher": "Försäkringskassan",
  "meta": {
    "profile": [
      "http://electronichealth.se/fhir/smc/StructureDefinition/SMCQuestionnaire"
    ]
  },
  "subjectType": [
    "Patient"
  ],
  "identifier": [
    {
      "system": "FK",
      "value": "78040102"
    }
  ],
  "id": "b5e9439a-d85b-4f7c-eb5e-c495572066ce",
  "date": "2022-02-01T00:00:00+00:00",
  "item": [
    {
      "linkId": "e84d2f66-3f6e-40ef-e3f0-bcdb02e86a83",
      "type": "group",
      "text": "Smittbärarpenning",
      "item": [
        {
          "linkId": "ef48c93a-107a-430b-86f8-06f79dd08716",
          "type": "boolean",
          "required": false,
          "text": "Avstängning enligt smittskyddslagen på grund av smitta. (Fortsätt till frågorna \"Diagnos\" och \"Nedsättning av arbetsförmåga\"). "
        }
      ],
      "required": false,
      "prefix": "1."
    },
    {
      "linkId": "e3fa49a9-c8c5-491c-9417-c3ce15248bb8",
      "type": "group",
      "text": "Intyget är baserat på",
      "item": [
        {
          "linkId": "fd063fe1-f895-4ea9-83e6-c17925f44de2",
          "type": "group",
          "item": [
            {
              "linkId": "225750d9-26da-4cad-d534-86c537200ffe",
              "type": "choice",
              "required": false,
              "answerOption": [
                {
                  "valueCoding": {
                    "id": "f2472e7c-7393-48d1-85f5-148f6d18e6f9",
                    "code": "0",
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "display": " min undersökning av patienten"
                  }
                },
                {
                  "valueCoding": {
                    "id": "833b1dcc-0c1d-4909-813e-a02c6294c9c0",
                    "code": "1",
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "display": " min telefonkontakt med patienten"
                  }
                },
                {
                  "valueCoding": {
                    "id": "ec75d086-9b0e-42e9-d245-3986783cff65",
                    "code": "2",
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "display": " journaluppgifter från den"
                  }
                },
                {
                  "valueCoding": {
                    "id": "c0a3f81a-757b-4ec0-812d-c98fbc274af1",
                    "code": "3",
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "display": "annat"
                  }
                }
              ],
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/ValueSet/questionnaire-item-control",
                        "code": "check-box"
                      }
                    ]
                  }
                }
              ]
            },
            {
              "linkId": "9e5b66c4-c99a-4a7c-92fe-a85dbecbebee",
              "type": "display",
              "text": "Ange vad annat är:",
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "3"
                  }
                }
              ]
            }
          ],
          "required": false
        },
        {
          "linkId": "ee2e69a7-a9aa-4614-c673-48f87de457dc",
          "type": "group",
          "item": [
            {
              "linkId": "c58fb468-4898-4948-a265-342acbac35bc",
              "type": "date",
              "required": true,
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "0"
                  }
                }
              ]
            },
            {
              "linkId": "380e792c-20b7-4228-af66-edcdca94717c",
              "type": "date",
              "required": false,
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "1"
                  }
                }
              ]
            },
            {
              "linkId": "19193d26-6ecb-4485-c88b-214864e6d4ce",
              "type": "date",
              "required": false,
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "2"
                  }
                }
              ]
            },
            {
              "linkId": "86a49f86-f0af-4e3f-80e8-c967d31365c8",
              "type": "date",
              "required": false,
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "3"
                  }
                }
              ]
            },
            {
              "linkId": "18eb894b-a74e-4d7b-ff48-bba5b339fa47",
              "type": "string",
              "enableWhen": [
                {
                  "question": "225750d9-26da-4cad-d534-86c537200ffe",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:0c95dc3e-072f-4a28-f9f6-5e56fd053761",
                    "code": "3"
                  }
                }
              ],
              "required": true
            }
          ],
          "required": false
        }
      ],
      "required": false,
      "enableWhen": [
        {
          "question": "ef48c93a-107a-430b-86f8-06f79dd08716",
          "operator": "=",
          "answerBoolean": false
        }
      ],
      "prefix": "2."
