{"xsrfToken":"8e4ebe0e1dcc32720b5874092b301f4eb6e2314b_lout","branding":{"id":"3","key":"in","name":"Health New Zealand Onboarding portal","portalBaseUrl":"/servicedesk/customer/portal/3"},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/d7d6a7bf-41c8-48b5-8fc0-6cd18d548643/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJhY2UxZGE1Ny02NWQ5LTRlOGYtYjkyYS01YWU1YTFiZTQyNjIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmQ3ZDZhN2JmLTQxYzgtNDhiNS04ZmMwLTZjZDE4ZDU0ODY0MyI6WyJyZWFkIl19LCJleHAiOjE3MzI0NDcwMzAsIm5iZiI6MTczMjQ0NjQzMH0.cx76KhKSPvwTPmi7nsrNFjkZwvyIkYRXRoBPpw7AZsQ&client=ace1da57-65d9-4e8f-b92a-5ae5a1be4262&mode=fit","logoId":"d7d6a7bf-41c8-48b5-8fc0-6cd18d548643","isLogoAvailable":true,"helpCenterTitle":"Te Whatu Ora - Health New Zealand","sharedPortalName":"Te Whatu Ora Services","userInitialAnnouncementHeader":"Welcome to the Te Whatu Ora API Portal","userInitialAnnouncementMessageWiki":"<p>Te Whatu Ora is making a number of APIs and services available to other health organisations, industry bodies and relevant general groups looking to access or share health-related data for approved purposes.</p>\n<p>Some data available via these APIs and services can only be made available to organisations specified in <a href=\"https://www.privacy.org.nz/assets/New-order/Privacy-Act-2020/Codes-of-practice/Health-information-privacy-code-2020/HIPC-Amendment-No-1/Consolidated-Code-incorporating-Amendment-No-1.pdf\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Schedule 2 </a> of the Health Information Privacy Code 2020. If you’re not sure if your organisation qualifies you can <a href=\"https://mohapis.atlassian.net/servicedesk/customer/portal/3/group/11/create/36\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">check with us</a>.</p>\n<p>All integrators will need to go through an Onboarding and Certification process to show they can meet the required security and privacy standards. There are some General Integration Requirements for integrating with Te Whatu Ora APIs and services, that all integrators must meet. Depending on your service or us there could be further specific requirements you will need to meet. Security and privacy of sensitive information is a high priority meaning there are stricter controls in place around gaining access.</p>\n<p>Useful links:</p>\n<ul class=\"alternate\" type=\"square\">\n <li><a href=\"https://mohapis.atlassian.net/servicedesk/customer/portal/3/article/294925\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Requirements for integrating with the Te Whatu Ora APIs </a></li>\n <li><a href=\"https://mohapis.atlassian.net/servicedesk/customer/portal/3/article/294950\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">How to integrate with the Te Whatu Ora's APIs </a></li>\n</ul>\n<p>We recommend that you read the above articles, before using the forms below to submit your request.</p>","translations":{"en-US":{"helpCenterTitle":"Te Whatu Ora - Health New Zealand","sharedPortalName":"Te Whatu Ora Services","announcementHeader":"Welcome to the Te Whatu Ora API Portal","announcementMessage":"Te Whatu Ora is making a number of APIs and services available to other health organisations, industry bodies and relevant general groups looking to access or share health-related data for approved purposes.\n\nSome data available via these APIs and services can only be made available to organisations specified in [Schedule 2 | https://www.privacy.org.nz/assets/New-order/Privacy-Act-2020/Codes-of-practice/Health-information-privacy-code-2020/HIPC-Amendment-No-1/Consolidated-Code-incorporating-Amendment-No-1.pdf] of the Health Information Privacy Code 2020. If you’re not sure if your organisation qualifies you can [check with us| https://mohapis.atlassian.net/servicedesk/customer/portal/3/group/11/create/36].\n\nAll integrators will need to go through an Onboarding and Certification process to show they can meet the required security and privacy standards. There are some General Integration Requirements for integrating with Te Whatu Ora APIs and services, that all integrators must meet. Depending on your service or us there could be further specific requirements you will need to meet. Security and privacy of sensitive information is a high priority meaning there are stricter controls in place around gaining access.\n\nUseful links:\n- [Requirements for integrating with the Te Whatu Ora APIs | https://mohapis.atlassian.net/servicedesk/customer/portal/3/article/294925]\n- [How to integrate with the Te Whatu Ora's APIs | https://mohapis.atlassian.net/servicedesk/customer/portal/3/article/294950]\n\nWe recommend that you read the above articles, before using the forms below to submit your request.\n","localeDisplayName":"English (United States)"},"en-GB":{"localeDisplayName":"English (United Kingdom)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#15284c","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/5b843e3c-6095-4d8d-8d0d-3b4acab87021/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJhY2UxZGE1Ny02NWQ5LTRlOGYtYjkyYS01YWU1YTFiZTQyNjIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjViODQzZTNjLTYwOTUtNGQ4ZC04ZDBkLTNiNGFjYWI4NzAyMSI6WyJyZWFkIl19LCJleHAiOjE3MzI0NDcwMzAsIm5iZiI6MTczMjQ0NjQzMH0.ZmV6i5Dr_bsaEXY8Fld2TIDMPv-9NIOQXfLZi8t-fso&client=ace1da57-65d9-4e8f-b92a-5ae5a1be4262&height=300&mode=fit","bannerMediaApiFileId":"5b843e3c-6095-4d8d-8d0d-3b4acab87021","useDefaultBanner":false,"isBannerAvailable":true},"portal":{"id":"3","key":"in","projectId":10002,"serviceDeskId":3,"name":"Health New Zealand Onboarding portal","description":"","portalBaseUrl":"/servicedesk/customer/portal/3","onlyPortal":false,"reqTypes":[{"id":"112","name":"Digital Services Hub Support & Feedback form","descriptionHtml":"","callToAction":"Digital Services Hub Support & Feedback form","introHtml":"<p>Digital Services Hub Support & Feedback form</p>","icon":10503,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10503","groups":[35],"key":""},{"id":"120","name":"DSH Provider Onboarding","descriptionHtml":"","callToAction":"DSH Provider Onboarding","introHtml":"<p>DSH Provider Onboarding</p>","icon":10565,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10565","groups":[35],"key":""},{"id":"129","name":"HIP Compliance Submission","descriptionHtml":"","callToAction":"HIP Compliance Submission","introHtml":"","icon":10525,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10525","groups":[11],"key":""},{"id":"125","name":"National Event Management Service Onboarding","descriptionHtml":"","callToAction":"National Event Management Service Onboarding","introHtml":"<p>Simple Consumer Onboarding</p>","icon":10565,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10565","groups":[35],"key":""},{"id":"130","name":"NHI FHIR-Integrators Readiness for Macrons","descriptionHtml":"","callToAction":"NHI FHIR-Integrators Readiness for Macrons","introHtml":"","icon":10565,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10565","groups":[11],"key":""},{"id":"127","name":"NHI Format Change Compliance Form","descriptionHtml":"","callToAction":"NHI Format Change Compliance Form","introHtml":"<p>NHI Format Compliance</p>","icon":10523,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10523","groups":[11],"key":""},{"id":"122","name":"Request Access","descriptionHtml":"","callToAction":"Request Access","introHtml":"<p>Request access to a digital asset</p>","icon":10513,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10513","groups":[35],"key":""},{"id":"63","name":"Request access to an application or digital service","descriptionHtml":"","callToAction":"Request access to an application or digital service","introHtml":"<p>Complete this form to request access to production for an application or digital service.</p>","icon":10499,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10499","groups":[35],"key":""},{"id":"67","name":"Request to onboard","descriptionHtml":"","callToAction":"Request to onboard","introHtml":"<p>Complete this form to request access to our APIs or digital services.