{
  "resourceType": "QuestionnaireResponse",
  "id": "a9a0669c-58cf-4ff0-886f-c7729b6e1db0",
  "contained": [
    {
      "resourceType": "Patient",
      "id": "Patient1",
      "identifier": [
        {
          "type": {
            "text": "INTERIMBCPHN"
          },
          "system": "https://fhir.infoway-inforoute.ca/registry/NamingSystem/bc-patient-healthcare-identifier",
          "value": "9000005214",
          "period": {
            "start": "2001-01-01"
          }
        },
        {
          "type": {
            "text": "FHA_PARIS_CLIENT"
          },
          "system": "https://ehealthbc.ca/API/FHIR/NamingSystem/ca-bc-fha-patient-identifier",
          "value": "fhaPARIS_112233"
        }
      ],
      "active": true,
      "name": [
        {
          "use": "official",
          "family": "Putin",
          "given": [
            "CDpat",
            "MidName"
          ]
        },
        {
          "use": "usual",
          "family": "Putin",
          "given": [
            "cddie"
          ]
        },
        {
          "use": "nickname",
          "family": "Putin",
          "given": [
            "Pat Pat"
          ]
        }
      ],
      "telecom": [
        {
          "system": "phone",
          "value": "(778)111-9999",
          "use": "home",
          "period": {
            "start": "2002-02-02"
          }
        },
        {
          "system": "phone",
          "value": "(250)555-6666",
          "use": "mobile",
          "period": {
            "start": "2003-03-03"
          }
        },
        {
          "system": "phone",
          "value": "(604)666-8888 ext12345",
          "use": "work",
          "period": {
            "start": "2004-04-04"
          }
        },
        {
          "system": "email",
          "value": "cddy@fakeputin.ca",
          "use": "work"
        }
      ],
      "gender": "male",
      "_gender": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://ehealthbc.ca/API/FHIR/NamingSystem/patient-genderIdentity",
                  "code": "TRN_M_F",
                  "display": "Transfender Male to Female"
                }
              ]
            }
          }
        ]
      },
      "birthDate": "1998-01-01",
      "address": [
        {
          "extension": [
            {
              "url": "https://ehealthbc.ca/API/FHIR/StructureDefinition/ca-bc-extension-address-firstnations-band",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-federal-firstnations-band-id",
                    "code": "729",
                    "display": "Skin Tyee"
                  }
                ]
              }
            }
          ],
          "use": "home",
          "line": [
            "202-3839 Austin Road West"
          ],
          "_line": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber",
                  "valueString": "3839"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName",
                  "valueString": "Austin"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetNameType",
                  "valueString": "Road"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-direction",
                  "valueString": "West"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-unitID",
                  "valueString": "202"
                },
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-postBox",
                  "valueString": "ABC123"
                },
                {
                  "url": "[base-structure]/ca-bc-extension-address-rural-route",
                  "valueString": "RR"
                },
                {
                  "url": "[base-structure]/ca-bc-extension-address-station",
                  "valueString": "AA"
                },
                {
                  "url": "[base-structure]/ca-bc-extension-address-retail-postal-office",
                  "valueString": "911"
                }
              ]
            }
          ],
          "city": "Prince George",
          "state": "BC",
          "postalCode": "V2K 2H7",
          "country": "CA",
          "period": {
            "start": "2000-10-10"
          }
        }
      ]
    },
    {
      "resourceType": "Practitioner",
      "id": "RPTPRVDR1",
      "identifier": [
        {
          "type": {
            "coding": [
              {
                "code": "MPID",
                "display": "MSP ID"
              }
            ]
          },
          "value": "09876"
        }
      ],
      "name": [
        {
          "family": "Bolton",
          "given": [
            "Emily"
          ]
        }
      ],
      "telecom": [
        {
          "system": "phone",
          "value": "(604)189-4567 ext.98765",
          "use": "work"
        },
        {
          "system": "fax",
          "value": "(604)156-4567",
          "use": "work"
        }
      ],
      "address": [
        {
          "use": "work",
          "line": [
            "4949 Canada Way"
          ],
          "city": "Burnaby",
          "state": "BC",
          "postalCode": "V5G 1M2"
        }
      ]
    },
    {
      "resourceType": "Practitioner",
      "id": "SUBMITTER1",
      "identifier": [
        {
          "system": "https://fhir.infoway-inforoute.ca/registry/NamingSystem/bc-vcha",
          "value": "2.16.840.1.113883.3.1343"
        }
      ],
      "name": [
        {
          "family": "VCHA",
          "given": [
            "Submitter"
          ]
        }
      ],
