@welshare/questionnaire 0.2.0 → 0.2.1

package/README.md

@@ -11,16 +11,16 @@ npm install @welshare/questionnaire
 ## Quick Start
 
 ```tsx
-import { useState, useEffect } from 'react';
+import { useState, useEffect } from "react";
 import {
   QuestionnaireProvider,
   useQuestionnaire,
   QuestionRenderer,
   getVisiblePages,
   type Questionnaire,
-} from '@welshare/questionnaire';
-import '@welshare/questionnaire/tokens.css';
-import '@welshare/questionnaire/styles.css';
+} from "@welshare/questionnaire";
+import "@welshare/questionnaire/tokens.css";
+import "@welshare/questionnaire/styles.css";
 
 function QuestionnairePage() {
   const { questionnaire, isPageValid } = useQuestionnaire();
@@ -45,11 +45,13 @@ function QuestionnairePage() {
 }
 
 function App() {
-  const [questionnaire, setQuestionnaire] = useState<Questionnaire | null>(null);
+  const [questionnaire, setQuestionnaire] = useState<Questionnaire | null>(
+    null
+  );
 
   useEffect(() => {
-    fetch('/api/questionnaire/your-id')
-      .then(res => res.json())
+    fetch("/api/questionnaire/your-id")
+      .then((res) => res.json())
       .then(setQuestionnaire);
   }, []);
 
@@ -68,6 +70,7 @@ function App() {
 ### QuestionnaireProvider
 
 **Props:**
+
 - `questionnaire: Questionnaire` - FHIR Questionnaire object
 - `questionnaireId?: string` - Optional ID override (defaults to `questionnaire.id`)
 - `useNestedStructure?: boolean` - Nested or flat response structure (default: `true`)
@@ -76,18 +79,27 @@ function App() {
 
 ```tsx
 const {
-  questionnaire, response,
-  updateAnswer, updateMultipleAnswers,
-  getAnswer, getAnswers,
-  isPageValid, getRequiredQuestions, getUnansweredRequiredQuestions,
-  markValidationErrors, clearValidationErrors, hasValidationError,
-  debugMode, toggleDebugMode,
+  questionnaire,
+  response,
+  updateAnswer,
+  updateMultipleAnswers,
+  getAnswer,
+  getAnswers,
+  isPageValid,
+  getRequiredQuestions,
+  getUnansweredRequiredQuestions,
+  markValidationErrors,
+  clearValidationErrors,
+  hasValidationError,
+  debugMode,
+  toggleDebugMode,
 } = useQuestionnaire();
 ```
 
 ### QuestionRenderer
 
 **Props:**
+
 - `item: QuestionnaireItem` - Questionnaire item to render
 - `className?: string` - Container CSS classes
 - `inputClassName?: string` - Input CSS classes
@@ -102,6 +114,7 @@ const {
 A controlled component for collecting height, weight, and calculating BMI. The component acts as an input helper that manages BMI calculation internally and reports changes to the parent via callbacks. Unit system (metric/imperial) is managed internally and automatically clears all fields when switched.
 
 **Props:**
+
 - `height: number` - Current height value (0 when empty)
 - `weight: number` - Current weight value (0 when empty)
 - `bmi: number` - Current BMI value (calculated and set by the component, 0 when not calculated)
@@ -111,6 +124,7 @@ A controlled component for collecting height, weight, and calculating BMI. The c
 - `className?: string` - Optional CSS classes
 
 **Features:**
+
 - Controlled numeric values (height, weight, bmi) managed by parent
 - BMI calculation handled internally by the component
 - Unit system managed internally (defaults to metric)
@@ -121,10 +135,10 @@ A controlled component for collecting height, weight, and calculating BMI. The c
 **Example:**
 
 ```tsx
-import { useState } from 'react';
-import { BmiForm, getBmiCategory } from '@welshare/questionnaire';
-import '@welshare/questionnaire/tokens.css';
-import '@welshare/questionnaire/styles.css';
+import { useState } from "react";
+import { BmiForm, getBmiCategory } from "@welshare/questionnaire";
+import "@welshare/questionnaire/tokens.css";
+import "@welshare/questionnaire/styles.css";
 
 function MyComponent() {
   const [height, setHeight] = useState(0);
@@ -133,7 +147,7 @@ function MyComponent() {
 
   const handleBmiChange = (value: number) => {
     setBmi(value);
-    
+
     // Optional: Get BMI category
     if (value) {
       const category = getBmiCategory(value);
@@ -157,11 +171,13 @@ function MyComponent() {
 ### Utilities
 
 **Questionnaire Utilities:**
+
 - `getVisiblePages(questionnaire)` - Get visible page groups
 - `calculateProgress(currentIndex, total)` - Calculate progress percentage
 - `getAllQuestionsFromPage(pageItem)` - Get all questions from a page
 
 **BMI Helper Functions:**
+
 - `calculateBmi(height, weight, unitSystem)` - Calculate BMI from height and weight
 - `getBmiCategory(bmi)` - Get WHO BMI category (Underweight, Normal weight, Overweight, Obese)
 
@@ -196,37 +212,139 @@ Override CSS custom properties:
 ## FHIR Extensions
 
 ### Hidden Questions
+
+```json
+{
+  "extension": [
+    {
+      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
+      "valueBoolean": true
+    }
+  ]
+}
+```
+
+### Media Attachments (Images)
+
+Display images or other media content with question items using the FHIR SDC (Structured Data Capture) extensions.
+
+**Item Media (images on questions):**
+
+```json
+{
+  "linkId": "body-diagram",
+  "text": "Where is the pain located?",
+  "type": "choice",
+  "extension": [
+    {
+      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia",
+      "valueAttachment": {
+        "contentType": "image/png",
+        "url": "https://example.com/images/body-diagram.png",
+        "title": "Body diagram"
+      }
+    }
+  ]
+}
+```
+
+**Answer Option Media (images on answer options):**
+
 ```json
 {
-  "extension": [{
-    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
-    "valueBoolean": true
-  }]
+  "linkId": "skin-condition",
+  "text": "Which image best matches your condition?",
+  "type": "choice",
+  "answerOption": [
+    {
+      "valueCoding": {
+        "code": "mild",
+        "display": "Mild"
+      },
+      "extension": [
+        {
+          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
+          "valueAttachment": {
+            "contentType": "image/jpeg",
+            "url": "https://example.com/images/mild.jpg",
+            "title": "Mild condition"
+          }
+        }
+      ]
+    },
+    {
+      "valueCoding": {
+        "code": "severe",
+        "display": "Severe"
+      },
+      "extension": [
+        {
+          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
+          "valueAttachment": {
+            "contentType": "image/jpeg",
+            "url": "https://example.com/images/severe.jpg",
+            "title": "Severe condition"
+          }
+        }
+      ]
+    }
+  ]
+}
+```
+
+**CSS Classes for Styling:**
+
+- `.wq-question-media` - Container for question-level images
+- `.wq-question-image` - Individual question image
+- `.wq-choice-option-wrapper` - Wrapper around answer option with image
+- `.wq-choice-option-image` - Individual answer option image
+
+**Example Styling:**
+
+```css
+.wq-question-image {
+  max-width: 100%;
+  height: auto;
+  margin-bottom: 1rem;
+  border-radius: 0.5rem;
+}
+
+.wq-choice-option-image {
+  max-width: 200px;
+  height: auto;
+  margin-bottom: 0.5rem;
+  border-radius: 0.25rem;
 }
 ```
 
 ### Slider Controls
+
 ```json
 {
-  "extension": [{
-    "url": "http://codes.welshare.app/StructureDefinition/questionnaire-slider-control",
-    "extension": [
-      { "url": "minValue", "valueInteger": 0 },
-      { "url": "maxValue", "valueInteger": 100 },
-      { "url": "step", "valueInteger": 1 },
-      { "url": "unit", "valueString": "minutes" }
-    ]
-  }]
+  "extension": [
+    {
+      "url": "http://codes.welshare.app/StructureDefinition/questionnaire-slider-control",
+      "extension": [
+        { "url": "minValue", "valueInteger": 0 },
+        { "url": "maxValue", "valueInteger": 100 },
+        { "url": "step", "valueInteger": 1 },
+        { "url": "unit", "valueString": "minutes" }
+      ]
+    }
+  ]
 }
 ```
 
 ### Exclusive Options
+
 ```json
 {
-  "extension": [{
-    "url": "http://codes.welshare.app/StructureDefinition/questionnaire-exclusive-option",
-    "valueString": "none-of-the-above-code"
-  }]
+  "extension": [
+    {
+      "url": "http://codes.welshare.app/StructureDefinition/questionnaire-exclusive-option",
+      "valueString": "none-of-the-above-code"
+    }
+  ]
 }
 ```
 
@@ -235,37 +353,51 @@ Override CSS custom properties:
 Input helpers allow you to provide auxiliary UI (like calculators or lookup dialogs) to assist users in filling out form fields. The library detects the extension and calls your `renderHelperTrigger` function, but you control the dialog/modal implementation.
 