</p>","icon":10550,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[11],"key":""},{"id":"71","name":"Zero Data","descriptionHtml":"","callToAction":"Zero Data","introHtml":"<p>Onboard to Zero Data</p>","icon":10522,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10522","groups":[11],"key":""},{"id":"64","name":"1. Register your Interest / Apply for Test Access","descriptionHtml":"","callToAction":"1. Register your Interest / Apply for Test Access","introHtml":"<p>Want to access an API/Digital Service test environment? Start the process to get access here.</p>","icon":10550,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"65","name":"2. Apply for Product Certification","descriptionHtml":"","callToAction":"2. Apply for Product Certification","introHtml":"<p>Have a product that is ready for production? Start the process to become certified here.</p>","icon":10487,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10487","groups":[],"key":""},{"id":"37","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":10527,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10527","groups":[],"key":""},{"id":"36","name":"General enquiry and support form","descriptionHtml":"","callToAction":"General enquiry and support form","introHtml":"<p>If you have an enquiry about an API, digital service or application, require support with onboarding or would like to raise a concern, provide us with as much information as you can to let us know how we can help.</p>","icon":10549,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10549","groups":[],"key":""},{"id":"44","name":"Onboarding - Baseline Security Questionnaire","descriptionHtml":"","callToAction":"Onboarding - Baseline Security Questionnaire","introHtml":"<p>When requested, use this form to provide supporting security information for your test environment access request.</p>","icon":10513,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10513","groups":[],"key":""},{"id":"42","name":"Onboarding - Intermediate Security Questionnaire","descriptionHtml":"","callToAction":"Onboarding - Intermediate Security Questionnaire","introHtml":"<p>When requested, use this form to provide supporting security information for your test environment access request.</p>","icon":10504,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10504","groups":[],"key":""},{"id":"38","name":"Report a bug","descriptionHtml":"","callToAction":"Report a bug","introHtml":"<p>Tell us the problems you're experiencing.</p>","icon":10545,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10545","groups":[],"key":""},{"id":"45","name":"Request API Access - Internal Te Whatu Ora","descriptionHtml":"","callToAction":"Request API Access - Internal Te Whatu Ora","introHtml":"<p>This form is to be used for requesting API Test Credentials for Testing your Product using Te Whatu Ora's API(s) in a Test Environment.</p>","icon":10550,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"95","name":"Request for support","descriptionHtml":"","callToAction":"Request for support","introHtml":"<p>If you have an enquiry about an API, digital service or application, require support with onboarding or would like to raise a concern, provide us with as much information as you can to let us know how we can help.</p>","icon":10549,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10549","groups":[],"key":""},{"id":"39","name":"Suggest a new feature","descriptionHtml":"","callToAction":"Suggest a new feature","introHtml":"<p>Let us know your idea for a new feature.</p>","icon":10535,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10535","groups":[],"key":""},{"id":"40","name":"Suggest improvement","descriptionHtml":"","callToAction":"Suggest improvement","introHtml":"<p>See a place where we can do better? We're all ears.</p>","icon":10539,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10539","groups":[],"key":""},{"id":"33","name":"Technical support","descriptionHtml":"","callToAction":"Technical support","introHtml":"<p>Need help installing, configuring, or troubleshooting? Select this to request assistance.</p>","icon":10520,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10520","groups":[],"key":""},{"id":"124","name":"Test Credential Request","descriptionHtml":"","callToAction":"Test Credential Request","introHtml":"","icon":10513,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10513","groups":[],"key":""}],"reqGroups":[{"id":11,"name":"General"},{"id":35,"name":"Digital Services Hub"}],"orderMapping":{"35":[125,120,112,63,122],"11":[130,129,127,67,71],"13":[44,42],"28":[95,36]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"d899a6d3-5302-3fb3-8a5a-ff87c6886650","appLinkName":"System Confluence","appLinkUrl":"https://mohapis.atlassian.net/wiki","spaceKey":"IN","spaceName":"IntegrationTeam","spaceUrl":"https://mohapis.atlassian.net/wiki/spaces/IN","isServer":false},"labels":[],"projectKey":"IN","serviceDeskId":3,"kbLinkDomainURLs":["https://mohapis.atlassian.net"]},"createPermission":true,"portalAnnouncement":{"portalId":3,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"IN","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":true,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJhY2UxZGE1Ny02NWQ5LTRlOGYtYjkyYS01YWU1YTFiZTQyNjIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpjb2xsZWN0aW9uOnVwbG9hZC1wcm9qZWN0LTEwMDAyIjpbInJlYWQiLCJjcmVhdGUiLCJ1cGRhdGUiXSwidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3MzI0NDc2MzAsIm5iZiI6MTczMjQ0NjQzMH0.XBRg8G1p9f-6Dh5GgH_m_4vGse9LPAvtciFuyhYU_10","targetCollection":"upload-project-10002","endpointUrl":"https://api.media.atlassian.com","clientId":"ace1da57-65d9-4e8f-b92a-5ae5a1be4262","tokenDurationInMins":20}},"reqCreate":{"id":127,"projectId":10002,"form":{"name":"NHI Format Change Compliance Form","descriptionHtml":"","callToAction":"NHI Format Change Compliance Form","intro":"<p>NHI Format Compliance</p>","instructions":"","icon":10523,"iconUrl":"https://mohapis.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10523","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"NHI Format Compliance","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["NHI Format Compliance"]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/3/create/127","requestValidateBaseUrl":"/servicedesk/customer/portal/3/validate/127","calendarParams":{"firstDay":0,"date":"2024-11-25T00:07:10+1300","useISO8601WeekNumbers":false,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"d899a6d3-5302-3fb3-8a5a-ff87c6886650","appLinkName":"System Confluence","appLinkUrl":"https://mohapis.atlassian.net/wiki","spaceKey":"IN","spaceName":"IntegrationTeam","spaceUrl":"https://mohapis.atlassian.net/wiki/spaces/IN","isServer":false},"labels":[],"projectKey":"IN","serviceDeskId":3,"kbLinkDomainURLs":["https://mohapis.atlassian.net"]},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":false,"siteKey":"","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJhY2UxZGE1Ny02NWQ5LTRlOGYtYjkyYS01YWU1YTFiZTQyNjIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpjb2xsZWN0aW9uOnVwbG9hZC1wcm9qZWN0LTEwMDAyIjpbInJlYWQiLCJjcmVhdGUiLCJ1cGRhdGUiXSwidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3MzI0NDc2MzAsIm5iZiI6MTczMjQ0NjQzMH0.XBRg8G1p9f-6Dh5GgH_m_4vGse9LPAvtciFuyhYU_10","targetCollection":"upload-project-10002","endpointUrl":"https://api.media.atlassian.com","clientId":"ace1da57-65d9-4e8f-b92a-5ae5a1be4262","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":60,"updated":"2024-08-22T09:45:52.603157425Z","publish":{"jira":{"newIssueIssueTypeIds":[],"newIssueRequestTypeIds":[],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[127],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":60,"name":"NHI-New Format JSM Compliance Form ","submit":{"lock":true,"pdf":true},"templateFormUuid":"47dc3424-4608-4c09-b8fb-138fc3a74537"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"27d54371-647b-426e-8d68-ce462de19116"},"content":[{"type":"text","text":"NHI Format Change Compliance Form"}]},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"2f206ee6-aa5d-493b-a677-bba4b7956d80"},"content":[{"type":"text","text":"We are the integration support team, here to assist you in achieving compliance with your systems. Our goal is to ensure seamless integration and support for both formats. Complete this form to help with the compliance process."