    },
    {
      "linkId": "d70e0a98-2ddb-42f6-fd23-2e34c7617f57",
      "type": "group",
      "text": "I relation till vilken sysselsättning bedömer du arbetsförmågan?",
      "item": [
        {
          "linkId": "a57ae044-4905-47e7-f9ee-19ead3213e5d",
          "type": "group",
          "item": [
            {
              "linkId": "d678870a-cd8d-40aa-db64-3baf0fa3aea5",
              "type": "boolean",
              "text": "Nuvarande arbete",
              "required": false
            },
            {
              "linkId": "7d1645f4-de4a-4ab6-e58d-f8a787ffad0a",
              "type": "text",
              "text": "Ange yrke och arbetsuppgifter",
              "required": false,
              "enableWhen": [
                {
                  "question": "d678870a-cd8d-40aa-db64-3baf0fa3aea5",
                  "operator": "=",
                  "answerBoolean": true
                }
              ]
            }
          ],
          "required": false
        },
        {
          "linkId": "ac25ca4d-59b6-4387-9686-5dac9bae44e2",
          "type": "boolean",
          "text": "Arbetssökande - att utföra sådant arbete som är normalt förekommande på arbetsmarknaden",
          "required": false
        },
        {
          "linkId": "e2044f85-52de-47de-84c9-953ac14ba4cb",
          "type": "boolean",
          "text": "Föräldraledighet för vård av barn",
          "required": false
        },
        {
          "linkId": "397367ae-22de-4c88-8315-160e5d7ef6e3",
          "type": "boolean",
          "text": "Studier",
          "required": false
        }
      ],
      "required": false,
      "enableWhen": [
        {
          "question": "ef48c93a-107a-430b-86f8-06f79dd08716",
          "operator": "=",
          "answerBoolean": false
        }
      ],
      "prefix": "3."
    },
    {
      "linkId": "9ed21287-1ba3-4a05-b107-bede8ea83656",
      "type": "group",
      "text": "Diagnos/diagnoser för sjukdom som orsakar nedsatt arbetsförmåga",
      "item": [
        {
          "linkId": "6d1d81a6-3536-49c2-8483-a57b22dc57b9",
          "type": "group",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
              "valueInteger": 3
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs",
              "valueInteger": 0
            }
          ],
          "item": [
            {
              "linkId": "2501f184-4bde-4227-c781-60166ce8c636",
              "type": "string",
              "required": false
            },
            {
              "linkId": "90262c0f-1c7a-491f-fe01-d9f39f07427c",
              "type": "string",
              "required": false,
              "text": "Diagnoskod enligt ICD-10 SE"
            }
          ],
          "required": false,
          "repeats": true
        }
      ],
      "required": false,
      "prefix": "4."
    },
    {
      "linkId": "90bc2bf7-ef54-40b0-ce85-cdbbced653ce",
      "type": "group",
      "text": "Funktionsnedsättning",
      "item": [
        {
          "linkId": "d8617f5d-5c2b-4cd2-f62e-bbfceb7765da",
          "type": "text",
          "text": " Beskriv undersökningsfynd, testresultat och observationer",
          "required": false
        }
      ],
      "required": false,
      "prefix": "5."
    },
    {
      "linkId": "bf1f4176-159c-4593-f4ea-880eeb2d1e76",
      "type": "group",
      "text": "Aktivitetsbegränsning",
      "item": [
        {
          "linkId": "f23e81f9-f710-45de-f819-36d81ad990b4",
          "type": "text",
          "text": " Beskriv vad patienten inte kan göra på grund av sin sjukdom. Ange vad uppgiften grundas på.",
          "required": false
        }
      ],
      "required": false,
      "prefix": "6."
    },
    {
      "linkId": "3b1e7902-7aa2-4145-b4d2-9d02cdc8c238",
      "type": "group",
      "text": "Medicinsk behandling",
      "item": [
        {
          "linkId": "1786357e-e58c-44e1-dc34-00cb7c4ad923",
          "type": "text",
          "required": false,
          "text": " Pågående medicinska behandlingar/åtgärder. Ange vad syftet är och om möjligt tidplan samt ansvarig vårdenhet. "
        },
        {
          "linkId": "5987a790-e7ee-4109-8fc3-7bba5046f5d4",
          "type": "text",
          "text": "Planerade medicinska behandlingar/åtgärder. Ange vad syftet är och om möjligt tidplan samt ansvarig vårdenhet.",
          "required": false
        }
      ],
      "required": false,
      "prefix": "7."