 **FHIR Extension:**
+
 ```json
 {
   "linkId": "bmi",
   "text": "Body Mass Index",
   "type": "decimal",
-  "extension": [{
-    "url": "http://codes.welshare.app/StructureDefinition/questionnaire-inputHelper",
-    "valueCodeableConcept": {
-      "coding": [{
-        "system": "http://codes.welshare.app/input-helper-type",
-        "code": "bmi-calculator",
-        "display": "BMI Calculator"
-      }],
-      "text": "Calculate BMI from height and weight"
+  "extension": [
+    {
+      "url": "http://codes.welshare.app/StructureDefinition/questionnaire-inputHelper",
+      "valueCodeableConcept": {
+        "coding": [
+          {
+            "system": "http://codes.welshare.app/input-helper-type",
+            "code": "bmi-calculator",
+            "display": "BMI Calculator"
+          }
+        ],
+        "text": "Calculate BMI from height and weight"
+      }
     }
-  }]
+  ]
 }
 ```
 
 **Implementation:**
 
 ```tsx
-import { useState } from 'react';
-import { QuestionRenderer, BmiForm, type HelperTriggerProps } from '@welshare/questionnaire';
+import { useState } from "react";
+import {
+  QuestionRenderer,
+  BmiForm,
+  type HelperTriggerProps,
+} from "@welshare/questionnaire";
 
 function MyQuestionnaireRenderer({ item }) {
   const [showBmiDialog, setShowBmiDialog] = useState(false);
-  const [helperCallback, setHelperCallback] = useState<((v: string | number) => void) | null>(null);
-
-  const handleHelperTrigger = ({ helper, onValueSelected }: HelperTriggerProps) => {
-    if (helper.type === 'bmi-calculator') {
+  const [helperCallback, setHelperCallback] = useState<
+    ((v: string | number) => void) | null
+  >(null);
+
+  const handleHelperTrigger = ({
+    helper,
+    onValueSelected,
+  }: HelperTriggerProps) => {
+    if (helper.type === "bmi-calculator") {
       return (
         <button
           type="button"
@@ -274,7 +406,7 @@ function MyQuestionnaireRenderer({ item }) {
             setShowBmiDialog(true);
           }}
         >
-          {helper.display || 'Calculate'}
+          {helper.display || "Calculate"}
         </button>
       );
     }
@@ -283,11 +415,8 @@ function MyQuestionnaireRenderer({ item }) {
 
   return (
     <>
-      <QuestionRenderer
-        item={item}
-        renderHelperTrigger={handleHelperTrigger}
-      />
-      
+      <QuestionRenderer item={item} renderHelperTrigger={handleHelperTrigger} />
+
       {showBmiDialog && (
         <Dialog onClose={() => setShowBmiDialog(false)}>
           <BmiForm
@@ -304,6 +433,7 @@ function MyQuestionnaireRenderer({ item }) {
 ```
 
 **Helper Trigger Props:**
+
 - `helper: InputHelperConfig` - Configuration from the extension
   - `type: string` - Helper identifier (e.g., "bmi-calculator")
   - `display?: string` - Display name from the extension
@@ -316,9 +446,6 @@ function MyQuestionnaireRenderer({ item }) {
 
 **Note:** The library only renders the trigger element you provide. You are responsible for implementing the dialog/modal UI, as this allows you to use your preferred dialog system (e.g., shadcn/ui, Radix UI, MUI, etc.).
 
-
-
-
 ## License
 
 MIT © Welshare UG (haftungsbeschränkt)

package/dist/esm/components/bmi-form.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"bmi-form.d.ts","sourceRoot":"","sources":["../../../src/components/bmi-form.tsx"],"names":[],"mappings":"AASA;;GAEG;AACH,MAAM,WAAW,mBAAmB;IAClC,4BAA4B;IAC5B,QAAQ,EAAE,MAAM,CAAC;IACjB,0BAA0B;IAC1B,QAAQ,EAAE,MAAM,CAAC;IACjB,6BAA6B;IAC7B,GAAG,EAAE,MAAM,CAAC;CACb;AAED;;GAEG;AACH,MAAM,WAAW,gBAAgB;IAC/B,4BAA4B;IAC5B,QAAQ,CAAC,EAAE,MAAM,CAAC;IAClB,0BAA0B;IAC1B,QAAQ,CAAC,EAAE,MAAM,CAAC;CACnB;AAED,MAAM,WAAW,YAAY;IAC3B;;;;OAIG;IACH,aAAa,CAAC,EAAE,gBAAgB,CAAC;IAEjC;;;;OAIG;IACH,cAAc,CAAC,EAAE,QAAQ,GAAG,UAAU,CAAC;IAEvC;;;OAGG;IACH,QAAQ,CAAC,EAAE,CAAC,MAAM,EAAE,mBAAmB,KAAK,IAAI,CAAC;IAEjD;;;;OAIG;IACH,QAAQ,CAAC,EAAE,CAAC,MAAM,EAAE,mBAAmB,KAAK,IAAI,CAAC;IAEjD;;OAEG;IACH,SAAS,CAAC,EAAE,MAAM,CAAC;CACpB;AAED;;;;;;;;;;;;;;;;GAgBG;AACH,eAAO,MAAM,OAAO,GAAI,mEAMrB,YAAY,4CA8Sd,CAAC"}

package/dist/esm/components/media-attachment.d.ts

@@ -0,0 +1,21 @@
+import type { Attachment } from "../types/fhir.js";
+export interface MediaAttachmentProps {
+    attachment: Attachment;
+    alt: string;
+    className?: string;
+}
+/**
+ * Renders a single media attachment (image) if it has a URL and is an image type
+ */
+export declare const MediaAttachment: ({ attachment, alt, className, }: MediaAttachmentProps) => import("react/jsx-runtime").JSX.Element | null;
+export interface MediaAttachmentsProps {
+    attachments: Attachment[];
+    baseAlt?: string;
+    className?: string;
+    containerClassName?: string;
+}
+/**
+ * Renders multiple media attachments in a container
+ */
+export declare const MediaAttachments: ({ attachments, baseAlt, className, containerClassName, }: MediaAttachmentsProps) => import("react/jsx-runtime").JSX.Element | null;
+//# sourceMappingURL=media-attachment.d.ts.map

package/dist/esm/components/media-attachment.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"media-attachment.d.ts","sourceRoot":"","sources":["../../../src/components/media-attachment.tsx"],"names":[],"mappings":"AAAA,OAAO,KAAK,EAAE,UAAU,EAAE,MAAM,kBAAkB,CAAC;AAEnD,MAAM,WAAW,oBAAoB;IACnC,UAAU,EAAE,UAAU,CAAC;IACvB,GAAG,EAAE,MAAM,CAAC;IACZ,SAAS,CAAC,EAAE,MAAM,CAAC;CACpB;AAED;;GAEG;AACH,eAAO,MAAM,eAAe,GAAI,iCAI7B,oBAAoB,mDAkBtB,CAAC;AAEF,MAAM,WAAW,qBAAqB;IACpC,WAAW,EAAE,UAAU,EAAE,CAAC;IAC1B,OAAO,CAAC,EAAE,MAAM,CAAC;IACjB,SAAS,CAAC,EAAE,MAAM,CAAC;IACnB,kBAAkB,CAAC,EAAE,MAAM,CAAC;CAC7B;AAED;;GAEG;AACH,eAAO,MAAM,gBAAgB,GAAI,0DAK9B,qBAAqB,mDAevB,CAAC"}