}]}]},{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","attrs":{"localId":"ef595219-0d3d-42c1-8a92-a6d093d7441c"},"content":[{"type":"text","text":"Your privacy is important to us. The information you provide will be kept confidential. Once you have submitted the request form to us, you can view it in the portal, but you cannot edit the original form."}]},{"type":"paragraph","attrs":{"localId":"14b156af-f70b-4b99-a619-469440db0df5"},"content":[{"type":"text","text":"Our full privacy statement can be viewed at the end of this form."}]}]},{"type":"heading","attrs":{"level":2,"localId":"ca1068d2-f0a9-4d19-b4d8-5337ef106913"},"content":[{"type":"text","text":"Your details "}]},{"type":"paragraph","attrs":{"localId":"d27a65ea-404e-49d6-915d-1bdfa5572fde"},"content":[{"type":"text","text":"Tell us who the ‘Delegated Authority’ is (primary point of contact for your Organisation) so during this process, we can contact a single person."}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":1},"layout":"default","localId":"607e897f-9dd9-4496-adf7-cfa86da1fbc4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":2},"layout":"default","localId":"0b2fd7f6-6933-4c5e-8b6b-206be1d2f0bd"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":3},"layout":"default","localId":"af903b19-0a9b-45c0-93bc-1fc6e49dac9a"}},{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Organisation details "}]},{"type":"paragraph","attrs":{"localId":"1552a151-a18c-4078-bd6c-e0e2ac93a461"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":4},"layout":"default","localId":"aed3ef02-c484-45a6-a645-b6bed64d5b2a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":5},"layout":"default","localId":"643273f0-5386-4908-b755-3b20392cd931"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":6},"layout":"default","localId":"99a2c820-307e-4d35-86f8-c95891c3f8b0"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"c14f342f-a308-46c5-8291-ab1393b062d9"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"paragraph","content":[]},{"type":"paragraph","attrs":{"localId":"a63a5527-a61b-4f58-b59b-cab645eeb08e"},"content":[{"type":"text","text":"Find your NZBN on the NZBN website","marks":[{"type":"link","attrs":{"href":"https://www.nzbn.govt.nz/mynzbn/search/"}},{"type":"subsup","attrs":{"type":"sup"}}]}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product details "}]},{"type":"paragraph","attrs":{"localId":"a2fcfa80-9c59-4e26-aa92-512b962bee96"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":8},"layout":"default","localId":"ad6fd626-95a6-4f17-b5a2-f847b9ca8c4e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":9},"layout":"default","localId":"349dcd68-5c30-47ec-89bf-26ee9128f0b1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":10},"layout":"default","localId":"d963e3d2-834f-43df-92cd-19a4f13f501f"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":397},"layout":"default","localId":"c1a57dd9-fe89-4ed3-8cb4-ca55b20a5118"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":415},"layout":"default","localId":"787632ff-7c40-41d7-808b-1e61535d6d32"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":419},"layout":"default","localId":"15a7c401-e72b-463c-ae58-2d930d948d0b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"02131cb0-5248-4740-87c6-ad7846a4407f"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"e4d1ddf2-d6ef-4c13-b1c2-914510e0bc3a"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":461},"layout":"default","localId":"6e51da44-d8c1-4260-b948-b603bf55b26a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":462},"layout":"default","localId":"f16d61fe-9026-4f02-a6ad-7b7735b44d32"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":133},"layout":"default","localId":"7c551031-f260-4292-a5f7-70964017aaf4"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":305},"layout":"default","localId":"263e76d5-fa9b-40dc-856a-b5075ac6172a"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":306},"layout":"default","localId":"2a289f11-0a1f-42cb-9d96-6480a55a77c9"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":137},"layout":"default","localId":"3bf39fee-243f-4e8a-928c-25ccae129bd5"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":139},"layout":"default","localId":"3f90c46b-c5e0-4442-b71d-7c76f2de19bb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"5db20242-e351-4f07-8e15-769a20be23ab"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":463},"layout":"default","localId":"32af1c1c-4f06-4461-bd3e-80e0ab634687"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":464},"layout":"default","localId":"98070b40-c9d2-41a4-a105-44c0d1e95372"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":147},"layout":"default","localId":"07c8a462-f728-4133-9564-fa4fcf9e294e"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":312},"layout":"default","localId":"92b0ce19-c3b8-44e8-8ad6-30c7f09a1fb6"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":313},"layout":"default","localId":"a0b64790-6a08-4fe5-b469-2b71f11a6879"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":152},"layout":"default","localId":"b2921fbc-5bf7-4b9f-8bce-eedcd86f3f70"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":154},"layout":"default","localId":"62072a42-e87c-48f0-8658-d3febf7dfd9e"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"3fcf5ddb-9511-4891-9252-0bc13ed934bf"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":467},"layout":"default","localId":"84884732-f29f-46c7-b3f7-4ca6e7dc006a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":468},"layout":"default","localId":"447697e4-f5f1-4f55-ba65-332d072f6473"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":157},"layout":"default","localId":"80751468-dfa4-4043-99f5-75aff92b6140"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":320},"layout":"default","localId":"51aef6e3-12e8-44fe-929d-f5644f6ae43b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":321},"layout":"default","localId":"a6df4e2d-d983-48d3-986a-0fa663eefe4f"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":162},"layout":"default","localId":"cc557f7f-4c04-4f43-966c-107cdf73e52a"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":164},"layout":"default","localId":"a328df0f-b165-4e3e-8f6b-89288b6b9e7a"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"877903b3-c464-40c1-aca7-7df5e1488193"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":465},"layout":"default","localId":"65e2720f-b6f1-40bc-a68f-254a1668c870"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":466},"layout":"default","localId":"b3f3a1ed-af06-4eb3-89bf-395c5c702a6f"}},{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"f92dbf23-f7ab-4619-9e28-30831d076561"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":132},"layout":"default","localId":"eb91d8d9-4c91-415a-844d-c7ad2696b8c7"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 2 details "}]},{"type":"paragraph","attrs":{"localId":"58a98a11-b3f6-4a67-886d-fa9d75320c0b"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"4ab1bdec-e694-4338-892b-171ec68c5be0"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"1e51f33b-fe1f-405a-8886-e52d6f40913b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"5abef508-e2ed-4cb8-894e-92f37da63ac9"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":399},"layout":"default","localId":"7f4992a8-75fb-456d-98f9-bb09569be912"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":400},"layout":"default","localId":"4420dcb4-1081-41cf-bbd1-41f4fafc7cf0"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":176},"layout":"default","localId":"dbda67da-2be8-4640-92ae-b470b515caa8"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":178},"layout":"default","localId":"4841e899-8041-413c-a223-efd3eb006fbd"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"f21f74c4-5233-40ca-a2f2-e9a7d9626700"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":469},"layout":"default","localId":"ab0f22a3-b085-4711-b810-bb0cf9645a6c"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":470},"layout":"default","localId":"ecf4bda7-2256-4982-b478-091019826c4e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":181},"layout":"default","localId":"f983dd31-f1f2-4f08-a9c1-c790c1747b44"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":331},"layout":"default","localId":"d1b8ccd5-7d96-45bc-abe5-6f6af4da535b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":332},"layout":"default","localId":"6ed241e4-0cd1-45c2-b904-053e696a9dca"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":186},"layout":"default","localId":"2048c09f-3e35-45f6-893d-756a39c2201b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":188},"layout":"default","localId":"4aa4c263-0824-481c-9a54-1c412628a0fb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"250b2e4d-881f-431b-9627-94858aa876f4"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":471},"layout":"default","localId":"69adca37-c51b-4fa4-b0ca-b00af03db262"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":472},"layout":"default","localId":"842fcdf8-f784-490a-aec9-8c28e9b9ed68"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":191},"layout":"default","localId":"29a83ca2-3d9d-4254-bde4-990ed55b04b8"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":395},"layout":"default","localId":"04b17fc7-102f-4484-8266-da6029a4a88f"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":396},"layout":"default","localId":"5e0dd023-c794-4e4f-a0eb-5de60eee297c"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":196},"layout":"default","localId":"85a8181c-5993-4f71-9381-60f963a55332"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":198},"layout":"default","localId":"fcfc3cb3-bd0b-44bc-9288-db4cad4459e6"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"f7458e72-df0f-4870-8d5f-fee601c3bcbf"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":473},"layout":"default","localId":"e6e07359-b6db-4877-ba75-afd81897e9d1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":474},"layout":"default","localId":"99001e62-d38b-4b2e-9519-4df706ecfbfc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":201},"layout":"default","localId":"94504b50-3c01-4cb1-910c-f5978fb92831"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":339},"layout":"default","localId":"af6bf4de-08e5-4556-aaac-4e6d1d30143c"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":340},"layout":"default","localId":"4017556f-26f3-4ba2-b885-6cbb7cd3a191"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":206},"layout":"default","localId":"75c11297-3aa9-4a62-ada6-fa033c747e5c"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":208},"layout":"default","localId":"a77b0fc0-9115-4e42-b32a-53589affe7ae"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"78f6aad8-4b0b-4a5f-b5e6-97ae0376b4af"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":478},"layout":"default","localId":"f5f300c9-4791-4430-8701-d3392a459610"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":479},"layout":"default","localId":"b5ce232d-dc75-4109-9e94-dd666c9b896c"}}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"99d1dfbd-96d2-4b5b-ad26-4699fca76177"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":70},"layout":"default","localId":"ad369338-fb82-49dd-a79c-31342a736625"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 3 details "}]},{"type":"paragraph","attrs":{"localId":"c096a69c-440d-43f7-8e93-ad9dd59abdab"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":110},"layout":"default","localId":"508f2d2b-9850-40d3-8eb0-eb9f1353be15"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":111},"layout":"default","localId":"9fee83e2-d83d-48a9-85ae-a479e67bea50"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":112},"layout":"default","localId":"749785c1-a29c-4395-abdd-f0674ecebac8"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":401},"layout":"default","localId":"fb73f979-a67a-46db-b1dd-b28a45e86d84"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":402},"layout":"default","localId":"8b3fe4f2-12f5-4aad-82ec-2b8efab6360a"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":219},"layout":"default","localId":"8e37a800-4733-4cac-925f-b7625b724451"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":221},"layout":"default","localId":"66215e30-8027-4999-bf21-97e89255ac70"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"9cecd243-6988-413d-ad48-702d5abd0735"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":480},"layout":"default","localId":"21ca50dc-5815-4a73-b2a1-4bb24063a515"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":481},"layout":"default","localId":"be790781-e63a-41de-9168-823d2a7718f2"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":224},"layout":"default","localId":"f2545f12-e43d-48a7-8e58-69307617a071"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":341},"layout":"default","localId":"44f60b19-c121-4fbf-9415-748854579d16"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":342},"layout":"default","localId":"3d9ded35-7d78-4deb-87e7-2e6d1fe49941"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":229},"layout":"default","localId":"09784793-7ebf-4b64-b6c4-88d9315c801f"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":231},"layout":"default","localId":"2af2620f-1a20-4a0c-8be2-db7d060587ee"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"286ddd84-ff27-49d4-93b1-3b436143f220"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":482},"layout":"default","localId":"b9a06dd7-7afd-44f3-82ab-b3151b8a1d84"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":483},"layout":"default","localId":"a669f23f-4d60-4fa3-9f71-16b2bfa50dd4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":234},"layout":"default","localId":"84d0cc61-2c22-4841-ae38-e209bf66b644"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":349},"layout":"default","localId":"28645b72-a521-44ba-b727-da669cd27512"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":350},"layout":"default","localId":"60bf70f6-be77-4f96-b988-ead4dd83193e"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":239},"layout":"default","localId":"fdddeff7-c119-4cec-9bd3-579685c3920e"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":241},"layout":"default","localId":"3d75a201-36ce-4535-96b4-ca6c3534d1b2"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"febef765-313f-4a68-ba8c-e62b40de49da"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":484},"layout":"default","localId":"0197846e-6d50-44da-bf0e-917c267d26b1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":485},"layout":"default","localId":"a61c36e1-27d9-4c01-9160-ffcac2148644"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":244},"layout":"default","localId":"73f3994f-86b8-484e-ba7d-671e4cd21b80"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":351},"layout":"default","localId":"80a8b785-966f-40ed-8524-38f70e6a11ed"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":352},"layout":"default","localId":"13175c43-6e77-4524-9a25-b6dbdb631f11"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":249},"layout":"default","localId":"8e79a0e4-c397-42e7-a395-b6d81a6dac68"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":251},"layout":"default","localId":"64db38b5-9c78-4683-b30d-866ec7f0b0db"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"98f6bd09-2f80-434c-b0c9-afa40c4e5c78"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":486},"layout":"default","localId":"f1b7c196-842c-454b-afa5-61a6b9a31d0b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":487},"layout":"default","localId":"ad0f6393-7ef7-4c17-9b39-af7138c9495a"}}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"e7d3a596-977b-4f80-aa2d-5455e043c445"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":256},"layout":"default","localId":"a33f1470-9b39-4a7c-99b1-9311952ff78b"}},{"type":"rule"}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 