    },
    {
      "linkId": "631ecb4d-d662-4a0b-818e-9e940c652624",
      "type": "group",
      "item": [
        {
          "linkId": "13795420-96a6-4436-8ec2-824ae5925728",
          "type": "group",
          "item": [
            {
              "linkId": "9ad51b7a-65c7-44e4-823e-8c155288c9d1",
              "type": "group",
              "item": [
                {
                  "linkId": "264d88ff-9345-4b7a-9459-31a339db3f16",
                  "type": "choice",
                  "required": false,
                  "answerOption": [
                    {
                      "valueCoding": {
                        "id": "4474d478-b6e7-4751-804a-6abb48fa00ff",
                        "code": "100",
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "display": "100"
                      }
                    },
                    {
                      "valueCoding": {
                        "id": "5a8edf9d-12cd-4d49-9887-eb54a7f46c8d",
                        "code": "75",
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "display": "75"
                      }
                    },
                    {
                      "valueCoding": {
                        "id": "a4e2ad11-6300-47f4-a7a6-2af2c7581d3f",
                        "code": "50",
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "display": "50"
                      }
                    },
                    {
                      "valueCoding": {
                        "id": "021df43d-70ea-4560-eb22-edab92eddf85",
                        "code": "25",
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "display": "25"
                      }
                    }
                  ],
                  "extension": [
                    {
                      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "http://hl7.org/fhir/ValueSet/questionnaire-item-control",
                            "code": "check-box"
                          }
                        ]
                      }
                    }
                  ]
                }
              ],
              "required": false
            },
            {
              "linkId": "023ff351-e8f0-433c-84cd-710d42b181be",
              "type": "group",
              "item": [
                {
                  "linkId": "61267045-60c6-4c07-da8c-541363e29616",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "100"
                      }
                    }
                  ]
                },
                {
                  "linkId": "f4350fc2-66d7-4a10-c949-2f008e63e9b5",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "75"
                      }
                    }
                  ]
                },
                {
                  "linkId": "ada17b60-45ee-4826-a77f-e520da0c3069",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "50"
                      }
                    }
                  ]
                },
                {
                  "linkId": "47dcc000-f898-4304-8e22-7782f11df9ad",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "25"
                      }
                    }
                  ]
                }
              ],
              "required": false
            },
            {
              "linkId": "e31047ee-7c0e-4e98-8432-e2160ba20c65",
              "type": "group",
              "item": [
                {
                  "linkId": "f97b348c-13d0-492d-dc2f-5f7b6db0dae2",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "100"
                      }
                    }
                  ]
                },
                {
                  "linkId": "6ce75c25-e7d9-4c4a-99f8-9f37c45a5aee",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "75"
                      }
                    }
                  ]
                },
                {
                  "linkId": "bc55ebab-b183-4052-9009-63e358e902e4",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "50"
                      }
                    }
                  ]
                },
                {
                  "linkId": "2611ebf3-7b4d-438e-a16c-d7205c6cf01e",
                  "type": "date",
                  "required": false,
                  "enableWhen": [
                    {
                      "question": "264d88ff-9345-4b7a-9459-31a339db3f16",
                      "operator": "=",
                      "answerCoding": {
                        "system": "urn:uuid:9e7cf518-eef9-46f5-a609-944d642a8425",
                        "code": "25"
                      }
                    }
                  ]
                }
              ],
              "required": false
            }
          ],
          "required": false
        },
        {
          "linkId": "400ed6c3-6d54-4bef-8769-d8370adb12ad",
          "type": "text",
          "text": " Patientens arbetsförmåga bedöms nedsatt längre tid än den som Socialstyrelsens försäkringsmedicinska beslutsstöd anger, därför att",
          "required": false
        },
        {
          "linkId": "be09697b-4840-44e7-d5bf-dce99fe2c95d",
          "type": "boolean",
          "text": " Resor till och från arbetet med annat färdmedel än normalt kan göra det möjligt för patienten att återgå till arbetet under sjukskrivningsperioden.",
          "required": false
        },
        {
          "linkId": "f0f15e28-640e-4497-f9d6-990f7ae33aad",
          "type": "group",
          "item": [
            {
              "linkId": "51069303-d815-40a4-8b7b-d5fe6d6b0401",
              "type": "choice",
              "text": " Kommer möjligheterna till återgång i arbete försämras om arbetstiden förläggs på annat sätt än att arbetstiden minskas lika mycket varje dag?",
              "required": false,
              "answerOption": [
                {
                  "valueCoding": {
                    "id": "7c28a7b4-1f1a-41d7-85a8-799e9ed8dd5e",
                    "code": "0",
                    "system": "urn:uuid:4a2e2fde-339a-4824-8d9b-073023bee440",
                    "display": "Nej"
                  }
                },
                {
                  "valueCoding": {
                    "id": "15cff899-942c-4240-8871-0a5c3292c0d5",
                    "code": "1",
                    "system": "urn:uuid:4a2e2fde-339a-4824-8d9b-073023bee440",
                    "display": "Ja. Fyll i nedan."