      "telecom": [
        {
          "system": "phone",
          "value": "(604)675-4277 ext.101",
          "use": "work"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "OBSRVN1",
      "extension": [
        {
          "url": "http://hl7.org/FHIR/StructureDefinition/eventLocation",
          "valueCoding": {
            "code": "998",
            "display": "Fort Nelson General Hospital"
          }
        }
      ],
      "identifier": [
        {
          "type": {
            "text": "Accession No"
          },
          "value": "ACC_111"
        },
        {
          "type": {
            "text": "Lab Result ID"
          },
          "value": "LR_111"
        }
      ],
      "basedOn": [
        {
          "reference": "procedureRequest/PROCREQ1"
        }
      ],
      "status": "registered",
      "code": {
        "coding": [
          {
            "code": "718-7",
            "display": "Hemoglobin"
          }
        ]
      },
      "effectiveDateTime": "2018-09-19T17:22:33+00:00",
      "issued": "2018-09-21T20:23:33+00:00",
      "performer": [
        {
          "identifier": {
            "value": "LifeLabs"
          }
        }
      ],
      "valueQuantity": {
        "value": "150",
        "unit": "beats/minute"
      },
      "interpretation": {
        "coding": [
          {
            "code": "A",
            "display": "Abnormal"
          }
        ]
      },
      "specimen": {
        "reference": "specimen/SPCMN1"
      }
    },
    {
      "resourceType": "ProcedureRequest",
      "id": "PROCREQ1",
      "requisition": {
        "type": {
          "text": "Lab Requisition No."
        },
        "value": "REQ_111"
      },
      "status": "completed",
      "intent": "order",
      "code": {
        "coding": [
          {
            "code": "XCA01592-5",
            "display": "CBC & Differential"
          }
        ]
      },
      "subject": {
        "reference": "Patient/Patient1"
      }
    },
    {
      "resourceType": "Specimen",
      "id": "SPCMN1",
      "type": {
        "coding": [
          {
            "code": "FL",
            "display": "Fluid"
          }
        ]
      },
      "subject": {
        "reference": "Patient/Patient1"
      },
      "collection": {
        "collectedDateTime": "2018-09-01T21:28:09+00:00",
        "bodySite": {
          "coding": [
            {
              "code": "EYE",
              "display": "Eye"
            }
          ]
        }
      },
      "note": [
        {
          "text": "Annotation for Specimen"
        }
      ]
    },
    {
      "resourceType": "Observation",
      "id": "OBSRVN2",
      "extension": [
        {
          "url": "http://hl7.org/FHIR/StructureDefinition/eventLocation",
          "valueCoding": {
            "code": "998",
            "display": "Fort Nelson General Hospital"
          }
        }
      ],
      "identifier": [
        {
          "type": {
            "text": "Accession No"
          },
          "value": "ACC_111"
        },
        {
          "type": {
            "text": "Lab Result ID"
          },
          "value": "LR_222"
        }
      ],
      "basedOn": [
        {
          "reference": "procedureRequest/PROCREQ2"
        }
      ],
      "status": "registered",
      "code": {
        "coding": [
          {
            "code": "6323-0",
            "display": "Borrelia species; Culture"
          }
        ]
      },
      "effectiveDateTime": "2018-12-10T18:22:33+00:00",
      "issued": "2018-12-11T19:21:31+00:00",
      "valueString": "Escherichia coli >100 mega CFU/L",
      "interpretation": {
        "coding": [
          {
            "code": "AA",
            "display": "Abnormal alert"
          }
        ]
      },
      "specimen": {
        "reference": "specimen/SPCMN2"
      },
      "component": [
        {
          "code": {
            "coding": [
              {
                "code": "18964-7",
                "display": "Penicillin"
              }
            ]
          },
          "valueString": ">10.1",
          "interpretation": {
            "coding": [
              {
                "code": "S",
                "display": "Susceptible"
              }
            ]
          }
        },
        {
          "code": {
            "coding": [
              {
                "code": "18961-3",
                "display": "Oxacillin"
              }
            ]
          },
          "valueString": "<7.1",
          "interpretation": {
            "coding": [
              {
                "code": "I",
                "display": "Intermediate"
              }
            ]
          }
        },
        {
          "code": {
            "coding": [
              {
                "code": "18994-4",
                "display": "Ticarcillin"
              }
            ]
          },
          "valueString": ">10.1",
          "interpretation": {
            "coding": [
              {
                "code": "R",
                "display": "Resistence"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "ProcedureRequest",
      "id": "PROCREQ2",
      "requisition": {
        "type": {
          "text": "Lab Requisition No."
        },
        "value": "REQ_222"
      },
      "status": "completed",
      "intent": "order",
      "code": {
        "coding": [
          {
            "code": "31887-3",
            "display": "Measles Virus Ag"
          }
        ]
      },