package/dist/esm/components/media-attachment.js

@@ -0,0 +1,22 @@
+import { jsx as _jsx } from "react/jsx-runtime";
+/**
+ * Renders a single media attachment (image) if it has a URL and is an image type
+ */
+export const MediaAttachment = ({ attachment, alt, className = "", }) => {
+    // Only render if URL exists
+    if (!attachment.url)
+        return null;
+    // Check if it's an image (or assume image if no contentType)
+    const isImage = !attachment.contentType || attachment.contentType.startsWith("image/");
+    if (!isImage)
+        return null;
+    return (_jsx("img", { src: attachment.url, alt: alt, className: className, title: attachment.title }));
+};
+/**
+ * Renders multiple media attachments in a container
+ */
+export const MediaAttachments = ({ attachments, baseAlt = "Image", className = "", containerClassName = "", }) => {
+    if (attachments.length === 0)
+        return null;
+    return (_jsx("div", { className: containerClassName, children: attachments.map((attachment, index) => (_jsx(MediaAttachment, { attachment: attachment, alt: attachment.title || `${baseAlt} ${index + 1}`, className: className }, index))) }));
+};

package/dist/esm/components/question-renderer.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"question-renderer.d.ts","sourceRoot":"","sources":["../../../src/components/question-renderer.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AAEvC,OAAO,KAAK,EAAE,iBAAiB,EAAE,MAAM,kBAAkB,CAAC;AAkB1D,OAAO,EACL,eAAe,EACf,kBAAkB,EAClB,kBAAkB,EACnB,MAAM,mBAAmB,CAAC;AAE3B,MAAM,WAAW,qBAAqB;IACpC,IAAI,EAAE,iBAAiB,CAAC;IACxB;;;OAGG;IACH,SAAS,CAAC,EAAE,MAAM,CAAC;IACnB;;;OAGG;IACH,cAAc,CAAC,EAAE,MAAM,CAAC;IACxB;;;OAGG;IACH,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB;;;;;;;;;;;;;;;;;;;;;;OAsBG;IACH,gBAAgB,CAAC,EAAE,CAAC,KAAK,EAAE,eAAe,KAAK,SAAS,CAAC;IACzD;;;;;;;;;;;;;;;;;;;;;;OAsBG;IACH,mBAAmB,CAAC,EAAE,CAAC,KAAK,EAAE,kBAAkB,KAAK,SAAS,CAAC;IAC/D;;;OAGG;IACH,mBAAmB,CAAC,EAAE,CAAC,KAAK,EAAE,kBAAkB,KAAK,SAAS,CAAC;CAChE;AAED;;;;;;;;GAQG;AACH,eAAO,MAAM,gBAAgB,GAAI,eAAe,qBAAqB,4CAyBpE,CAAC"}

package/dist/esm/components/question-renderer.js

@@ -1,12 +1,13 @@
 import { jsx as _jsx, jsxs as _jsxs } from "react/jsx-runtime";
 import { useQuestionnaire } from "../contexts/questionnaire-context.js";
-import { isQuestionEnabled } from "../lib/questionnaire-utils.js";
-import { FHIR_EXTENSIONS, WELSHARE_EXTENSIONS, FHIR_CODE_SYSTEMS } from "../lib/constants.js";
+import { isQuestionEnabled, getItemMedia } from "../lib/questionnaire-utils.js";
+import { FHIR_EXTENSIONS, WELSHARE_EXTENSIONS, FHIR_CODE_SYSTEMS, } from "../lib/constants.js";
 import { DebugSection } from "./debug-section.js";
+import { MediaAttachments } from "./media-attachment.js";
 import { ChoiceQuestion } from "./questions/choice-question.js";
 import { MultipleChoiceQuestion } from "./questions/multiple-choice-question.js";
 import { IntegerQuestion } from "./questions/integer-question.js";
-import { DecimalQuestion, getDecimalHelperTriggerProps } from "./questions/decimal-question.js";
+import { DecimalQuestion, getDecimalHelperTriggerProps, } from "./questions/decimal-question.js";
 import { StringQuestion } from "./questions/string-question.js";
 import { BooleanQuestion } from "./questions/boolean-question.js";
 /**
@@ -166,7 +167,9 @@ const QuestionRendererInternal = ({ item, className = "", inputClassName = "", c
     const sliderConfig = getSliderConfig();
     const renderQuestion = () => {
         switch (item.type) {
+            // FHIR R4 uses 'choice', R5 uses 'coding' - both render the same way
             case "choice":
+            case "coding":
                 // Multi-select with checkboxes when repeats is true
                 if (item.repeats) {
                     return (_jsx(MultipleChoiceQuestion, { item: item, currentAnswers: currentAnswers, onMultipleChoiceToggle: handleMultipleChoiceToggle, choiceClassName: choiceClassName, renderCheckboxInput: renderCheckboxInput }));
@@ -190,5 +193,7 @@ const QuestionRendererInternal = ({ item, className = "", inputClassName = "", c
     const helperTriggerProps = item.type === "decimal"
         ? getDecimalHelperTriggerProps(item, currentAnswer, handleDecimalChange)
         : null;
-    return (_jsxs("div", { className: `wq-question-container ${hasError ? "wq-has-error" : ""} ${className}`, children: [_jsxs("div", { className: "wq-question-label-row", children: [_jsxs("div", { className: "wq-question-text", children: [item.text, item.required && _jsx("span", { className: "wq-required-indicator", children: "*" })] }), helperTriggerProps && renderHelperTrigger && (_jsx("div", { className: "wq-question-helper-trigger", children: renderHelperTrigger(helperTriggerProps) }))] }), renderQuestion()] }));
+    // Get media attachments for this question
+    const mediaAttachments = getItemMedia(item);
+    return (_jsxs("div", { className: `wq-question-container ${hasError ? "wq-has-error" : ""} ${className}`, children: [_jsx(MediaAttachments, { attachments: mediaAttachments, baseAlt: "Question image", className: "wq-question-image", containerClassName: "wq-question-media" }), _jsxs("div", { className: "wq-question-label-row", children: [_jsxs("div", { className: "wq-question-text", children: [item.text, item.required && _jsx("span", { className: "wq-required-indicator", children: "*" })] }), helperTriggerProps && renderHelperTrigger && (_jsx("div", { className: "wq-question-helper-trigger", children: renderHelperTrigger(helperTriggerProps) }))] }), renderQuestion()] }));
 };

package/dist/esm/components/questions/boolean-question.d.ts

@@ -1,6 +1,6 @@
-import { type ReactNode } from 'react';
-import type { QuestionnaireItem, QuestionnaireResponseAnswer } from '../../types/fhir.js';
-import { RadioInputProps } from '@/types/index.js';
+import { type ReactNode } from "react";
+import type { QuestionnaireItem, QuestionnaireResponseAnswer } from "../../types/fhir.js";
+import { RadioInputProps } from "@/types/index.js";
 export interface BooleanQuestionProps {
     item: QuestionnaireItem;
     currentAnswer?: QuestionnaireResponseAnswer;
@@ -11,5 +11,5 @@ export interface BooleanQuestionProps {
 /**
  * Renders a boolean question with Yes/No radio buttons
  */
-export declare const BooleanQuestion: ({ item, currentAnswer, onBooleanChange, choiceClassName, renderRadioInput }: BooleanQuestionProps) => import("react/jsx-runtime").JSX.Element;
+export declare const BooleanQuestion: ({ item, currentAnswer, onBooleanChange, choiceClassName, renderRadioInput, }: BooleanQuestionProps) => import("react/jsx-runtime").JSX.Element;
 //# sourceMappingURL=boolean-question.d.ts.map