                  }
                }
              ],
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/ValueSet/questionnaire-item-control",
                        "code": "radio-button"
                      }
                    ]
                  }
                }
              ]
            },
            {
              "linkId": "c8efb26a-3f6b-48fb-8e37-4331888a09ab",
              "type": "text",
              "text": " Beskriv de medicinska skälen till att möjligheterna till återgång i arbete försämras",
              "required": false,
              "enableWhen": [
                {
                  "question": "51069303-d815-40a4-8b7b-d5fe6d6b0401",
                  "operator": "=",
                  "answerCoding": {
                    "system": "urn:uuid:4a2e2fde-339a-4824-8d9b-073023bee440",
                    "code": "1"
                  }
                }
              ]
            }
          ],
          "required": false
        }
      ],
      "required": false,
      "text": "Min bedömning av patientens nedsättning av arbetsförmågan",
      "prefix": "8."
    },
    {
      "linkId": "eb512163-e2d5-4963-852b-154dfb411aa6",
      "type": "group",
      "text": "Prognos för arbetsförmåga utifrån aktuellt undersökningstillfälle",
      "item": [
        {
          "linkId": "613e5a76-c604-4a99-8656-04d291a0ec8c",
          "type": "choice",
          "required": false,
          "answerOption": [
            {
              "valueCoding": {
                "id": "4f2565ea-40b0-44a0-89e3-e20fb3f7655e",
                "code": "0",
                "system": "urn:uuid:610164b4-8f68-4e21-cb4b-18bdd2ae02b4",
                "display": "Patienten förväntas kunna återgå helt i nuvarande sysselsättning efter denna sjukskrivning."
              }
            },
            {
              "valueCoding": {
                "id": "fe26f03b-b930-4379-8c16-1c101fd58d2a",
                "code": "1",
                "system": "urn:uuid:610164b4-8f68-4e21-cb4b-18bdd2ae02b4",
                "display": "Patienten förväntas kunna återgå helt i nuvarande sysselsättning inom"
              }
            },
            {
              "valueCoding": {
                "id": "08bee02d-2317-41a2-cb1b-b4a86373a4d2",
                "code": "2",
                "system": "urn:uuid:610164b4-8f68-4e21-cb4b-18bdd2ae02b4",
                "display": "Patienten förväntas inte kunna återgå helt i nuvarande sysselsättning inom 12 månader."
              }
            },
            {
              "valueCoding": {
                "id": "190f5968-48bf-4315-807e-a7189d9d9d5a",
                "code": "3",
                "system": "urn:uuid:610164b4-8f68-4e21-cb4b-18bdd2ae02b4",
                "display": "Återgång i nuvarande sysselsättning är oklar."
              }
            }
          ],
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/ValueSet/questionnaire-item-control",
                    "code": "radio-button"
                  }
                ]
              }
            }
          ]
        }
      ],
      "required": false,
      "prefix": "9."
