@aehrc/smart-forms-renderer 0.37.2 → 0.38.4

package/src/tests/test-data/initialValueSample.ts

@@ -0,0 +1,826 @@
+import type { Questionnaire } from 'fhir/r4';
+
+export const qInitialValueSample: Questionnaire = {
+  resourceType: 'Questionnaire',
+  id: 'RadiologyTerminologyPOCTesting5',
+  meta: {
+    versionId: '4',
+    lastUpdated: '2024-08-27T05:59:51.989+00:00',
+    source: '#q1g1OHfA2KYNPtmK',
+    profile: [
+      'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-pop-exp',
+      'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-render'
+    ]
+  },
+  extension: [
+    {
+      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext',
+      extension: [
+        {
+          url: 'name',
+          valueCoding: {
+            system: 'http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext',
+            code: 'patient'
+          }
+        },
+        {
+          url: 'type',
+          valueCode: 'Patient'
+        },
+        {
+          url: 'description',
+          valueString: 'The patient that is to be used to pre-populate the form'
+        }
+      ]
+    },
+    {
+      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext',
+      extension: [
+        {
+          url: 'name',
+          valueCoding: {
+            system: 'http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext',
+            code: 'user'
+          }
+        },
+        {
+          url: 'type',
+          valueCode: 'Practitioner'
+        },
+        {
+          url: 'description',
+          valueString: 'The practitioner user that is to be used to pre-populate the form'
+        }
+      ]
+    },
+    {
+      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext',
+      extension: [
+        {
+          url: 'name',
+          valueCoding: {
+            system: 'http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext',
+            code: 'encounter'
+          }
+        },
+        {
+          url: 'type',
+          valueCode: 'Encounter'
+        },
+        {
+          url: 'description',
+          valueString: 'The encounter that is to be used to pre-populate the form'
+        }
+      ]
+    },
+    {
+      url: 'http://hl7.org/fhir/StructureDefinition/variable',
+      valueExpression: {
+        name: 'PractitionerRole',
+        language: 'application/x-fhir-query',
+        expression: 'PractitionerRole?practitioner={{%user.id}}'
+      }
+    }
+  ],
+  url: 'https://smartforms.csiro.au/ig/Questionnaire/RadiologyTerminologyPOCTesting5',
+  name: 'RadiologyTerminologyPOCTesting5',
+  title: 'Radiology Terminology POC Testing 5',
+  status: 'draft',
+  experimental: true,
+  subjectType: ['Patient'],
+  date: '2024-08-16',
+  description: 'Radiology Terminology POC Testing 5.',
+  jurisdiction: [
+    {
+      coding: [
+        {
+          system: 'urn:iso:std:iso:3166',
+          code: 'AU'
+        }
+      ]
+    }
+  ],
+  item: [
+    {
+      extension: [
+        {
+          url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext',
+          valueExpression: {
+            name: 'PractitionerRoleRepeat',
+            language: 'text/fhirpath',
+            expression: '%PractitionerRole.entry.resource'
+          }
+        }
+      ],
+      linkId: 'radiology-order',
+      text: 'Order details',
+      type: 'group',
+      required: true,
+      repeats: false,
+      item: [
+        {
+          extension: [
+            {
+              url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression',
+              valueExpression: {
+                language: 'text/fhirpath',
+                expression: 'now().toString()'
+              }
+            }
+          ],
+          linkId: 'radiology-order-number',
+          text: 'Order number',
+          type: 'string',
+          required: true,
+          repeats: false
+        },
+        {
+          extension: [
+            {
+              url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression',
+              valueExpression: {
+                language: 'text/fhirpath',
+                expression: "'PractitionerRole/' + %PractitionerRoleRepeat.id"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-hidden',
+              valueBoolean: true
+            }
+          ],
+          linkId: 'radiology-order-requesterreference',
+          text: 'Requester reference',
+          type: 'string',
+          repeats: false
+        },
+        {
+          extension: [
+            {
+              url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression',
+              valueExpression: {
+                language: 'text/fhirpath',
+                expression:
+                  "%PractitionerRoleRepeat.identifier.where(system='http://ns.electronichealth.net.au/id/medicare-provider-number').value"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-hidden',
+              valueBoolean: true
+            }
+          ],
+          linkId: 'radiology-order-requesterdisplay',
+          text: 'Requester display',
+          type: 'string',
+          repeats: false
+        }
+      ]
+    },
+    {
+      linkId: 'radiology-service',
+      text: 'Service details',
+      type: 'group',
+      required: true,
+      repeats: true,
+      item: [
+        {
+          extension: [
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'procedureFocus',
+                language: 'text/fhirpath',
+                expression:
+                  "item.repeat(item).where(linkId='radiology-service-examination-components-modality').answer.value"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'procedureFocusCode',
+                language: 'text/fhirpath',
+                expression: '%procedureFocus.code'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'procedureFocusDisplay',
+                language: 'text/fhirpath',
+                expression: '%procedureFocus.display'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySite',
+                language: 'text/fhirpath',
+                expression:
+                  "item.repeat(item).where(linkId='radiology-service-examination-components-bodysite').answer.value"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySiteCode',
+                language: 'text/fhirpath',
+                expression: '%bodySite.code'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySiteDisplay',
+                language: 'text/fhirpath',
+                expression: '%bodySite.display'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'laterality',
+                language: 'text/fhirpath',
+                expression:
+                  "item.repeat(item).where(linkId='radiology-service-examination-components-laterality').answer.value"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'lateralityCode',
+                language: 'text/fhirpath',
+                expression: '%laterality.code'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'lateralityDisplay',
+                language: 'text/fhirpath',
+                expression: '%laterality.display'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'contrast',
+                language: 'text/fhirpath',
+                expression:
+                  "item.repeat(item).where(linkId='radiology-service-examination-components-contrast').answer.value"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'contrastCode',
+                language: 'text/fhirpath',
+                expression: '%contrast.code'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'contrastDisplay',
+                language: 'text/fhirpath',
+                expression: '%contrast.display'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'lateralityEnabled',
+                language: 'text/fhirpath',
+                expression:
+                  "iif(%bodySiteCode.exists(), %bodySiteCode.memberOf('http://snomed.info/sct?fhir_vs=refset/723264001'), false )"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySiteDependency',
+                language: 'text/fhirpath',
+                expression:
+                  "iif(%bodySiteCode.exists(), 'dependency.element=BodySite&dependency.concept.coding.system=http://snomed.info/sct&dependency.concept.coding.code=' + %bodySiteCode + '&', 'dependency.element=BodySite&dependency.concept.coding.system=http://terminology.hl7.org/CodeSystem/data-absent-reason&dependency.concept.coding.code=unknown&')"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'lateralityDependency',
+                language: 'text/fhirpath',
+                expression:
+                  "iif(%lateralityCode.exists(), 'dependency.element=Laterality&dependency.concept.coding.system=http://snomed.info/sct&dependency.concept.coding.code=' + %lateralityCode + '&', 'dependency.element=Laterality&dependency.concept.coding.system=http://terminology.hl7.org/CodeSystem/data-absent-reason&dependency.concept.coding.code=unknown&')"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'contrastDependency',
+                language: 'text/fhirpath',
+                expression:
+                  "iif(%contrastCode.empty() and %procedureFocusCode='27483000', 'dependency.element=Contrast&dependency.concept.coding.system=http://snomed.info/sct&dependency.concept.coding.code=373066001&', iif(%contrastCode.exists() and %procedureFocusCode!='27483000', 'dependency.element=Contrast&dependency.concept.coding.system=http://snomed.info/sct&dependency.concept.coding.code=' + %contrastCode + '&', 'dependency.element=Contrast&dependency.concept.coding.system=http://terminology.hl7.org/CodeSystem/data-absent-reason&dependency.concept.coding.code=unknown&'))"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'translateAdditionalParams',
+                language: 'text/fhirpath',
+                expression: '%bodySiteDependency+%lateralityDependency+%contrastDependency'
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'procedureRequest',
+                language: 'text/fhirpath',
+                expression:
+                  "iif(%procedureFocus.exists(), %terminologies.translate('http://erequestingexample.org.au/ConceptMap/radiology-services-map-1', %procedureFocus, %translateAdditionalParams).parameter.where(exists(name='match' and part.where(exists(name='equivalence' and value='equivalent')))).part.where(name='concept').value, {})"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesXray',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-xray-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesPlainXray',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-plainxray-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesUS',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-us-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesDiagRad',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-diagrad-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesAngio',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-angio-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesFluoro',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('https://smartforms.csiro.au/ig/ValueSet/radiologypoc-bodysite-fluoro-1').expansion.contains"
+              }
+            },
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/variable',
+              valueExpression: {
+                name: 'bodySitesAll',
+                language: 'text/fhirpath',
+                expression:
+                  "%terminologies.expand('http://erequestingexample.org.au/fhir/ValueSet/radiology-body-structure-1').expansion.contains"
+              }
+            }
+          ],
+          linkId: 'radiology-service-examination',
+          text: 'Examination',
+          type: 'group',
+          required: true,
+          repeats: false,
+          item: [
+            {
+              extension: [
+                {
+                  url: 'http://hl7.org/fhir/StructureDefinition/variable',
+                  valueExpression: {
+                    name: 'bodySiteOptions',
+                    language: 'text/fhirpath',
+                    expression:
+                      "iif(%procedureFocusCode='363680008', %bodySitesXray, iif(%procedureFocusCode='168537006', %bodySitesPlainXray, iif(%procedureFocusCode='16310003', %bodySitesUS, iif(%procedureFocusCode='27483000', %bodySitesDiagRad, iif(%procedureFocusCode='77343006', %bodySitesAngio, iif(%procedureFocusCode='44491008', %bodySitesFluoro, %bodySitesAll))))))"
+                  }
+                }
+              ],
+              linkId: 'radiology-service-examination-components',
+              text: 'Procedure components',
+              type: 'group',
+              required: false,
+              repeats: false,
+              item: [
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'drop-down'
+                          }
+                        ]
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-modality',
+                  text: 'Procedure focus',
+                  type: 'choice',
+                  required: true,
+                  repeats: false,
+                  answerValueSet:
+                    'http://erequestingexample.org.au/fhir/ValueSet/radiology-procedure-1'
+                },
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'drop-down'
+                          }
+                        ]
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: '%procedureFocus.empty()'
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-bodysite-all',
+                  text: 'Body site',
+                  type: 'choice',
+                  repeats: false,
+                  readOnly: true,
+                  answerValueSet:
+                    'http://erequestingexample.org.au/fhir/ValueSet/radiology-body-structure-1',
+                  item: [
+                    {
+                      extension: [
+                        {
+                          url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory',
+                          valueCodeableConcept: {
+                            coding: [
+                              {
+                                system: 'http://hl7.org/fhir/questionnaire-display-category',
+                                code: 'instructions'
+                              }
+                            ]
+                          }
+                        }
+                      ],
+                      linkId: 'radiology-service-examination-components-bodysite-all-instructions',
+                      text: 'Select procedure focus',
+                      type: 'display'
+                    }
+                  ]
+                },
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'drop-down'
+                          }
+                        ]
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: '%procedureFocus.exists()'
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: '%bodySiteOptions'
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-bodysite',
+                  text: 'Body site',
+                  type: 'choice',
+                  repeats: false
+                },
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'radio-button'
+                          }
+                        ]
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: '%lateralityEnabled'
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-laterality',
+                  text: 'Laterality',
+                  type: 'choice',
+                  repeats: false,
+                  answerValueSet:
+                    'http://erequestingexample.org.au/fhir/ValueSet/radiology-laterality-1'
+                },
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'radio-button'
+                          }
+                        ]
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: "%procedureFocusCode!='27483000'"
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-contrast',
+                  text: 'Contrast',
+                  type: 'choice',
+                  repeats: false,
+                  answerValueSet:
+                    'http://erequestingexample.org.au/fhir/ValueSet/radiology-contrast-1'
+                },
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-item-control',
+                            code: 'radio-button'
+                          }
+                        ]
+                      }
+                    },
+                    {
+                      url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                      valueExpression: {
+                        language: 'text/fhirpath',
+                        expression: "%procedureFocusCode='27483000'"
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-components-contrast-yes',
+                  text: 'Contrast',
+                  type: 'choice',
+                  repeats: false,
+                  readOnly: true,
+                  answerOption: [
+                    {
+                      valueCoding: {
+                        system: 'http://snomed.info/sct',
+                        code: '373066001'
+                      },
+                      initialSelected: true
+                    },
+                    {
+                      valueCoding: {
+                        system: 'http://snomed.info/sct',
+                        code: '373067005'
+                      }
+                    }
+                  ]
+                }
+              ]
+            },
+            {
+              extension: [
+                {
+                  url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                  valueCodeableConcept: {
+                    coding: [
+                      {
+                        system: 'http://hl7.org/fhir/questionnaire-item-control',
+                        code: 'autocomplete'
+                      }
+                    ]
+                  }
+                },
+                {
+                  url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                  valueExpression: {
+                    language: 'text/fhirpath',
+                    expression: '%procedureFocus.empty()'
+                  }
+                }
+              ],
+              linkId: 'radiology-service-examination-procedure-all',
+              text: 'Procedure for request',
+              type: 'choice',
+              required: false,
+              repeats: false,