      "subject": {
        "reference": "patient/Patient1"
      }
    },
    {
      "resourceType": "Specimen",
      "id": "SPCMN2",
      "type": {
        "coding": [
          {
            "code": "258433009",
            "display": "Smear"
          }
        ]
      },
      "subject": {
        "reference": "Patient/Patient1"
      },
      "collection": {
        "collectedDateTime": "2018-12-01T18:08:09+00:00",
        "bodySite": {
          "coding": [
            {
              "code": "MOUTHLIP",
              "display": "Mouth/Lip"
            }
          ]
        }
      },
      "note": [
        {
          "text": "Annotation for Specimen - Micro test"
        }
      ]
    },
    {
      "resourceType": "RiskAssessment",
      "id": "RISKFACTOR1",
      "identifier": {
        "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor-id",
        "value": "RF101"
      },
      "status": "registered",
      "code": {
        "coding": [
          {
            "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor-category",
            "code": "RISKCATEGCD",
            "display": "CD"
          }
        ]
      },
      "subject": {
        "reference": "patient/Patient1"
      },
      "occurrencePeriod": {
        "start": "2016-01-01",
        "end": "2018-11-01"
      },
      "prediction": [
        {
          "outcome": {
            "coding": [
              {
                "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor-response",
                "code": "YES",
                "display": "Yes"
              }
            ]
          },
          "qualitativeRisk": {
            "coding": [
              {
                "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor",
                "code": "CHRONICCARDIODIS",
                "display": "Chronic Cardiorespiratory Disease"
              }
            ]
          }
        }
      ]
    },
    {
      "resourceType": "RiskAssessment",
      "id": "RISKFACTOR2",
      "identifier": {
        "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor-id",
        "value": "RF102"
      },
      "status": "registered",
      "code": {
        "coding": [
          {
            "system": "https://ehealthbc.ca/NamingSystem/ca-bc-risk-factor-category",
            "code": "RISKCATEGCD",
            "display": "CD"
          }
        ]
      },
      "subject": {
        "reference": "patient/Patient1"
      },
      "occurrencePeriod": {
        "start": "2017-01-01",
        "end": "2018-11-12"
      },
      "prediction": [
        {
          "outcome": {
            "coding": [
              {
                "system": "https://ehealthbc.ca/NamingSystem/ca-bc-panorama-risk-factor-response",
                "code": "Y",
                "display": "Yes"
              }
            ]
          },
          "qualitativeRisk": {
            "coding": [
              {
                "system": "https://ehealthbc.ca/NamingSystem/ca-bc-panorama-risk-factor",
                "code": "OTHER",
                "display": "Other - Risk Factor (Specify)"
              }
            ]
          }
        }
      ]
    }
  ],
  "status": "completed",
  "authored": "2018-11-19T19:15:00+00:00",
  "author": {
    "reference": "practitioner/SUBMITTER1"
  },
  "source": {
    "reference": "patient/Patient1"
  },
  "item": [
    {
      "linkId": "INVESTIGATION 1.0",
      "item": [
        {
          "linkId": "investigation_externalSystemType 1.1",
          "answer": [
            {
              "valueCoding": {
                "code": "VCH_PARIS",
                "display": "VCH CD Case Number"
              }
            }
          ]
        },
        {
          "linkId": "investigation_externalSystemCaseIdentifier 1.2",
          "answer": [
            {
              "valueString": "a1879652"
            }
          ]
        },
        {
          "linkId": "INVESTIGATION_DETAILS 1.3",
          "item": [
            {
              "linkId": "InvestigationDetails_DiseaseSummary 1.3.1 (1st disease)",
              "item": [
                {
                  "linkId": "invDetDiseaseSum_classification 1.3.1.1",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CONFIRMED",
                        "display": "Confirmed"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_classificationGroup 1.3.1.2",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CASE",
                        "display": "case"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_disease",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "397428000",
                        "display": "Diphtheria"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_causativeAgent",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CA1OTHER",
                        "display": "Other - DC Only"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_authority",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "PROVINCIAL",
                        "display": "Provincial"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_furtherDifferentiation",
                  "answer": [
                    {
                      "valueString": "testing example"
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_classificationDate",
                  "answer": [
                    {
                      "valueDate": "2018-11-18"
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_stage",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "ACUTE",