package/dist/esm/components/questions/boolean-question.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"boolean-question.d.ts","sourceRoot":"","sources":["../../../../src/components/questions/boolean-question.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AACvC,OAAO,KAAK,EAAE,iBAAiB,EAAE,2BAA2B,EAAE,MAAM,qBAAqB,CAAC;AAC1F,OAAO,EAAE,eAAe,EAAE,MAAM,kBAAkB,CAAC;AAGnD,MAAM,WAAW,oBAAoB;IACnC,IAAI,EAAE,iBAAiB,CAAC;IACxB,aAAa,CAAC,EAAE,2BAA2B,CAAC;IAC5C,eAAe,EAAE,CAAC,KAAK,EAAE,OAAO,KAAK,IAAI,CAAC;IAC1C,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB,gBAAgB,CAAC,EAAE,CAAC,KAAK,EAAE,eAAe,KAAK,SAAS,CAAC;CAC1D;AAED;;GAEG;AACH,eAAO,MAAM,eAAe,GAAI,6EAM7B,oBAAoB,4CAgDtB,CAAC"}
+{"version":3,"file":"boolean-question.d.ts","sourceRoot":"","sources":["../../../../src/components/questions/boolean-question.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AACvC,OAAO,KAAK,EACV,iBAAiB,EACjB,2BAA2B,EAC5B,MAAM,qBAAqB,CAAC;AAC7B,OAAO,EAAE,eAAe,EAAE,MAAM,kBAAkB,CAAC;AAEnD,MAAM,WAAW,oBAAoB;IACnC,IAAI,EAAE,iBAAiB,CAAC;IACxB,aAAa,CAAC,EAAE,2BAA2B,CAAC;IAC5C,eAAe,EAAE,CAAC,KAAK,EAAE,OAAO,KAAK,IAAI,CAAC;IAC1C,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB,gBAAgB,CAAC,EAAE,CAAC,KAAK,EAAE,eAAe,KAAK,SAAS,CAAC;CAC1D;AAED;;GAEG;AACH,eAAO,MAAM,eAAe,GAAI,8EAM7B,oBAAoB,4CAoDtB,CAAC"}

package/dist/esm/components/questions/boolean-question.js

@@ -2,18 +2,18 @@ import { Fragment as _Fragment, jsxs as _jsxs, jsx as _jsx } from "react/jsx-run
 /**
  * Renders a boolean question with Yes/No radio buttons
  */
-export const BooleanQuestion = ({ item, currentAnswer, onBooleanChange, choiceClassName = '', renderRadioInput }) => {
+export const BooleanQuestion = ({ item, currentAnswer, onBooleanChange, choiceClassName = "", renderRadioInput, }) => {
     return (_jsx("div", { className: `wq-question-choice ${choiceClassName}`, children: renderRadioInput ? (_jsxs(_Fragment, { children: [renderRadioInput({
                     linkId: item.linkId,
                     checked: currentAnswer?.valueBoolean === true,
                     onChange: () => onBooleanChange(true),
-                    label: 'Yes',
-                    index: 0
+                    label: "Yes",
+                    index: 0,
                 }), renderRadioInput({
                     linkId: item.linkId,
                     checked: currentAnswer?.valueBoolean === false,
                     onChange: () => onBooleanChange(false),
-                    label: 'No',
-                    index: 1
-                })] })) : (_jsxs(_Fragment, { children: [_jsxs("label", { className: `wq-choice-option ${currentAnswer?.valueBoolean === true ? 'wq-selected' : ''}`, children: [_jsx("input", { type: "radio", name: item.linkId, checked: currentAnswer?.valueBoolean === true, onChange: () => onBooleanChange(true), "data-wq-input": "radio", "data-wq-selected": currentAnswer?.valueBoolean === true }), _jsx("span", { className: "wq-choice-label", children: "Yes" })] }), _jsxs("label", { className: `wq-choice-option ${currentAnswer?.valueBoolean === false ? 'wq-selected' : ''}`, children: [_jsx("input", { type: "radio", name: item.linkId, checked: currentAnswer?.valueBoolean === false, onChange: () => onBooleanChange(false), "data-wq-input": "radio", "data-wq-selected": currentAnswer?.valueBoolean === false }), _jsx("span", { className: "wq-choice-label", children: "No" })] })] })) }));
+                    label: "No",
+                    index: 1,
+                })] })) : (_jsxs(_Fragment, { children: [_jsxs("label", { className: `wq-choice-option ${currentAnswer?.valueBoolean === true ? "wq-selected" : ""}`, children: [_jsx("input", { type: "radio", name: item.linkId, checked: currentAnswer?.valueBoolean === true, onChange: () => onBooleanChange(true), "data-wq-input": "radio", "data-wq-selected": currentAnswer?.valueBoolean === true }), _jsx("span", { className: "wq-choice-label", children: "Yes" })] }), _jsxs("label", { className: `wq-choice-option ${currentAnswer?.valueBoolean === false ? "wq-selected" : ""}`, children: [_jsx("input", { type: "radio", name: item.linkId, checked: currentAnswer?.valueBoolean === false, onChange: () => onBooleanChange(false), "data-wq-input": "radio", "data-wq-selected": currentAnswer?.valueBoolean === false }), _jsx("span", { className: "wq-choice-label", children: "No" })] })] })) }));
 };

package/dist/esm/components/questions/choice-question.d.ts

@@ -1,6 +1,6 @@
-import { type ReactNode } from 'react';
-import type { QuestionnaireItem, QuestionnaireResponseAnswer } from '../../types/fhir.js';
-import { RadioInputProps } from '@/types/index.js';
+import { type ReactNode } from "react";
+import type { QuestionnaireItem, QuestionnaireResponseAnswer } from "../../types/fhir.js";
+import { RadioInputProps } from "@/types/index.js";
 export interface ChoiceQuestionProps {
     item: QuestionnaireItem;
     currentAnswer?: QuestionnaireResponseAnswer;
@@ -15,5 +15,5 @@ export interface ChoiceQuestionProps {
 /**
  * Renders a single-select choice question with radio buttons
  */
-export declare const ChoiceQuestion: ({ item, currentAnswer, onChoiceChange, choiceClassName, renderRadioInput }: ChoiceQuestionProps) => import("react/jsx-runtime").JSX.Element;
+export declare const ChoiceQuestion: ({ item, currentAnswer, onChoiceChange, choiceClassName, renderRadioInput, }: ChoiceQuestionProps) => import("react/jsx-runtime").JSX.Element;
 //# sourceMappingURL=choice-question.d.ts.map

package/dist/esm/components/questions/choice-question.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"choice-question.d.ts","sourceRoot":"","sources":["../../../../src/components/questions/choice-question.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AACvC,OAAO,KAAK,EACV,iBAAiB,EACjB,2BAA2B,EAC5B,MAAM,qBAAqB,CAAC;AAG7B,OAAO,EAAE,eAAe,EAAE,MAAM,kBAAkB,CAAC;AAEnD,MAAM,WAAW,mBAAmB;IAClC,IAAI,EAAE,iBAAiB,CAAC;IACxB,aAAa,CAAC,EAAE,2BAA2B,CAAC;IAC5C,cAAc,EAAE,CACd,WAAW,EAAE;QAAE,MAAM,CAAC,EAAE,MAAM,CAAC;QAAC,IAAI,CAAC,EAAE,MAAM,CAAC;QAAC,OAAO,CAAC,EAAE,MAAM,CAAA;KAAE,EACjE,YAAY,CAAC,EAAE,MAAM,KAClB,IAAI,CAAC;IACV,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB,gBAAgB,CAAC,EAAE,CAAC,KAAK,EAAE,eAAe,KAAK,SAAS,CAAC;CAC1D;AAED;;GAEG;AACH,eAAO,MAAM,cAAc,GAAI,6EAM5B,mBAAmB,4CA4ErB,CAAC"}

