Medplum

{
  "resourceType": "QuestionnaireResponse",
  "status": "completed",
  "item": [
    {
      "id": "id-14",
      "linkId": "g5",
      "text": "Organization",
      "item": [
        {
          "id": "id-15",
          "linkId": "organization-name",
          "text": "Name",
          "answer": [
            {
              "valueString": "Foo Medical"
            }
          ]
        }
      ]
    },
    {
      "id": "id-16",
      "linkId": "endpoint-details",
      "text": "Endpoint",
      "item": [
        {
          "id": "id-17",
          "linkId": "q1",
          "text": "The agent endpoints describe the addresses the Agent will expose to the remote site's network"
        },
        {
          "id": "id-18",
          "linkId": "endpoint-name",
          "text": "Name",
          "answer": [
            {
              "valueString": "Test Channel"
            }
          ]
        },
        {
          "id": "id-19",
          "linkId": "endpoint-ip",
          "text": "IP Address",
          "answer": [
            {
              "valueString": "1.1.1.1"
            }
          ]
        },
        {
          "id": "id-20",
          "linkId": "endpoint-port",
          "text": "Port",
          "answer": [
            {
              "valueInteger": 1234
            }
          ]
        }
      ]
    },
    {
      "id": "id-27",
      "linkId": "endpoint-details",
      "text": "Endpoint",
      "item": [
        {
          "id": "id-28",
          "linkId": "q1",
          "text": "The agent endpoints describe the addresses the Agent will expose to the remote site's network"
        },
        {
          "id": "id-29",
          "linkId": "endpoint-name",
          "text": "Name",
          "answer": [
            {
              "valueString": "Production Channel"
            }
          ]
        },
        {
          "id": "id-30",
          "linkId": "endpoint-ip",
          "text": "IP Address",
          "answer": [
            {
              "valueString": "1.1.1.2"
            }
          ]
        },
        {
          "id": "id-31",
          "linkId": "endpoint-port",
          "text": "Port ",
          "answer": [
            {
              "valueInteger": 1234
            }
          ]
        }
      ]
    },
    {
      "id": "id-21",
      "linkId": "device-group",
      "text": "Devices",
      "item": [
        {
          "id": "id-22",
          "linkId": "q3",
          "text": "The Device resource describes the local address of the target device the Agent will connect to on the remote site's network"
        },
        {
          "id": "id-23",
          "linkId": "device-details",
          "text": "Details",
          "item": [
            {
              "id": "id-24",
              "linkId": "device-name",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Foo LIS"
                }
              ]
            },
            {
              "id": "id-25",
              "linkId": "device-address",
              "text": "IP Address",
              "answer": [
                {
                  "valueString": "2.3.4.5"
                }
              ]
            },
            {
              "id": "id-26",
              "linkId": "device-port",
              "text": "Port",
              "answer": [
                {
                  "valueInteger": 1234
                }
              ]
            }
          ]
        },
        {
          "id": "id-32",
          "linkId": "device-details",
          "text": "Details",
          "item": [
            {
              "id": "id-33",
              "linkId": "device-name",
              "text": "Name",
              "answer": [
                {
                  "valueString": "Foo RIS"
                }
              ]
            },
            {
              "id": "id-34",
              "linkId": "device-address",
              "text": "IP Address",
              "answer": [
                {
                  "valueString": "2.3.4.5"
                }
              ]
            },
            {
              "id": "id-35",
              "linkId": "device-port",
              "text": "Port",
              "answer": [
                {
                  "valueInteger": 9876
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}