Medplum

{ "resourceType": "Questionnaire", "status": "active", "title": "Setup Remote Site", "item": [ { "id": "id-6", "linkId": "g5", "type": "group", "text": "Organization", "item": [ { "id": "id-7", "linkId": "organization-name", "type": "string", "text": "Name" } ] }, { "id": "id-2", "linkId": "endpoint-details", "type": "group", "text": "Inbound Channels", "repeats": true, "item": [ { "id": "id-12", "linkId": "q1", "type": "display", "text": "Describe the network addresses the Medplum Agent will expose to the remote site's network to receive inbound messages" }, { "id": "id-3", "linkId": "endpoint-name", "type": "string", "text": "Name" }, { "id": "id-4", "linkId": "endpoint-ip", "type": "string", "text": "IP Address" }, { "id": "id-13", "linkId": "endpoint-port", "type": "integer", "text": "Port" } ] }, { "id": "id-8", "linkId": "device-group", "type": "group", "text": "Outbound Devices", "item": [ { "id": "id-14", "linkId": "q3", "type": "display", "text": "Describe the target device(s) the local address of the target device the Medplum Agent will connect to on the remote network (e.g. remote EMR, RIS, LIS, PACS, etc.)" }, { "id": "id-9", "linkId": "device-details", "type": "group", "text": "Details", "repeats": true, "item": [ { "id": "id-10", "linkId": "device-name", "type": "string", "text": "Name" }, { "id": "id-11", "linkId": "device-address", "type": "string", "text": "IP Address" }, { "id": "id-15", "linkId": "device-port", "type": "integer", "text": "Port" } ] } ] } ] }