package/dist/esm/components/questions/choice-question.js

@@ -1,23 +1,31 @@
 import { jsx as _jsx, jsxs as _jsxs } from "react/jsx-runtime";
+import { getAnswerOptionMedia } from "../../lib/questionnaire-utils.js";
+import { MediaAttachment } from "../media-attachment.js";
 /**
  * Renders a single-select choice question with radio buttons
  */
-export const ChoiceQuestion = ({ item, currentAnswer, onChoiceChange, choiceClassName = '', renderRadioInput }) => {
+export const ChoiceQuestion = ({ item, currentAnswer, onChoiceChange, choiceClassName = "", renderRadioInput, }) => {
     return (_jsx("div", { className: `wq-question-choice ${choiceClassName}`, children: item.answerOption?.map((option, index) => {
             const isSelected = currentAnswer?.valueCoding?.code === option.valueCoding?.code;
+            // Get media attachment for this answer option
+            const mediaAttachment = getAnswerOptionMedia(option);
             // Use custom renderer if provided
             if (renderRadioInput) {
-                return (_jsx("div", { children: renderRadioInput({
-                        linkId: item.linkId,
-                        valueCoding: option.valueCoding,
-                        valueInteger: option.valueInteger,
-                        checked: isSelected,
-                        onChange: () => onChoiceChange(option.valueCoding || {}, option.valueInteger),
-                        label: option.valueCoding?.display || '',
-                        index
-                    }) }, index));
+                return (_jsxs("div", { className: "wq-choice-option-wrapper", children: [mediaAttachment && (_jsx(MediaAttachment, { attachment: mediaAttachment, alt: mediaAttachment.title ||
+                                option.valueCoding?.display ||
+                                `Option ${index + 1}`, className: "wq-choice-option-image" })), renderRadioInput({
+                            linkId: item.linkId,
+                            valueCoding: option.valueCoding,
+                            valueInteger: option.valueInteger,
+                            checked: isSelected,
+                            onChange: () => onChoiceChange(option.valueCoding || {}, option.valueInteger),
+                            label: option.valueCoding?.display || "",
+                            index,
+                        })] }, index));
             }
             // Default rendering
-            return (_jsxs("label", { className: `wq-choice-option ${isSelected ? 'wq-selected' : ''}`, children: [_jsx("input", { type: "radio", name: item.linkId, value: option.valueCoding?.code, checked: isSelected, onChange: () => onChoiceChange(option.valueCoding || {}, option.valueInteger), "data-wq-input": "radio", "data-wq-selected": isSelected }), _jsx("span", { className: "wq-choice-label", children: option.valueCoding?.display })] }, index));
+            return (_jsxs("div", { className: "wq-choice-option-wrapper", children: [mediaAttachment && (_jsx(MediaAttachment, { attachment: mediaAttachment, alt: mediaAttachment.title ||
+                            option.valueCoding?.display ||
+                            `Option ${index + 1}`, className: "wq-choice-option-image" })), _jsxs("label", { className: `wq-choice-option ${isSelected ? "wq-selected" : ""}`, children: [_jsx("input", { type: "radio", name: item.linkId, value: option.valueCoding?.code, checked: isSelected, onChange: () => onChoiceChange(option.valueCoding || {}, option.valueInteger), "data-wq-input": "radio", "data-wq-selected": isSelected }), _jsx("span", { className: "wq-choice-label", children: option.valueCoding?.display })] })] }, index));
         }) }));
 };

package/dist/esm/components/questions/multiple-choice-question.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"multiple-choice-question.d.ts","sourceRoot":"","sources":["../../../../src/components/questions/multiple-choice-question.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AACvC,OAAO,KAAK,EACV,iBAAiB,EACjB,2BAA2B,EAC5B,MAAM,qBAAqB,CAAC;AAE7B,OAAO,EAAE,kBAAkB,EAAE,MAAM,sBAAsB,CAAC;AAE1D,MAAM,WAAW,2BAA2B;IAC1C,IAAI,EAAE,iBAAiB,CAAC;IACxB,cAAc,EAAE,2BAA2B,EAAE,CAAC;IAC9C,sBAAsB,EAAE,CACtB,WAAW,EAAE;QAAE,MAAM,CAAC,EAAE,MAAM,CAAC;QAAC,IAAI,CAAC,EAAE,MAAM,CAAC;QAAC,OAAO,CAAC,EAAE,MAAM,CAAA;KAAE,EACjE,YAAY,CAAC,EAAE,MAAM,KAClB,IAAI,CAAC;IACV,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB,mBAAmB,CAAC,EAAE,CAAC,KAAK,EAAE,kBAAkB,KAAK,SAAS,CAAC;CAChE;AAED;;;GAGG;AACH,eAAO,MAAM,sBAAsB,GAAI,yFAMpC,2BAA2B,4CAwF7B,CAAC"}
+{"version":3,"file":"multiple-choice-question.d.ts","sourceRoot":"","sources":["../../../../src/components/questions/multiple-choice-question.tsx"],"names":[],"mappings":"AAAA,OAAO,EAAE,KAAK,SAAS,EAAE,MAAM,OAAO,CAAC;AACvC,OAAO,KAAK,EACV,iBAAiB,EACjB,2BAA2B,EAC5B,MAAM,qBAAqB,CAAC;AAI7B,OAAO,EAAE,kBAAkB,EAAE,MAAM,sBAAsB,CAAC;AAE1D,MAAM,WAAW,2BAA2B;IAC1C,IAAI,EAAE,iBAAiB,CAAC;IACxB,cAAc,EAAE,2BAA2B,EAAE,CAAC;IAC9C,sBAAsB,EAAE,CACtB,WAAW,EAAE;QAAE,MAAM,CAAC,EAAE,MAAM,CAAC;QAAC,IAAI,CAAC,EAAE,MAAM,CAAC;QAAC,OAAO,CAAC,EAAE,MAAM,CAAA;KAAE,EACjE,YAAY,CAAC,EAAE,MAAM,KAClB,IAAI,CAAC;IACV,eAAe,CAAC,EAAE,MAAM,CAAC;IACzB,mBAAmB,CAAC,EAAE,CAAC,KAAK,EAAE,kBAAkB,KAAK,SAAS,CAAC;CAChE;AAED;;;GAGG;AACH,eAAO,MAAM,sBAAsB,GAAI,yFAMpC,2BAA2B,4CAkH7B,CAAC"}