    },
    {
      "linkId": "bd6f0a4e-41e6-425e-85d1-0699ffb1abf7",
      "type": "group",
      "item": [
        {
          "linkId": "d67b7edf-796e-4135-9028-c31ce769177e",
          "type": "choice",
          "required": false,
          "answerOption": [
            {
              "valueCoding": {
                "id": "507ac902-eca9-435c-8cb8-f71e384f78fc",
                "code": "arbetsträning",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Arbetsträning"
              }
            },
            {
              "valueCoding": {
                "id": "555a89dc-43e6-4bda-fcfe-3e8eeb3b82b9",
                "code": "arbetsanpassning",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Arbetsanpassning"
              }
            },
            {
              "valueCoding": {
                "id": "42162cf9-dce9-487d-8d2b-ff7c5c5f138f",
                "code": "söka-nytt-arbete",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Söka nytt arbete"
              }
            },
            {
              "valueCoding": {
                "id": "d0056363-6a39-485f-acc1-21f7502be30b",
                "code": "-besök-på-arbetsplatsen",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": " Besök på arbetsplatsen"
              }
            },
            {
              "valueCoding": {
                "id": "970c3fa1-86cf-4312-8e73-9412800f81b6",
                "code": "-ergonomisk-bedömning",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": " Ergonomisk bedömning"
              }
            },
            {
              "valueCoding": {
                "id": "89a884a4-9da1-4a7e-db05-257ec5497b16",
                "code": "hjälpmedel",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Hjälpmedel"
              }
            },
            {
              "valueCoding": {
                "id": "588b1919-c26a-4422-c27d-0a136fc3bad7",
                "code": "konflikthantering",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Konflikthantering"
              }
            },
            {
              "valueCoding": {
                "id": "3d1d0f23-89f7-4085-90f9-b79edb3b27f2",
                "code": "-kontakt-med-företagshälsovård",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": " Kontakt med företagshälsovård"
              }
            },
            {
              "valueCoding": {
                "id": "0ac774d8-91cd-45c8-87cb-a85245299e69",
                "code": "-omfördelning-av-arbetsuppgifter",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": " Omfördelning av arbetsuppgifter"
              }
            },
            {
              "valueCoding": {
                "id": "b07a7acc-436d-4a15-8e86-22c2553c9a44",
                "code": "övrigt",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": "Övrigt"
              }
            },
            {
              "valueCoding": {
                "id": "9c6e6a13-c617-450f-81c3-746eb78f0127",
                "code": "-inte-aktuellt",
                "system": "urn:uuid:0cd88860-0ef7-4944-8bbd-83c7e1f1b153",
                "display": " Inte aktuellt"
              }
            }
          ],
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/ValueSet/questionnaire-item-control",
                    "code": "check-box"
                  }
                ]
              }
            }
          ]
        },
        {
          "linkId": "7753d2b4-700a-4316-a56b-0d47b9bf6cea",
          "type": "text",
          "text": " Här kan du ange fler åtgärder. Du kan också beskriva hur åtgärderna kan underlätta återgång i arbete.",
          "required": false
        }
      ],
      "required": false,
      "text": "Här kan du ange åtgärder som du tror skulle göra det lättare för patienten att återgå i arbete",
      "prefix": "10."
    },
    {
      "linkId": "123cd3ff-f903-499e-96c6-2c2183588299",
      "type": "group",
      "text": "Övriga upplysningar",
      "item": [
        {
          "linkId": "eef65518-1f6c-4a48-b536-3fae5e70fd07",
          "type": "text",
          "required": false
        }
      ],
      "required": false,
      "prefix": "11"
    },
    {
      "linkId": "fd395f40-9e05-4fac-892d-fc388bc77eea",
      "type": "group",
      "text": "Kontakt med Försäkringskassan",
      "item": [
        {
          "linkId": "bbeca0e3-7ef2-4805-8063-0a1b1e0d772a",
          "type": "boolean",
          "text": " Jag önskar att Försäkringskassan kontaktar mig.",
          "required": false
        },
        {
          "linkId": "6efe6553-5a40-4650-87c3-7bcf493f2cd1",
          "type": "string",
          "text": " Ange gärna varför du vill ha kontakt.",
          "required": false,
          "enableWhen": [
            {
              "question": "bbeca0e3-7ef2-4805-8063-0a1b1e0d772a",
              "operator": "=",
              "answerBoolean": true
            }
          ]
        }
      ],
      "required": false,
      "prefix": "12"
    }
  ]
}

name : FK7804

{

}