4 details "}]},{"type":"paragraph","attrs":{"localId":"439b7530-ce82-48ce-9f83-054ffdb4fa14"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":92},"layout":"default","localId":"9b090bc4-3d06-4ecc-a025-53c468e896a5"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":93},"layout":"default","localId":"a2dee6a5-a6d1-4ea0-b547-863ce8ccde43"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":94},"layout":"default","localId":"5ab6c494-bb99-4315-b11a-8e1860b426db"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":403},"layout":"default","localId":"528d3f39-614b-45de-90fb-32179b94476d"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":404},"layout":"default","localId":"50e76c8d-870b-4af8-8d23-192301b18ca6"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":261},"layout":"default","localId":"2ba59cf8-60c0-47aa-a2d6-7ace9d2387d3"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":263},"layout":"default","localId":"1b3a389a-5998-4cee-a517-4fc36a03db50"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"5f1303a1-2063-47a0-a9e6-98b455cea52a"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":489},"layout":"default","localId":"95d4787c-28dc-4aa7-a2ca-a3c082e380fc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":490},"layout":"default","localId":"4c2babc4-d08f-4d5f-a702-b82516ecfde2"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":266},"layout":"default","localId":"827e6040-e84b-4332-b6f9-525341926d99"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":343},"layout":"default","localId":"71c8caf1-3204-4a47-afd6-3721386ebc3a"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":344},"layout":"default","localId":"38efc539-a375-4ac3-8a43-bb3d5a594048"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":271},"layout":"default","localId":"0a46285e-76a3-4278-98fe-f34d47a0df4a"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":273},"layout":"default","localId":"efb6ee1c-487b-4176-8202-98c576e98adb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"d4231885-b308-4f25-9f9d-877e581f4322"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":491},"layout":"default","localId":"892ea377-c45e-4718-ab6d-c141dcc1acde"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":492},"layout":"default","localId":"2ba7e775-0f1b-414c-abc5-b7aa26d8c2cc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":276},"layout":"default","localId":"447f41bb-9c85-4766-9e0e-f61c0a2ad686"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":345},"layout":"default","localId":"1a6ac518-5231-49b1-9a09-942191db5908"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":346},"layout":"default","localId":"89be41ee-fefd-4ea6-8527-be6bc1d58c54"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":281},"layout":"default","localId":"a98bcf71-ef86-4c8a-b76d-7fed8fa4f015"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":283},"layout":"default","localId":"cc12c124-9125-4816-b871-928ef37918ad"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"7fbf2b0b-1032-47e8-9db5-6e30f5fcda0e"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":493},"layout":"default","localId":"4b9c82a5-543a-4a8a-84fa-5797649c5dd7"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":494},"layout":"default","localId":"8d072809-5f85-4764-b6a9-5ab5f73abcee"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":286},"layout":"default","localId":"db2d92a1-5237-4833-b94e-d58bd6960047"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":347},"layout":"default","localId":"00388c11-8a84-4400-80be-bf9f7627a22c"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":348},"layout":"default","localId":"ba8ef713-d9f3-4d0a-8481-7c07a05f5e38"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":291},"layout":"default","localId":"4bbbc624-6dc5-4bb5-a3b7-922a20f5f333"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":293},"layout":"default","localId":"2337ebac-3a82-4c87-ba58-117a4004ecfb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"eca4b9b3-b3b2-4589-9c81-261db8fbb3f5"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":495},"layout":"default","localId":"0eaa5790-75b4-4a22-9390-5c38a5061616"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":496},"layout":"default","localId":"28bf3784-1041-4444-bc16-50045aac0c27"}},{"type":"rule"}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"e17ad065-6449-4876-8058-2d3b4262997d"},"content":[{"type":"text","text":"Please find links to useful information regarding New NHI format below:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"ce87737a-a67e-4dad-b66a-1ec788ccb69f"},"content":[{"type":"text","text":"General Enquiry on NHI Number Format Changes","marks":[{"type":"link","attrs":{"href":"https://www.tewhatuora.govt.nz/health-services-and-programmes/health-identity/national-health-index/nhi-number-format-changes/"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"fc1d49fa-ce8c-4fe6-b7ec-2bcb295938f9"},"content":[{"type":"text","text":"Extra Tests for New NHI Number Format","marks":[{"type":"link","attrs":{"href":"https://nhi-ig.hip-uat.digital.health.nz/ComplianceTestingImportantInformation.html#extra-tests-for-new-nhi-number-format"}}]},{"type":"text","text":" "}]}]}]},{"type":"heading","attrs":{"level":2,"localId":"ad3f0aad-ef5d-423c-805f-6c3ed7380f41"},"content":[{"type":"text","text":"Request and Support:"}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"80a7af22-1c29-490e-a39a-3c27363ef299"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":61},"layout":"default","localId":"80a5a8b3-fb46-4767-8824-f602d586e3d8"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":74},"layout":"default","localId":"301aea44-ce4a-42d9-bd7c-624d58827822"}}]}],"conditions":{"182":{"t":"sh","i":{"co":{"cIds":{"181":["1"]}}},"o":{"sIds":["26"]}},"307":{"t":"sh","i":{"co":{"cIds":{"306":["10441"]}}},"o":{"sIds":["6"]}},"329":{"t":"sh","i":{"co":{"cIds":{"400":["10455"]}}},"o":{"sIds":["24"]}},"314":{"t":"sh","i":{"co":{"cIds":{"313":["10446"]}}},"o":{"sIds":["11"]}},"353":{"t":"sh","i":{"co":{"cIds":{"396":["10466"]}}},"o":{"sIds":["32"]}},"308":{"t":"sh","i":{"co":{"cIds":{"306":["10437","10438","10439"]}}},"o":{"sIds":["7"]}},"277":{"t":"sh","i":{"co":{"cIds":{"276":["1"]}}},"o":{"sIds":["75"]}},"381":{"t":"sh","i":{"co":{"cIds":{"344":["10501"]}}},"o":{"sIds":["71"]}},"388":{"t":"sh","i":{"co":{"cIds":{"276":["1"]}}},"o":{"sIds":["79"]}},"302":{"t":"sh","i":{"co":{"cIds":{"415":["10436"]}}},"o":{"sIds":["1"]}},"335":{"t":"sh","i":{"co":{"cIds":{"332":["10460"]}}},"o":{"sIds":["29"]}},"158":{"t":"sh","i":{"co":{"cIds":{"157":["1"]}}},"o":{"sIds":["15"]}},"458":{"t":"sh","i":{"co":{"cIds":{"157":["1"]}}},"o":{"sIds":["19"]}},"324":{"t":"sh","i":{"co":{"cIds":{"321":["10450"]}}},"o":{"sIds":["18"]}},"362":{"t":"sh","i":{"co":{"cIds":{"402":["10475"]}}},"o":{"sIds":["46"]}},"378":{"t":"sh","i":{"co":{"cIds":{"404":["10492","10493","10494"]}}},"o":{"sIds":["67"]}},"373":{"t":"sh","i":{"co":{"cIds":{"352":["10487","10488","10489"]}}},"o":{"sIds":["60"]}},"385":{"t":"sh","i":{"co":{"cIds":{"346":["10506"]}}},"o":{"sIds":["76"]}},"497":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["41"]}},"287":{"t":"sh","i":{"co":{"cIds":{"286":["1"]}}},"o":{"sIds":["80"]}},"393":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["42"]}},"303":{"t":"sh","i":{"co":{"cIds":{"415":["10432","10433","10434"]}}},"o":{"sIds":["2"]}},"134":{"t":"sh","i":{"co":{"cIds":{"133":["1"]}}},"o":{"sIds":["5"]}