package/dist/esm/components/questions/multiple-choice-question.js

@@ -1,5 +1,7 @@
 import { jsx as _jsx, jsxs as _jsxs } from "react/jsx-runtime";
 import { WELSHARE_EXTENSIONS } from "../../lib/constants.js";
+import { getAnswerOptionMedia } from "../../lib/questionnaire-utils.js";
+import { MediaAttachment } from "../media-attachment.js";
 /**
  * Renders a multi-select choice question with checkboxes
  * Supports exclusive options and maxAnswers limits
@@ -20,20 +22,26 @@ export const MultipleChoiceQuestion = ({ item, currentAnswers, onMultipleChoiceT
     return (_jsxs("div", { className: `wq-question-choice ${choiceClassName}`, children: [optionsToShow?.map((option, index) => {
                 const isSelected = currentAnswers.some((answer) => answer.valueCoding?.code === option.valueCoding?.code);
                 const isDisabled = !isSelected && atMaxAnswers;
+                // Get media attachment for this answer option
+                const mediaAttachment = getAnswerOptionMedia(option);
                 // Use custom renderer if provided
                 if (renderCheckboxInput) {
-                    return (_jsx("div", { children: renderCheckboxInput({
-                            linkId: item.linkId,
-                            valueCoding: option.valueCoding,
-                            valueInteger: option.valueInteger,
-                            checked: isSelected,
-                            disabled: isDisabled,
-                            onChange: () => onMultipleChoiceToggle(option.valueCoding || {}, option.valueInteger),
-                            label: option.valueCoding?.display || "",
-                            index,
-                        }) }, index));
+                    return (_jsxs("div", { className: "wq-choice-option-wrapper", children: [mediaAttachment && (_jsx(MediaAttachment, { attachment: mediaAttachment, alt: mediaAttachment.title ||
+                                    option.valueCoding?.display ||
+                                    `Option ${index + 1}`, className: "wq-choice-option-image" })), renderCheckboxInput({
+                                linkId: item.linkId,
+                                valueCoding: option.valueCoding,
+                                valueInteger: option.valueInteger,
+                                checked: isSelected,
+                                disabled: isDisabled,
+                                onChange: () => onMultipleChoiceToggle(option.valueCoding || {}, option.valueInteger),
+                                label: option.valueCoding?.display || "",
+                                index,
+                            })] }, index));
                 }
                 // Default rendering
-                return (_jsxs("label", { className: `wq-choice-option ${isSelected ? "wq-selected" : ""} ${isDisabled ? "wq-disabled" : ""}`, children: [_jsx("input", { type: "checkbox", name: item.linkId, value: option.valueCoding?.code, checked: isSelected, disabled: isDisabled, onChange: () => onMultipleChoiceToggle(option.valueCoding || {}, option.valueInteger), "data-wq-input": "checkbox", "data-wq-selected": isSelected }), _jsx("span", { className: "wq-choice-label", children: option.valueCoding?.display })] }, index));
+                return (_jsxs("div", { className: "wq-choice-option-wrapper", children: [mediaAttachment && (_jsx(MediaAttachment, { attachment: mediaAttachment, alt: mediaAttachment.title ||
+                                option.valueCoding?.display ||
+                                `Option ${index + 1}`, className: "wq-choice-option-image" })), _jsxs("label", { className: `wq-choice-option ${isSelected ? "wq-selected" : ""} ${isDisabled ? "wq-disabled" : ""}`, children: [_jsx("input", { type: "checkbox", name: item.linkId, value: option.valueCoding?.code, checked: isSelected, disabled: isDisabled, onChange: () => onMultipleChoiceToggle(option.valueCoding || {}, option.valueInteger), "data-wq-input": "checkbox", "data-wq-selected": isSelected }), _jsx("span", { className: "wq-choice-label", children: option.valueCoding?.display })] })] }, index));
             }), item.maxAnswers && (_jsxs("div", { className: "wq-max-answers-hint", children: ["Selected: ", currentAnswers.length, " / ", item.maxAnswers] }))] }));
 };

package/dist/esm/contexts/questionnaire-context.d.ts.map

@@ -1 +1 @@
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package/dist/esm/contexts/questionnaire-context.js

@@ -91,10 +91,7 @@ export const QuestionnaireProvider = ({ children, questionnaire, questionnaireId
                         }
                         // If this item has nested items, search within them
                         if (item.item && item.item.length > 0) {
-                            return {
-                                ...item,
-                                item: updateNestedItem(item.item),
-                            };
+                            return { ...item, item: updateNestedItem(item.item) };
                         }
                         return item;
                     });
@@ -122,13 +119,7 @@ export const QuestionnaireProvider = ({ children, questionnaire, questionnaireId
                     }
                     else {
                         // Create new item
-                        return [
-                            ...items,
-                            {
-                                linkId,
-                                answer: [answer],
-                            },
-                        ];
+                        return [...items, { linkId, answer: [answer] }];
                     }
                 };
                 newResponse.item = findOrCreateItem(newResponse.item);
@@ -161,10 +152,7 @@ export const QuestionnaireProvider = ({ children, questionnaire, questionnaireId
                         }
                         // If this item has nested items, search within them
                         if (item.item && item.item.length > 0) {
-                            return {
-                                ...item,
-                                item: updateNestedItem(item.item),
-                            };
+                            return { ...item, item: updateNestedItem(item.item) };
                         }
                         return item;
                     });
@@ -190,13 +178,7 @@ export const QuestionnaireProvider = ({ children, questionnaire, questionnaireId
                         return updated;
                     }
                     else {
-                        return [
-                            ...items,
-                            {
-                                linkId,
-                                answer: answers,
-                            },
-                        ];
+                        return [...items, { linkId, answer: answers }];
                     }
                 };
                 newResponse.item = findOrCreateItem(newResponse.item);

package/dist/esm/index.d.ts

@@ -3,9 +3,9 @@ export type { QuestionRendererProps } from "./components/question-renderer.js";
 export { BmiForm } from "./components/bmi-form.js";
 export type { BmiFormProps } from "./components/bmi-form.js";
 export { QuestionnaireProvider, useQuestionnaire, type QuestionnaireContextType, type QuestionnaireProviderProps, } from "./contexts/questionnaire-context.js";
-export type { Coding, Extension, Questionnaire, QuestionnaireItem, QuestionnaireItemAnswerOption, QuestionnaireResponse, QuestionnaireResponseAnswer, QuestionnaireResponseItem, } from "./types/fhir.js";
+export type { Attachment, Coding, Extension, Questionnaire, QuestionnaireItem, QuestionnaireItemAnswerOption, QuestionnaireResponse, QuestionnaireResponseAnswer, QuestionnaireResponseItem, } from "./types/fhir.js";
 export type { RadioInputProps, CheckboxInputProps, InputHelperConfig, HelperTriggerProps, } from "./types/index.js";
-export { calculateProgress, findQuestionnaireItem, getAllQuestionsFromPage, getExclusiveOptionCode, getInputHelper, getVisiblePages, hasAnswerValue, isQuestionHidden, } from "./lib/questionnaire-utils.js";
+export { calculateProgress, findQuestionnaireItem, getAllQuestionsFromPage, getAnswerOptionMedia, getExclusiveOptionCode, getInputHelper, getItemMedia, getVisiblePages, hasAnswerValue, isQuestionHidden, } from "./lib/questionnaire-utils.js";
 export { calculateBmi } from "./lib/bmi-helpers.js";
 export { FHIR_EXTENSIONS, WELSHARE_EXTENSIONS, WELSHARE_CODE_SYSTEMS, FHIR_CODE_SYSTEMS, } from "./lib/constants.js";
 //# sourceMappingURL=index.d.ts.map

package/dist/esm/index.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"index.d.ts","sourceRoot":"","sources":["../../src/index.ts"],"names":[],"mappings":"AACA,OAAO,EAAE,gBAAgB,EAAE,MAAM,mCAAmC,CAAC;AACrE,YAAY,EAAE,qBAAqB,EAAE,MAAM,mCAAmC,CAAC;AAE/E,OAAO,EAAE,OAAO,EAAE,MAAM,0BAA0B,CAAC;AACnD,YAAY,EAAE,YAAY,EAAE,MAAM,0BAA0B,CAAC;AAG7D,OAAO,EACL,qBAAqB,EACrB,gBAAgB,EAChB,KAAK,wBAAwB,EAC7B,KAAK,0BAA0B,GAChC,MAAM,qCAAqC,CAAC;AAG7C,YAAY,EACV,UAAU,EACV,MAAM,EACN,SAAS,EACT,aAAa,EACb,iBAAiB,EACjB,6BAA6B,EAC7B,qBAAqB,EACrB,2BAA2B,EAC3B,yBAAyB,GAC1B,MAAM,iBAAiB,CAAC;AAEzB,YAAY,EACV,eAAe,EACf,kBAAkB,EAClB,iBAAiB,EACjB,kBAAkB,GACnB,MAAM,kBAAkB,CAAC;AAG1B,OAAO,EACL,iBAAiB,EACjB,qBAAqB,EACrB,uBAAuB,EACvB,oBAAoB,EACpB,sBAAsB,EACtB,cAAc,EACd,YAAY,EACZ,eAAe,EACf,cAAc,EACd,gBAAgB,GACjB,MAAM,8BAA8B,CAAC;AAEtC,OAAO,EAAE,YAAY,EAAE,MAAM,sBAAsB,CAAC;AAGpD,OAAO,EACL,eAAe,EACf,mBAAmB,EACnB,qBAAqB,EACrB,iBAAiB,GAClB,MAAM,oBAAoB,CAAC"}

