{
	"resourceType": "Questionnaire",
	"id": "c-tracker.survey-in-app.withdrawal",
	"status": "active",
	"item": [
		{
			"linkId": "withdrawalReason",
			"type": "choice",
			"options": {
				"reference": "#withdrawalReasons"
			},
			"required": true,
			"text": "I wish to withdraw because…",
			"_text": {
				"extension": [
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Ich möchte aus der Studie austreten weil…"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "Je veux me rétirer de l'étude parce que …"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Desidero abbandonare questo studio perché…"}]}
				]
			}
		},
		{
			"type": "display",
			"linkId": "alertExplanation",
			"enableWhen": [
				{
					"question": "withdrawalReason",
					"answerCoding": {
						"code": "dislike-alerts",
						"system": "http://fhir-registry.smarthealthit.org/ValueSet/clinicaltrial-withdrawal-reason"
					}
				}
			],
			"text": "You can always turn off notifications",
			"_text": {
				"extension": [
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Sie können Erinnerungen jederzeit ausschalten"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "Vous pouvez en tout moment arrêter les notifications"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Lei può in qualunque momento sospendere le notificazioni"}]}
				]
			},
			"extension": [
				{
					"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-instruction",
					"valueString": "This setting lives in your profile section under « Reminders ».\n\nPress « Cancel » top right if you don't want to withdraw right now.",
					"_valueString": {
						"extension": [
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Diese Einstellung befindet sich in Ihrem Profil unter « Erinnerungen ».\n\nDrücken Sie « Abbrechen » oben rechts, wenn Sie die Studie noch nicht verlassen möchten."}]},
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "Ce paramètre setrouve dans votre profil sous « Rappel ».\n\nAppuyez sur « Annuler » en haut à droite si vous ne souhaitez pas quiter l’étude."}]},
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Questa impostazione si trova nel Suo profilo alla voce « Promemoria ».\n\nPrema il tasto « Cancellare » in alto a destra se non desidera abbandonare lo studio."}]}
						]
					}
				}
			]
		},
		{
			"linkId": "withdrawalReasonOther",
			"type": "string",
			"enableWhen": [
				{
					"question": "withdrawalReason",
					"answerCoding": {
						"code": "other",
						"system": "http://fhir-registry.smarthealthit.org/ValueSet/clinicaltrial-withdrawal-reason"
					}
				}
			],
			"text": "You may let us know your withdraw reason so we can improve the experience in the future",
			"_text": {
				"extension": [
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Gerne dürfen Sie uns den Grund für Ihren Austritt mitteilen, so dass wir die Studie zukünftig verbessern können"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "On aimerait connaître les raisons de votre abandon afin d’améliorer notre travail futur"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Gradiremmo conoscere le ragioni del fatto che abbandona lo studio, allo scopo di migliorare le nostre prestazioni future"}]}
				]
			}
		},
		{
			"linkId": "goodbye",
			"type": "display",
			"text": "We're sorry to see you go!",
			"_text": {
				"extension": [
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Schade, Sie zu verlieren!"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "Nous sommes désolés de vous voir vous rétirer de l’étude !"}]},
					{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
						{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Siamo spiacenti i vederLa abbandonare lo studio !"}]}
				]
			},
			"extension": [
				{
					"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-instruction",
					"valueString": "Thank you for your contributions and the best of luck.",
					"_valueString": {
						"extension": [
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "de"}, {"url": "content", "valueString": "Vielen Dank für Ihre Teilnahme, wir wünschen Ihnen nur das Beste."}]},
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "fr"}, {"url": "content", "valueString": "Merci de votre participation ! Meilleurs voeux de bonne continuation !"}]},
							{"url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [
								{"url": "lang", "valueCode": "it"}, {"url": "content", "valueString": "Grazie della Sua partecipazione e buona fortuna !"}]}
						]
					}
				}
			]
		}
	],
	"contained": [
		{
			"id": "withdrawalReasons",
			"resourceType": "ValueSet",
			"compose": {
				"include": [
					{
						"concept": [
							{
								"code": "time-commitment",
								"display": "Surveys take too much time",
								"designation": [{
									"language": "de",
									"value": "Die Fragebögen sind zu lang"
								}, {
									"language": "fr",
									"value": "Le sondage prend trop de temps"
								}, {
									"language": "it",
									"value": "Il sondaggio è troppo lungo"
								}]
							},
							{
								"code": "too-difficult",
								"display": "App is too difficult to use",
								"designation": [{
									"language": "de",
									"value": "Die Bedienung der App ist umständlich"
								}, {
									"language": "fr",
									"value": "Cette application est trop compliquée"
								}, {
									"language": "it",
									"value": "Questa applicazione è troppo complicata"
								}]
							},
							{
								"code": "no-benefit",
								"display": "App is not beneficial to me",
								"designation": [{
									"language": "de",
									"value": "Die App ist nicht nützlich für mich"
								}, {
									"language": "fr",
									"value": "Ce sondage ne m’apporte pas de bénéfices"
								}, {
									"language": "it",
									"value": "Questo sondaggio non mi è utile"
								}]
							},
							{
								"code": "privacy-concerns",
								"display": "I have privacy concerns",
								"designation": [{
									"language": "de",
									"value": "Ich mache mir Sorgen um den Datenschutz"
								}, {
									"language": "fr",
									"value": "J’ai des soucis de confidentialté"
								}, {
									"language": "it",
									"value": "Sono preoccupato per la mia privacy"
								}]
							},
							{
								"code": "dislike-alerts",
								"display": "I don't like receiving notifications from the app",
								"designation": [{
									"language": "de",
									"value": "Die Erinnerungen der App stören mich"
								}, {
									"language": "fr",
									"value": "Je n’aime pas recevoir des notifications de la part de l’application"
								}, {
									"language": "it",
									"value": "Non mi piace rivevere delle notificazioni da parte dell’applicazione"
								}]
							},
							{
								"code": "not-infected",
								"display": "I no longer have hepatitis C",
								"designation": [{
									"language": "de",
									"value": "Ich habe kein Hepatitis C mehr"
								}, {
									"language": "fr",
									"value": "Je n’ai plus d’hépatite C"
								}, {
									"language": "it",
									"value": "Non ho più l’epatite C"
								}]
							},
							{
								"code": "other",
								"display": "Other",
								"designation": [{
									"language": "de",
									"value": "Anderes"
								}, {
									"language": "fr",
									"value": "Autres raisons"
								}, {
									"language": "it",
									"value": "Altri motivi"
								}]
							}
						],
						"system": "http://fhir-registry.smarthealthit.org/ValueSet/clinicaltrial-withdrawal-reason"
					}
				]
			},
			"name": "Reasons for study withdrawal",
			"status": "active"
		}
	]
}