+              answerValueSet: 'http://erequestingexample.org.au/fhir/ValueSet/radiology-services-1'
+            },
+            {
+              extension: [
+                {
+                  url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                  valueCodeableConcept: {
+                    coding: [
+                      {
+                        system: 'http://hl7.org/fhir/questionnaire-item-control',
+                        code: 'radio-button'
+                      }
+                    ]
+                  }
+                },
+                {
+                  url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                  valueExpression: {
+                    language: 'text/fhirpath',
+                    expression: '%procedureFocus.exists() and %procedureRequest.exists()'
+                  }
+                },
+                {
+                  url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression',
+                  valueExpression: {
+                    language: 'text/fhirpath',
+                    expression: '%procedureRequest'
+                  }
+                }
+              ],
+              linkId: 'radiology-service-examination-procedure',
+              text: 'Procedure for request',
+              type: 'choice',
+              required: false,
+              repeats: false
+            },
+            {
+              extension: [
+                {
+                  url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression',
+                  valueExpression: {
+                    language: 'text/fhirpath',
+                    expression: '%procedureFocus.exists() and %procedureRequest.empty()'
+                  }
+                },
+                {
+                  url: 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression',
+                  valueExpression: {
+                    language: 'text/fhirpath',
+                    expression:
+                      "(%procedureFocusDisplay)&(iif(%bodySiteDisplay.exists(), ', '&%bodySiteDisplay, ''))&(iif(%lateralityDisplay.exists(), ' ('&%lateralityDisplay&')', ''))&(iif(%contrastCode='373066001', ', with contrast', iif(%contrastCode='373067005', ', without contrast', '')))"
+                  }
+                }
+              ],
+              linkId: 'radiology-service-examination-procedure-text',
+              text: 'Procedure for request',
+              type: 'text',
+              required: false,
+              repeats: false,
+              item: [
+                {
+                  extension: [
+                    {
+                      url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-displayCategory',
+                      valueCodeableConcept: {
+                        coding: [
+                          {
+                            system: 'http://hl7.org/fhir/questionnaire-display-category',
+                            code: 'instructions'
+                          }
+                        ]
+                      }
+                    }
+                  ],
+                  linkId: 'radiology-service-examination-procedure-text-instructions',
+                  text: 'No matching catalogue request item. This is free text.',
+                  type: 'display'
+                }
+              ]
+            },
+            {
+              extension: [
+                {
+                  url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+                  valueCodeableConcept: {
+                    coding: [
+                      {
+                        system: 'http://hl7.org/fhir/questionnaire-item-control',
+                        code: 'drop-down'
+                      }
+                    ]
+                  }
+                }
+              ],
+              linkId: 'radiology-service-examination-priority',
+              text: 'Urgency',
+              type: 'choice',
+              repeats: false,
+              answerOption: [
+                {
+                  valueCoding: {
+                    system: 'http://hl7.org/fhir/request-priority',
+                    version: '4.0.1',
+                    code: 'stat',
+                    display: 'Emergency'
+                  }
+                },
+                {
+                  valueCoding: {
+                    system: 'http://hl7.org/fhir/request-priority',
+                    version: '4.0.1',
+                    code: 'urgent',
+                    display: 'Urgent'
+                  }
+                },
+                {
+                  valueCoding: {
+                    system: 'http://hl7.org/fhir/request-priority',
+                    version: '4.0.1',
+                    code: 'routine',
+                    display: 'Routine'
+                  }
+                }
+              ]
+            },
+            {
+              linkId: 'radiology-service-examination-timing',
+              text: 'Service due',
+              type: 'dateTime',
+              repeats: false
+            }
+          ]
+        },
+        {
+          extension: [
+            {
+              url: 'http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl',
+              valueCodeableConcept: {
+                coding: [
+                  {
+                    system: 'http://hl7.org/fhir/questionnaire-item-control',
+                    code: 'autocomplete'
+                  }
+                ]
+              }
+            }
+          ],
+          linkId: 'radiology-service-clinicalindication',
+          text: 'Clinical indication',
+          type: 'open-choice',
+          repeats: true,
+          answerValueSet: 'https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1'
+        },
+        {
+          linkId: 'radiology-service-clinicalnotes',
+          text: 'Clinical context',
+          type: 'text',
+          repeats: false
+        },
+        {
+          linkId: 'radiology-service-comment',
+          text: 'Comment',
+          type: 'text',
+          repeats: false
+        }
+      ]
+    }
+  ]
+};