},"390":{"t":"sh","i":{"co":{"cIds":{"348":["10507","10508","10509"]}}},"o":{"sIds":["82"]}},"361":{"t":"sh","i":{"co":{"cIds":{"402":["10472","10473","10474"]}}},"o":{"sIds":["45"]}},"382":{"t":"sh","i":{"co":{"cIds":{"344":["10497","10498","10499"]}}},"o":{"sIds":["72"]}},"356":{"t":"sh","i":{"co":{"cIds":{"191":["1"]}}},"o":{"sIds":["35"]}},"336":{"t":"sh","i":{"co":{"cIds":{"181":["1"]}}},"o":{"sIds":["30"]}},"328":{"t":"sh","i":{"co":{"cIds":{"400":["10452","10453","10454"]}}},"o":{"sIds":["23"]}},"379":{"t":"sh","i":{"co":{"cIds":{"404":["10495"]}}},"o":{"sIds":["68"]}},"192":{"t":"sh","i":{"co":{"cIds":{"191":["1"]}}},"o":{"sIds":["31"]}},"367":{"t":"sh","i":{"co":{"cIds":{"224":["1"]}}},"o":{"sIds":["52"]}},"387":{"t":"sh","i":{"co":{"cIds":{"346":["10505"]}}},"o":{"sIds":["78"]}},"317":{"t":"sh","i":{"co":{"cIds":{"147":["1"]}}},"o":{"sIds":["14"]}},"375":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["64"]}},"498":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["63"]}},"372":{"t":"sh","i":{"co":{"cIds":{"352":["10491"]}}},"o":{"sIds":["59"]}},"43":{"t":"sh","i":{"co":{"cIds":{"42":["10418"]}}},"o":{"sIds":["86"]}},"148":{"t":"sh","i":{"co":{"cIds":{"147":["1"]}}},"o":{"sIds":["10"]}},"202":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["36"]}},"364":{"t":"sh","i":{"co":{"cIds":{"342":["10481"]}}},"o":{"sIds":["49"]}},"445":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["25"]}},"360":{"t":"sh","i":{"co":{"cIds":{"402":["10476"]}}},"o":{"sIds":["44"]}},"383":{"t":"sh","i":{"co":{"cIds":{"344":["10500"]}}},"o":{"sIds":["73"]}},"386":{"t":"sh","i":{"co":{"cIds":{"346":["10502","10503","10504"]}}},"o":{"sIds":["77"]}},"267":{"t":"sh","i":{"co":{"cIds":{"266":["1"]}}},"o":{"sIds":["70"]}},"394":{"t":"sh","i":{"co":{"cIds":{"286":["1"]}}},"o":{"sIds":["84"]}},"391":{"t":"sh","i":{"co":{"cIds":{"348":["10510"]}}},"o":{"sIds":["83"]}},"309":{"t":"sh","i":{"co":{"cIds":{"306":["10440"]}}},"o":{"sIds":["8"]}},"245":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["58"]}},"322":{"t":"sh","i":{"co":{"cIds":{"321":["10451"]}}},"o":{"sIds":["16"]}},"368":{"t":"sh","i":{"co":{"cIds":{"350":["10486"]}}},"o":{"sIds":["54"]}},"477":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["40"]}},"315":{"t":"sh","i":{"co":{"cIds":{"313":["10442","10443","10444"]}}},"o":{"sIds":["12"]}},"225":{"t":"sh","i":{"co":{"cIds":{"224":["1"]}}},"o":{"sIds":["48"]}},"389":{"t":"sh","i":{"co":{"cIds":{"348":["10511"]}}},"o":{"sIds":["81"]}},"109":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["43"]}},"354":{"t":"sh","i":{"co":{"cIds":{"396":["10462","10464","10463"]}}},"o":{"sIds":["33"]}},"357":{"t":"sh","i":{"co":{"cIds":{"340":["10471"]}}},"o":{"sIds":["37"]}},"488":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["62"]}},"365":{"t":"sh","i":{"co":{"cIds":{"342":["10477","10478","10479"]}}},"o":{"sIds":["50"]}},"311":{"t":"sh","i":{"co":{"cIds":{"133":["1"]}}},"o":{"sIds":["9"]}},"371":{"t":"sh","i":{"co":{"cIds":{"234":["1"]}}},"o":{"sIds":["57"]}},"167":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["21"]}},"304":{"t":"sh","i":{"co":{"cIds":{"415":["10435"]}}},"o":{"sIds":["3"]}},"333":{"t":"sh","i":{"co":{"cIds":{"332":["10461"]}}},"o":{"sIds":["27"]}},"235":{"t":"sh","i":{"co":{"cIds":{"234":["1"]}}},"o":{"sIds":["53"]}},"374":{"t":"sh","i":{"co":{"cIds":{"352":["10490"]}}},"o":{"sIds":["61"]}},"363":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["47"]}},"359":{"t":"sh","i":{"co":{"cIds":{"340":["10470"]}}},"o":{"sIds":["39"]}},"384":{"t":"sh","i":{"co":{"cIds":{"266":["1"]}}},"o":{"sIds":["74"]}},"369":{"t":"sh","i":{"co":{"cIds":{"350":["10482","10483","10484"]}}},"o":{"sIds":["55"]}},"323":{"t":"sh","i":{"co":{"cIds":{"321":["10447","10448","10449"]}}},"o":{"sIds":["17"]}},"366":{"t":"sh","i":{"co":{"cIds":{"342":["10480"]}}},"o":{"sIds":["51"]}},"91":{"t":"sh","i":{"co":{"cIds":{"256":["3"]}}},"o":{"sIds":["65"]}},"355":{"t":"sh","i":{"co":{"cIds":{"396":["10465"]}}},"o":{"sIds":["34"]}},"316":{"t":"sh","i":{"co":{"cIds":{"313":["10445"]}}},"o":{"sIds":["13"]}},"380":{"t":"sh","i":{"co":{"cIds":{"256":["3"]}}},"o":{"sIds":["69"]}},"377":{"t":"sh","i":{"co":{"cIds":{"404":["10496"]}}},"o":{"sIds":["66"]}},"334":{"t":"sh","i":{"co":{"cIds":{"332":["10457","10458","10459"]}}},"o":{"sIds":["28"]}},"327":{"t":"sh","i":{"co":{"cIds":{"400":["10456"]}}},"o":{"sIds":["22"]}},"370":{"t":"sh","i":{"co":{"cIds":{"350":["10485"]}}},"o":{"sIds":["56"]}},"358":{"t":"sh","i":{"co":{"cIds":{"340":["10467","10469","10468"]}}},"o":{"sIds":["38"]}}},"sections":{"80":{"name":"add version","conditions":["287","388","384","380","375","393"]},"18":{"name":"Compliance Done","conditions":["324","158","317","311"]},"28":{"name":"if Compliance in progress","conditions":["334","182","445"]},"45":{"name":"if Compliance in progress","conditions":["361","109","393"]},"34":{"name":"Compliance Done","conditions":["355","192","336","445"]},"67":{"name":"if Compliance in progress","conditions":["378","91","375","393"]},"12":{"name":"if Compliance in progress","conditions":["315","148","311"]},"66":{"name":"Not doing Compliance ","conditions":["377","91","375","393"]},"51":{"name":"Compliance Done","conditions":["366","225","363","393"]},"84":{"name":"","conditions":["394","388","384","380","375","393"]},"8":{"name":"Compliance Done","conditions":["309","134"]},"73":{"name":"Compliance Done","conditions":["383","267","380","375","393"]},"78":{"name":"Compliance Done","conditions":["387","277","384","380","375","393"]},"19":{"name":"","conditions":["458","317","311"]},"23":{"name":"if Compliance in progress","conditions":["328","167"]},"62":{"conditions":["488","371","367","363","393"]},"4":{"name":"App1Version2","conditions":[]},"77":{"name":"if Compliance in progress","conditions":["386","277","384","380","375","393"]},"40":{"conditions":["477","356","336","445"]},"15":{"name":"add version","conditions":["158","317","311"]},"11":{"name":"Not doing Compliance ","conditions":["314","148","311"]},"9":{"name":"App1 Version3","conditions":["311"]},"44":{"name":"Not doing Compliance ","conditions":["360","109","393"]},"33":{"name":"if Compliance in progress","conditions":["354","192","336","445"]},"22":{"name":"Not doing Compliance ","conditions":["327","167"]},"56":{"name":"Compliance Done","conditions":["370","235","367","363","393"]},"55":{"name":"if Compliance in progress","conditions":["369","235","367","363","393"]},"26":{"name":"A2Version2","conditions":["182","445"]},"50":{"name":"if Compliance in progress","conditions":["365","225","363","393"]},"37":{"name":"Not doing Compliance ","conditions":["357","202","356","336","445"]},"68":{"name":"Compliance Done","conditions":["379","91","375","393"]},"61":{"name":"Compliance Done","conditions":["374","245","371","367","363","393"]},"13":{"name":"Compliance Done","conditions":["316","148","311"]},"46":{"name":"Compliance Done","conditions":["362","109","393"]},"24":{"name":"Compliance Done","conditions":["329","167"]},"83":{"name":"Compliance Done","conditions":["391","287","388","384","380","375","393"]},"35":{"name":"A2Version4","conditions":["356","336","445"]},"16":{"name":"Not doing Compliance ","conditions":["322","158","317","311"]},"79":{"name":"Version","conditions":["388","384","380","375","393"]},"5":{"name":"add version","conditions":["134"]},"72":{"name":"if Compliance in progress","conditions":["382","267","380","375","393"]},"10":{"name":"add version","conditions":["148","311"]},"59":{"name":"Not doing Compliance ","conditions":["372","245","371","367","363","393"]},"48":{"name":"add version","conditions":["225","363","393"]},"21":{"name":"Product 2","conditions":["167"]},"76":{"name":"Not doing Compliance ","conditions":["385","277","384","380","375","393"]},"54":{"name":"Not doing Compliance ","conditions":["368","235","367","363","393"]},"43":{"name":"product 3 ","conditions":["109","393"]},"65":{"name":"product 