package/dist/esm/index.js

@@ -4,7 +4,7 @@ export { BmiForm } from "./components/bmi-form.js";
 // Contexts
 export { QuestionnaireProvider, useQuestionnaire, } from "./contexts/questionnaire-context.js";
 // Utils
-export { calculateProgress, findQuestionnaireItem, getAllQuestionsFromPage, getExclusiveOptionCode, getInputHelper, getVisiblePages, hasAnswerValue, isQuestionHidden, } from "./lib/questionnaire-utils.js";
+export { calculateProgress, findQuestionnaireItem, getAllQuestionsFromPage, getAnswerOptionMedia, getExclusiveOptionCode, getInputHelper, getItemMedia, getVisiblePages, hasAnswerValue, isQuestionHidden, } from "./lib/questionnaire-utils.js";
 export { calculateBmi } from "./lib/bmi-helpers.js";
 // Constants
 export { FHIR_EXTENSIONS, WELSHARE_EXTENSIONS, WELSHARE_CODE_SYSTEMS, FHIR_CODE_SYSTEMS, } from "./lib/constants.js";

package/dist/esm/lib/bmi-helpers.d.ts.map

@@ -1 +1 @@
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package/dist/esm/lib/constants.d.ts

@@ -9,6 +9,18 @@ export declare const FHIR_EXTENSIONS: {
      * @see http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      */
     readonly QUESTIONNAIRE_HIDDEN: "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden";
+    /**
+     * SDC extension for attaching media (images, audio, video) to questionnaire items
+     * Type: Attachment with contentType, url, title, etc.
+     * @see http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
+     */
+    readonly ITEM_MEDIA: "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia";
+    /**
+     * SDC extension for attaching media to specific answer options
+     * Type: Attachment with contentType, url, title, etc.
+     * @see http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
+     */
+    readonly ITEM_ANSWER_MEDIA: "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia";
 };
 /**
  * Welshare Custom Extension URLs

package/dist/esm/lib/constants.d.ts.map

@@ -1 +1 @@
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package/dist/esm/lib/constants.js

@@ -9,6 +9,18 @@ export const FHIR_EXTENSIONS = {
      * @see http://hl7.org/fhir/StructureDefinition/questionnaire-hidden
      */
     QUESTIONNAIRE_HIDDEN: "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
+    /**
+     * SDC extension for attaching media (images, audio, video) to questionnaire items
+     * Type: Attachment with contentType, url, title, etc.
+     * @see http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia
+     */
+    ITEM_MEDIA: "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia",
+    /**
+     * SDC extension for attaching media to specific answer options
+     * Type: Attachment with contentType, url, title, etc.
+     * @see http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia
+     */
+    ITEM_ANSWER_MEDIA: "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia",
 };
 /**
  * Welshare Custom Extension URLs

package/dist/esm/lib/questionnaire-utils.d.ts

@@ -1,4 +1,4 @@
-import type { Questionnaire, QuestionnaireItem, QuestionnaireResponseAnswer } from "../types/fhir.js";
+import type { Questionnaire, QuestionnaireItem, QuestionnaireResponseAnswer, QuestionnaireItemAnswerOption, Attachment } from "../types/fhir.js";
 /**
  * Get visible pages from a questionnaire (excludes hidden groups)
  */
@@ -50,4 +50,18 @@ export declare const getInputHelper: (item: QuestionnaireItem) => InputHelperCon
  * @returns true if the question should be enabled, false otherwise
  */
 export declare const isQuestionEnabled: (item: QuestionnaireItem, getAnswer: (linkId: string) => QuestionnaireResponseAnswer | undefined) => boolean;
+/**
+ * Extract media attachments from a questionnaire item's extensions
+ * Returns all itemMedia extensions as an array of Attachments
+ * @param item The questionnaire item to extract media from
+ * @returns Array of Attachment objects (can be empty if no media found)
+ */
+export declare const getItemMedia: (item: QuestionnaireItem) => Attachment[];
+/**
+ * Extract media attachment from an answer option's extensions
+ * Returns the first itemAnswerMedia extension found
+ * @param option The answer option to extract media from
+ * @returns Attachment object or undefined if no media found
+ */
+export declare const getAnswerOptionMedia: (option: QuestionnaireItemAnswerOption) => Attachment | undefined;
 //# sourceMappingURL=questionnaire-utils.d.ts.map

package/dist/esm/lib/questionnaire-utils.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"questionnaire-utils.d.ts","sourceRoot":"","sources":["../../../src/lib/questionnaire-utils.ts"],"names":[],"mappings":"AAAA,OAAO,KAAK,EACV,aAAa,EACb,iBAAiB,EACjB,2BAA2B,EAC3B,6BAA6B,EAC7B,UAAU,EACX,MAAM,kBAAkB,CAAC;AAG1B;;GAEG;AACH,eAAO,MAAM,eAAe,GAC1B,eAAe,aAAa,KAC3B,iBAAiB,EAcnB,CAAC;AAEF;;;;;GAKG;AACH,eAAO,MAAM,iBAAiB,GAC5B,kBAAkB,MAAM,EACxB,YAAY,MAAM,KACjB,MAGF,CAAC;AAEF;;GAEG;AACH,eAAO,MAAM,uBAAuB,GAClC,UAAU,iBAAiB,KAC1B,iBAAiB,EAsBnB,CAAC;AAEF;;GAEG;AACH,wBAAgB,qBAAqB,CACnC,KAAK,EAAE,iBAAiB,EAAE,GAAG,SAAS,EACtC,MAAM,EAAE,MAAM,GACb,iBAAiB,GAAG,IAAI,CAe1B;AAED;;GAEG;AACH,eAAO,MAAM,cAAc,GAAI,QAAQ,GAAG,KAAG,OAe5C,CAAC;AAEF;;GAEG;AACH,eAAO,MAAM,gBAAgB,GAAI,MAAM,iBAAiB,KAAG,OAQ1D,CAAC;AAEF;;GAEG;AACH,eAAO,MAAM,sBAAsB,GACjC,MAAM,iBAAiB,KACtB,MAAM,GAAG,SAKX,CAAC;AAEF;;GAEG;AACH,MAAM,WAAW,iBAAiB;IAChC,IAAI,EAAE,MAAM,CAAC;IACb,OAAO,CAAC,EAAE,MAAM,CAAC;IACjB,WAAW,CAAC,EAAE,MAAM,CAAC;CACtB;AAED;;;GAGG;AACH,eAAO,MAAM,cAAc,GACzB,MAAM,iBAAiB,KACtB,iBAAiB,GAAG,IAatB,CAAC;AAEF;;;;;GAKG;AACH,eAAO,MAAM,iBAAiB,GAC5B,MAAM,iBAAiB,EACvB,WAAW,CAAC,MAAM,EAAE,MAAM,KAAK,2BAA2B,GAAG,SAAS,KACrE,OAkEF,CAAC;AAEF;;;;;GAKG;AACH,eAAO,MAAM,YAAY,GAAI,MAAM,iBAAiB,KAAG,UAAU,EAOhE,CAAC;AAEF;;;;;GAKG;AACH,eAAO,MAAM,oBAAoB,GAC/B,QAAQ,6BAA6B,KACpC,UAAU,GAAG,SAQf,CAAC"}

package/dist/esm/lib/questionnaire-utils.js

@@ -178,3 +178,29 @@ export const isQuestionEnabled = (item, getAnswer) => {
     }
     return false;
 };
+/**
+ * Extract media attachments from a questionnaire item's extensions
+ * Returns all itemMedia extensions as an array of Attachments
+ * @param item The questionnaire item to extract media from
+ * @returns Array of Attachment objects (can be empty if no media found)
+ */
+export const getItemMedia = (item) => {
+    if (!item.extension)
+        return [];
+    return item.extension
+        .filter((ext) => ext.url === FHIR_EXTENSIONS.ITEM_MEDIA)
+        .map((ext) => ext.valueAttachment)
+        .filter((attachment) => attachment !== undefined);
+};
+/**
+ * Extract media attachment from an answer option's extensions
+ * Returns the first itemAnswerMedia extension found
+ * @param option The answer option to extract media from
+ * @returns Attachment object or undefined if no media found
+ */
+export const getAnswerOptionMedia = (option) => {
+    if (!option.extension)
+        return undefined;
+    const mediaExt = option.extension.find((ext) => ext.url === FHIR_EXTENSIONS.ITEM_ANSWER_MEDIA);
+    return mediaExt?.valueAttachment;
+};