                        "display": "Acute"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_site",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "BCY_SITE210",
                        "display": "Cutaneous"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "InvestigationDetails_DiseaseSummary 1.3.1 (2nd disease)",
              "item": [
                {
                  "linkId": "invDetDiseaseSum_classification 1.3.1.1",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CONFIRMED",
                        "display": "Confirmed"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_classificationGroup 1.3.1.2",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CASE",
                        "display": "case"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_disease",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "56717001",
                        "display": "Tuberculosis"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_causativeAgent",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "CA1OTHER",
                        "display": "Other - DC Only"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_authority",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "PROVINCIAL",
                        "display": "Provincial"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_furtherDifferentiation",
                  "answer": [
                    {
                      "valueString": "testing example"
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_classificationDate",
                  "answer": [
                    {
                      "valueDate": "2018-11-18"
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_stage",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "LATENT",
                        "display": "Latent"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_site",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "BCY_SITE204",
                        "display": "Bone TB (incl. mastoid, dactyl)"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "InvestigationDetails_InvestigationInformation 1.3.2",
              "item": [
                {
                  "linkId": "invDetInvInfo_disposition 1.3.2.1",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "SENT",
                        "display": "Sent"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetInvInfo_status",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "OPEN",
                        "display": "open"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetInvInfo_statusDate",
                  "answer": [
                    {
                      "valueDate": "2018-11-10"
                    }
                  ]
                },
                {
                  "linkId": "invDetDiseaseSum_investigationDiagnosisComment",
                  "answer": [
                    {
                      "valueString": "Comments for Investigation Diagnosis"
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "InvestigationDetails_RespOrganizationInvestigator 1.3.3",
              "item": [
                {
                  "linkId": "invDetRespOrgInv_responsibleOrganization 1.3.3.1",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "8",
                        "display": "Interior Health Authority"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_responsibleOrganizationWorkgroup",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "195",
                        "display": "ESI - Interface - IHA - CD"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_responsibleOrganizationDate",
                  "answer": [
                    {
                      "valueDate": "2018-11-11"
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_investigatorOrganization",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "13",
                        "display": "Provincial Health Services Authority"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_investigatorWorkgroup",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "243",
                        "display": "ESI - Interface PHSA - CD"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_investigatorAssignedDate",
                  "answer": [
                    {
                      "valueDate": "2018-10-10"
                    }
                  ]
                },
                {
                  "linkId": "invDetRespOrgInv_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "InvestigationDetails_ReportingNotifications 1.3.4",
              "item": [
                {
                  "linkId": "invDetRepNotif_reportingSentDate 1.3.4.1",
                  "answer": [
                    {
                      "valueDate": "2018-11-18"
                    }
                  ]
                },
                {
                  "linkId": "invDetRepNotif_reportingReceivedDate 1.3.4.2",
                  "answer": [
                    {
                      "valueDate": "2018-11-18"
                    }
                  ]
                },
                {
                  "linkId": "invDetRepNotif_provider",
                  "answer": [
                    {
                      "valueReference": {
                        "reference": "practitioner/RPTPRVDR1"
                      }
                    }
                  ]
                },
                {
                  "linkId": "invDetRepNotif_providerReportingSourceOther",