4","conditions":["91","375","393"]},"71":{"name":"Not doing Compliance ","conditions":["381","267","380","375","393"]},"57":{"name":"Version","conditions":["371","367","363","393"]},"32":{"name":"Not doing Compliance ","conditions":["353","192","336","445"]},"6":{"name":"Not doing Compliance ","conditions":["307","134"]},"36":{"name":"A4Version4","conditions":["202","356","336","445"]},"1":{"name":"Not doing Compliance ","conditions":["302"]},"39":{"name":"Compliance Done","conditions":["359","202","356","336","445"]},"82":{"name":"if Compliance in progress","conditions":["390","287","388","384","380","375","393"]},"49":{"name":"Not doing Compliance ","conditions":["364","225","363","393"]},"17":{"name":"if Compliance in progress","conditions":["323","158","317","311"]},"25":{"name":"App2 Version2","conditions":["445"]},"60":{"name":"if Compliance in progress","conditions":["373","245","371","367","363","393"]},"14":{"name":"App1 Version4","conditions":["317","311"]},"47":{"name":"Version","conditions":["363","393"]},"31":{"name":"App2 Version3","conditions":["192","336","445"]},"69":{"name":"Version","conditions":["380","375","393"]},"58":{"name":"add version","conditions":["245","371","367","363","393"]},"64":{"name":"Add product ","conditions":["375","393"]},"53":{"name":"add version","conditions":["235","367","363","393"]},"42":{"name":"Add product ","conditions":["393"]},"75":{"name":"add version","conditions":["277","384","380","375","393"]},"20":{"name":"","conditions":[]},"27":{"name":"Not doing Compliance ","conditions":["333","182","445"]},"70":{"name":"add version","conditions":["267","380","375","393"]},"2":{"name":"if Compliance in progress","conditions":["303"]},"86":{"name":"Support","conditions":["43"]},"38":{"name":"if Compliance in progress","conditions":["358","202","356","336","445"]},"81":{"name":"Not doing Compliance ","conditions":["389","287","388","384","380","375","393"]},"30":{"name":"A2Version3","conditions":["336","445"]},"7":{"name":"if Compliance in progress","conditions":["308","134"]},"29":{"name":"Compliance Done","conditions":["335","182","445"]},"41":{"conditions":["497","356","336","445"]},"63":{"conditions":["498","371","367","363","393"]},"3":{"name":"Compliance Done","conditions":["304"]},"74":{"name":"Version","conditions":["384","380","375","393"]},"52":{"name":"Version","conditions":["367","363","393"]},"85":{"name":"Support","conditions":[]}},"questions":{"93":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10226","questionKey":""},"147":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"479":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"483":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"305":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10229","questionKey":""},"8":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10212","questionKey":""},"400":{"type":"cd","label":"Compliance Status: ","description":"","validation":{"rq":true},"jiraField":"customfield_10238","questionKey":""},"276":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"164":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"461":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"321":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10236","questionKey":""},"332":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10241","questionKey":""},"313":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10235","questionKey":""},"4":{"type":"tl","label":"Organisation legal name","description":"","validation":{"rq":true},"jiraField":"customfield_10209","questionKey":""},"343":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10255","questionKey":""},"404":{"type":"cd","label":"Compliance Status: ","description":"","validation":{"rq":true},"jiraField":"customfield_10258","questionKey":""},"415":{"type":"cd","label":"Compliance Status:","description":"","validation":{"rq":true},"jiraField":"customfield_10232","questionKey":""},"110":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10221","questionKey":""},"469":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"320":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10237","questionKey":""},"481":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"486":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"139":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"181":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"132":{"type":"cs","label":"Do you want to add another Product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"396":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10243","questionKey":""},"9":{"type":"tl","label":"Product ID:","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10067","questionKey":""},"201":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"273":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"492":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"346":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10260","questionKey":""},"466":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"351":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10252","questionKey":""},"291":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"470":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"186":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"399":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10239","questionKey":""},"224":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"244":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"61":{"type":"rt","label":"What type of assistance do you need?","description":"Please provide a general description &/or attachment so we can better direct your enquiry.","validation":{"rq":true},"jiraField":"customfield_10265","questionKey":""},"491":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"206":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"94":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"306":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10233","questionKey":""},"495":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"231":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"5":{"type":"tl","label":"Organisation trading name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"350":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10251","questionKey":""},"480":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"112":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"341":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10248","questionKey":""},"152":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"10":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"263":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"196":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"281":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"403":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10254","questionKey":""},"484":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"256":{"type":"cs","label":"Do you want to add another Product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"340":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10245","questionKey":""},"419":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"347":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10257","questionKey":""},"188":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"473":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"339":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10244","questionKey":""},"487":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"472":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"219":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"234":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"137":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"6":{"type":"tl","label":"Health Provider Index (HPI) Organisation ID or Vendor ID","description":"Health Provider Index format is GXXnnnn-C