package/dist/esm/types/fhir.d.ts

@@ -5,6 +5,16 @@ export type Coding = {
     display?: string;
     userSelected?: boolean;
 };
+export type Attachment = {
+    contentType?: string;
+    language?: string;
+    data?: string;
+    url?: string;
+    size?: number;
+    hash?: string;
+    title?: string;
+    creation?: string;
+};
 export type QuestionnaireItemAnswerOption = {
     valueCoding?: Coding;
     valueInteger?: number;
@@ -12,6 +22,7 @@ export type QuestionnaireItemAnswerOption = {
     valueTime?: string;
     valueString?: string;
     initialSelected?: boolean;
+    extension?: Extension[];
 };
 export type Extension = {
     url: string;
@@ -26,6 +37,7 @@ export type Extension = {
         language?: string;
         expression?: string;
     };
+    valueAttachment?: Attachment;
     extension?: Extension[];
 };
 export type QuestionnaireItem = {
@@ -34,7 +46,7 @@ export type QuestionnaireItem = {
     code?: Coding[];
     prefix?: string;
     text?: string;
-    type: 'group' | 'display' | 'boolean' | 'decimal' | 'integer' | 'date' | 'dateTime' | 'time' | 'string' | 'text' | 'url' | 'choice' | 'open-choice' | 'attachment' | 'reference' | 'quantity';
+    type: "group" | "display" | "boolean" | "decimal" | "integer" | "date" | "dateTime" | "time" | "string" | "text" | "url" | "choice" | "open-choice" | "coding" | "attachment" | "reference" | "quantity";
     enableWhen?: Array<{
         question: string;
         operator: string;
@@ -69,13 +81,21 @@ export type QuestionnaireItem = {
     item?: QuestionnaireItem[];
 };
 export type Questionnaire = {
-    resourceType: 'Questionnaire';
+    resourceType: "Questionnaire";
     id: string;
+    /** Metadata including profile declarations (e.g., R4 vs R5 compatibility) */
+    meta?: {
+        profile?: string[];
+        tag?: Array<{
+            system?: string;
+            code?: string;
+        }>;
+    };
     url?: string;
     version?: string;
     name?: string;
     title?: string;
-    status: 'draft' | 'active' | 'retired' | 'unknown';
+    status: "draft" | "active" | "retired" | "unknown";
     subjectType?: string[];
     date?: string;
     publisher?: string;
@@ -108,10 +128,10 @@ export type QuestionnaireResponseItem = {
     item?: QuestionnaireResponseItem[];
 };
 export type QuestionnaireResponse = {
-    resourceType: 'QuestionnaireResponse';
+    resourceType: "QuestionnaireResponse";
     id?: string;
     questionnaire?: string;
-    status: 'in-progress' | 'completed' | 'amended' | 'entered-in-error' | 'stopped';
+    status: "in-progress" | "completed" | "amended" | "entered-in-error" | "stopped";
     authored?: string;
     item?: QuestionnaireResponseItem[];
 };

package/dist/esm/types/fhir.d.ts.map

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package/dist/esm/types/fhir.js

@@ -1,3 +1,5 @@
 // FHIR Types for Questionnaire and QuestionnaireResponse
-// Based on FHIR R4 Specification with extensions commonly used in Welshare surveys
+// Based on FHIR R4/R5 Specifications with extensions commonly used in Welshare surveys
+// Note: FHIR R4 uses 'choice' and 'open-choice', while FHIR R5 uses 'coding'.
+// Both are supported for backwards compatibility.
 export {};

package/dist/esm/types/index.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"index.d.ts","sourceRoot":"","sources":["../../../src/types/index.ts"],"names":[],"mappings":"AAAA;;GAEG;AACH,MAAM,WAAW,eAAe;IAC9B,sCAAsC;IACtC,MAAM,EAAE,MAAM,CAAC;IACf,gCAAgC;IAChC,WAAW,CAAC,EAAE;QAAE,MAAM,CAAC,EAAE,MAAM,CAAC;QAAC,IAAI,CAAC,EAAE,MAAM,CAAC;QAAC,OAAO,CAAC,EAAE,MAAM,CAAA;KAAE,CAAC;IACnE,iDAAiD;IACjD,YAAY,CAAC,EAAE,MAAM,CAAC;IACtB,gDAAgD;IAChD,OAAO,EAAE,OAAO,CAAC;IACjB,sCAAsC;IACtC,QAAQ,CAAC,EAAE,OAAO,CAAC;IACnB,2CAA2C;IAC3C,QAAQ,EAAE,MAAM,IAAI,CAAC;IACrB,uCAAuC;IACvC,KAAK,EAAE,MAAM,CAAC;IACd,2CAA2C;IAC3C,KAAK,EAAE,MAAM,CAAC;CACf;AAED;;GAEG;AACH,MAAM,WAAW,kBAAkB;IACjC,sCAAsC;IACtC,MAAM,EAAE,MAAM,CAAC;IACf,gCAAgC;IAChC,WAAW,CAAC,EAAE;QAAE,MAAM,CAAC,EAAE,MAAM,CAAC;QAAC,IAAI,CAAC,EAAE,MAAM,CAAC;QAAC,OAAO,CAAC,EAAE,MAAM,CAAA;KAAE,CAAC;IACnE,iDAAiD;IACjD,YAAY,CAAC,EAAE,MAAM,CAAC;IACtB,gDAAgD;IAChD,OAAO,EAAE,OAAO,CAAC;IACjB,sCAAsC;IACtC,QAAQ,CAAC,EAAE,OAAO,CAAC;IACnB,0CAA0C;IAC1C,QAAQ,EAAE,MAAM,IAAI,CAAC;IACrB,uCAAuC;IACvC,KAAK,EAAE,MAAM,CAAC;IACd,2CAA2C;IAC3C,KAAK,EAAE,MAAM,CAAC;CACf;AAED;;GAEG;AACH,MAAM,WAAW,iBAAiB;IAChC,sDAAsD;IACtD,IAAI,EAAE,MAAM,CAAC;IACb,kCAAkC;IAClC,OAAO,CAAC,EAAE,MAAM,CAAC;IACjB,+BAA+B;IAC/B,WAAW,CAAC,EAAE,MAAM,CAAC;CACtB;AAED;;;GAGG;AACH,MAAM,WAAW,kBAAkB,CAAC,CAAC,GAAG,MAAM,GAAG,MAAM;IACrD,kDAAkD;IAClD,MAAM,EAAE,iBAAiB,CAAC;IAC1B,sCAAsC;IACtC,MAAM,EAAE,MAAM,CAAC;IACf,0CAA0C;IAC1C,YAAY,CAAC,EAAE,CAAC,CAAC;IACjB,0DAA0D;IAC1D,eAAe,EAAE,CAAC,KAAK,EAAE,CAAC,KAAK,IAAI,CAAC;CACrC"}

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "@welshare/questionnaire",
-  "version": "0.2.0",
+  "version": "0.2.1",
   "description": "FHIR Questionnaire components for React with state management and validation",
   "keywords": [
     "react",
@@ -88,7 +88,7 @@
     "audit": "pnpm audit --audit-level=moderate",
     "audit:fix": "pnpm audit fix",
     "check:deps": "pnpm outdated",
-    "verify:publish": "bash scripts/verify-publish.sh",
+    "verify:publish": "bash ../../scripts/verify-publish.sh",
     "storybook": "storybook dev -p 6006",
     "build-storybook": "storybook build"
   }