                  "answer": [
                    {
                      "valueString": "PROVIDER|05232|Montgomery|Carolyn Anne ADDRESS|Vancouver|V5Z 4A1|BC|746 Millyard CLINIC||H208"
                    }
                  ]
                },
                {
                  "linkId": "invDetRepNotif_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "InvestigationDetails_UDF 1.3.5",
              "item": [
                {
                  "linkId": "UDF_Diphtheria",
                  "item": [
                    {
                      "linkId": "UDFdiphtheria_contact_with_known_case",
                      "answer": [
                        {
                          "valueString": "Y"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_admitted_to_hospital",
                      "answer": [
                        {
                          "valueString": "DNA"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_name_of_hospital_for_admission",
                      "answer": [
                        {
                          "valueString": "Vancouver General Hospital"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_admission_date",
                      "answer": [
                        {
                          "valueDate": "2018-11-19"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_admitted_to_ICU",
                      "answer": [
                        {
                          "valueString": "DNA"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_immunization_status_prior_to_onset",
                      "answer": [
                        {
                          "valueString": "assumed_imm_age"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_immunization_status_prior_to_exposure",
                      "answer": [
                        {
                          "valueString": "full_imm_document"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_other_evidence_immune_status",
                      "answer": [
                        {
                          "valueString": "susceptible_lab"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_general_comments",
                      "answer": [
                        {
                          "valueString": "General comments for disease Diphtheria"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_did_case_travel_during_incubation_period",
                      "answer": [
                        {
                          "valueString": "U"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_where_case_travelled_during_incubation_period",
                      "answer": [
                        {
                          "valueString": "in_prov_territory"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_travel_locations_during_incubation_period",
                      "answer": [
                        {
                          "valueString": "United States, San Diego"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_did_case_travel_during_communicability",
                      "answer": [
                        {
                          "valueString": "U"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFdiphtheria_where_case_travelled_during_communicability",
                      "answer": [
                        {
                          "valueString": "outside_canada"
                        }
                      ]
                    }
                  ]
                },
                {
                  "linkId": "UDF_Tuberculosis",
                  "item": [
                    {
                      "linkId": "UDFtuberculosis_admitted_to_hospital",
                      "answer": [
                        {
                          "valueString": "Y"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_name_of_hospital_for_admission",
                      "answer": [
                        {
                          "valueString": "Vancouver General Hospital"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_admission_date",
                      "answer": [
                        {
                          "valueDate": "2018-11-10"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_discharge_date",
                      "answer": [
                        {
                          "valueDate": "2018-11-19"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_transferred",
                      "answer": [
                        {
                          "valueBoolean": true
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_transfer_date_1",
                      "answer": [
                        {
                          "valueDate": "2018-11-19"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_receiving_hospital_name_1",
                      "answer": [
                        {
                          "valueString": "Burnaby Hospital"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_hospital_visit_disease_related",
                      "answer": [
                        {
                          "valueString": "Y"
                        }
                      ]
                    },
                    {
                      "linkId": "UDFtuberculosis_general_comments",
                      "answer": [
                        {
                          "valueString": "General comments for disease Tuberculosis"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          ]
        },
        {
          "linkId": "LAB 1.4 (1st set)",
          "item": [
            {
              "linkId": "lab_observation 1.4.1",
              "answer": [
                {
                  "valueReference": {
                    "reference": "observation/OBSRVN1"
                  }
                }
              ]
            },
            {
              "linkId": "lab_disease 1.4.2",
              "answer": [
                {
                  "valueCoding": {
                    "code": "283876006",
                    "display": "Astrovirus"
                  }
                }
              ]
            },
            {
              "linkId": "lab_causativeAgent",
              "answer": [
                {
                  "valueCoding": {
                    "code": "BCY_CA0003",
                    "display": "Genotype 1"
                  }
                }
              ]
            },
            {
              "linkId": "lab_phReceivedDate",
              "answer": [
                {
                  "valueDate": "2018-12-06"
                }
              ]
            },
            {
              "linkId": "lab_recordType",
              "answer": [
                {
                  "valueCoding": {
                    "code": "A",
                    "display": "Add"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "LAB 1.4 (2nd set)",
          "item": [
            {
              "linkId": "lab_observation 1.4.1",
              "answer": [
                {
                  "valueReference": {
                    "reference": "observation/OBSRVN2"
                  }
                }
              ]
            },
            {
              "linkId": "lab_disease 1.4.2",
              "answer": [
                {
                  "valueCoding": {
                    "code": "75702008",
                    "display": "Brucella infection"
                  }
                }
              ]
            },
            {
              "linkId": "lab_causativeAgent",
              "answer": [
                {
                  "valueCoding": {
                    "code": "72829003",
                    "display": "melitensis"
                  }
                }
              ]
            },
            {
              "linkId": "lab_phReceivedDate",
              "answer": [
                {
                  "valueDate": "2018-12-08"
                }
              ]
            },
            {
              "linkId": "lab_recordType",
              "answer": [
                {
                  "valueCoding": {
                    "code": "A",
                    "display": "Add"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "SIGNS_SYMPTOMS 1.5 (1st set)",
          "item": [
            {
              "linkId": "signSymp_onsetFlag 1.5.1",
              "answer": [
                {
                  "valueCoding": {
                    "code": "Y",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "signSymp_onsetDate 1.5.2",
              "answer": [
                {
                  "valueDate": "2018-11-18"
                }
              ]
            },
            {
              "linkId": "signSymp_recoveryTime",
              "answer": [
                {
                  "valueDate": "2018-11-20"
                }
              ]
            },
            {
              "linkId": "signSymp_recoveryTimeEstimatedIndicator",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "signSymp_duration",
              "answer": [
                {
                  "valueInteger": "10"
                }
              ]
            },
            {
              "linkId": "signSymp_signsSymptoms",
              "answer": [
                {
                  "valueCoding": {
                    "code": "49727002",
                    "display": "Cough"
                  }
                }
              ]
            },
            {
              "linkId": "signSymp_symptomID",
              "answer": [
                {
                  "valueString": "SS001"
                }
              ]
            },
            {
              "linkId": "signSymp_dateOnsetEstimatedIndicator",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "signSymp_signsSymptomsResponse",
              "answer": [
                {
                  "valueCoding": {
                    "code": "Y",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "signSymp_recordType",
              "answer": [
                {
                  "valueCoding": {
                    "code": "A",
                    "display": "Add"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "SIGNS_SYMPTOMS 1.5 (2nd set)",
          "item": [
            {
              "linkId": "signSymp_onsetFlag",
              "answer": [
                {
                  "valueCoding": {
                    "code": "Y",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "signSymp_onsetDate",
              "answer": [
                {
                  "valueDate": "2017-11-13"
                }
              ]
            },
            {
              "linkId": "signSymp_recoveryTime",
              "answer": [
                {
                  "valueDate": "2018-11-10"
                }
              ]
            },
            {
              "linkId": "SignSymp_recoveryTimeEstimatedIndicator",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "SignSymp_duration",
              "answer": [
                {
                  "valueInteger": "5"
                }
              ]
            },
            {
              "linkId": "SignSymp_signsSymptoms",
              "answer": [
                {
                  "valueCoding": {
                    "code": "89362005",
                    "display": "Weight loss"
                  }
                }
              ]
            },
            {
              "linkId": "SignSymp_symptomID",
              "answer": [
                {
                  "valueString": "SS002"
                }
              ]
            },
            {
              "linkId": "signSymp_dateOnsetEstimatedIndicator",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "SignSymp_signsSymptomsResponse",
              "answer": [
                {
                  "valueCoding": {
                    "code": "Y",
                    "display": "Yes"
                  }
                }
              ]
            },
            {
              "linkId": "signSymp_recordType",
              "answer": [
                {
                  "valueCoding": {
                    "code": "A",
                    "display": "Add"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "OUTCOMES",
          "item": [
            {
              "linkId": "outC_outcomeDate",
              "answer": [
                {
                  "valueDate": "2018-11-13"
                }
              ]
            },
            {
              "linkId": "outC_outcomeCauseOfDeath",
              "answer": [
                {
                  "valueCoding": {
                    "code": "FATALCONDEATH",
                    "display": "Contributed, but wasn't the underlying cause"
                  }
                }
              ]
            },
            {
              "linkId": "outC_causeOfDeathComments",
              "answer": [
                {
                  "valueString": "comments of Death"
                }
              ]
            },
            {
              "linkId": "outC_causeOfDeathOtherText",
              "answer": [
                {
                  "valueString": "comments of Death"
                }
              ]
            },
            {
              "linkId": "outC_outcomeComments",
              "answer": [
                {
                  "valueString": "comments of death"
                }
              ]
            },
            {
              "linkId": "outC_outcome",
              "answer": [
                {
                  "valueCoding": {
                    "code": "FATAL",
                    "display": "Death"
                  }
                }
              ]
            },
            {
              "linkId": "outC_recordType",
              "answer": [
                {
                  "valueCoding": {
                    "code": "A",
                    "display": "Add"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "SUBJECT",
      "item": [
        {
          "linkId": "SUBJECT_RISK_FACTORS",
          "item": [
            {
              "linkId": "subjRiskFactors_riskFactors",
              "answer": [
                {
                  "valueReference": {
                    "reference": "riskAssessment/RISKFACTOR1"
                  }
                }
              ],
              "item": [
                {
                  "linkId": "subjRiskFactors_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "subjRiskFactors_RiskFactors",
              "answer": [
                {
                  "valueReference": {
                    "reference": "riskAssessment/RISKFACTOR2"
                  }
                }
              ],
              "item": [
                {
                  "linkId": "subjRiskFactors_recordType",
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "A",
                        "display": "Add"
                      }
                    }
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "NOTES",
      "item": [
        {
          "linkId": "notes_text",
          "answer": [
            {
              "valueString": "Notes texting"
            }
          ]
        },
        {
          "linkId": "notes_id",
          "answer": [
            {
              "valueString": "Notes_ID_001"
            }
          ]
        },
        {
          "linkId": "notes_context",
          "answer": [
            {
              "valueCoding": {
                "code": "NOTE",
                "display": "Note Context"
              }
            }
          ]
        },
        {
          "linkId": "notes_subjectLine",
          "answer": [
            {
              "valueString": "Notes Subject Line to indicate subject matter"
            }
          ]
        },
        {
          "linkId": "notes_status",
          "answer": [
            {
              "valueCoding": {
                "code": "C",
                "display": "Completed"
              }
            }
          ]
        },
        {
          "linkId": "notes_date",
          "answer": [
            {
              "valueDate": "2018-10-10"
            }
          ]
        },
        {
          "linkId": "notes_type",
          "answer": [
            {
              "valueCoding": {
                "code": "NP",
                "display": "NotePad"
              }
            }
          ]
        }
      ]
    }
  ]
}