where \"X\" is alphanumeric, \"n\" is numberic and \"C\" is a check character. Vendor ID (If it has been issued by Te Whatu Ora) is HSVNnnnn where \"n\" represents a number)","validation":{"rq":false},"jiraField":"customfield_10066","defaultAnswer":{"text":"G0"},"questionKey":""},"241":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"1":{"type":"tl","label":"Name","description":"","validation":{"rq":true},"jiraField":"customfield_10076","questionKey":""},"490":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"348":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10261","questionKey":""},"286":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"221":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"397":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10227","questionKey":""},"208":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"133":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"111":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10225","questionKey":""},"162":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"463":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"344":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10259","questionKey":""},"191":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"494":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"249":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"42":{"type":"cs","label":"Do you require additional assistance?","description":"","validation":{"rq":true},"jiraField":"customfield_10219","questionKey":""},"467":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"293":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"178":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"70":{"type":"cs","label":"Do you want to add another product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"266":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"2":{"type":"ts","label":"Mobile number","description":"","validation":{"rq":true},"jiraField":"customfield_10084","questionKey":""},"402":{"type":"cd","label":"Compliance Status:","description":"","validation":{"rq":true},"jiraField":"customfield_10247","questionKey":""},"271":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"493":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"198":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"283":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"474":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"482":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"395":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10242","questionKey":""},"345":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10256","questionKey":""},"92":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10222","questionKey":""},"462":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"18":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"489":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"261":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"464":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"154":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"30":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"7":{"type":"ts","label":"New Zealand Business Number (NZBN)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"352":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10253","questionKey":""},"331":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10240","questionKey":""},"496":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"251":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"478":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"29":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10214","questionKey":""},"471":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"485":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"468":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"3":{"type":"cd","label":"Role","description":"","validation":{"rq":true},"choices":[{"id":"7","label":"Architect","other":false},{"id":"1","label":"Developer","other":false},{"id":"2","label":"Business Owner ","other":false},{"id":"3","label":"Business Manager","other":false},{"id":"4","label":"Administrator","other":false},{"id":"5","label":"Project Manager","other":false},{"id":"6","label":"Security Officer","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"342":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10249","questionKey":""},"74":{"type":"at","label":"Attachments","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"401":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10246","questionKey":""},"229":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"465":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"349":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10250","questionKey":""},"28":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10213","questionKey":""},"157":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"176":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"239":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"312":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10234","questionKey":""}}},"uuid":"47dc3424-4608-4c09-b8fb-138fc3a74537"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":60,"updated":"2024-08-22T09:45:52.603157425Z","publish":{"jira":{"newIssueIssueTypeIds":[],"newIssueRequestTypeIds":[],"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[127],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":60,"name":"NHI-New Format JSM Compliance Form ","submit":{"lock":true,"pdf":true},"templateFormUuid":"47dc3424-4608-4c09-b8fb-138fc3a74537"},"layout":[{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":1,"localId":"27d54371-647b-426e-8d68-ce462de19116"},"content":[{"type":"text","text":"NHI Format Change Compliance Form"}]},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"2f206ee6-aa5d-493b-a677-bba4b7956d80"},"content":[{"type":"text","text":"We are the integration support team, here to assist you in achieving compliance with your systems. Our goal is to ensure seamless integration and support for both formats. Complete this form to help with the compliance process."}]}]},{"type":"panel","attrs":{"panelType":"note"},"content":[{"type":"paragraph","attrs":{"localId":"ef595219-0d3d-42c1-8a92-a6d093d7441c"},"content":[{"type":"text","text":"Your privacy is important to us. The information you provide will be kept confidential. Once you have submitted the request form to us, you can view it in the portal, but you cannot edit the original form."}]},{"type":"paragraph","attrs":{"localId":"14b156af-f70b-4b99-a619-469440db0df5"},"content":[{"type":"text","text":"Our full privacy statement can be viewed at the end of this form."}]}]},{"type":"heading","attrs":{"level":2,"localId":"ca1068d2-f0a9-4d19-b4d8-5337ef106913"},"content":[{"type":"text","text":"Your details "}]},{"type":"paragraph","attrs":{"localId":"d27a65ea-404e-49d6-915d-1bdfa5572fde"},"content":[{"type":"text","text":"Tell us who the ‘Delegated Authority’ is (primary point of contact for your Organisation) so during this process, we can contact a single person."}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":1},"layout":"default","localId":"607e897f-9dd9-4496-adf7-cfa86da1fbc4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":2},"layout":"default","localId":"0b2fd7f6-6933-4c5e-8b6b-206be1d2f0bd"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":3},"layout":"default","localId":"af903b19-0a9b-45c0-93bc-1fc6e49dac9a"}},{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Organisation details "}]},{"type":"paragraph","attrs":{"localId":"1552a151-a18c-4078-bd6c-e0e2ac93a461"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":4},"layout":"default","localId":"aed3ef02-c484-45a6-a645-b6bed64d5b2a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":5},"layout":"default","localId":"643273f0-5386-4908-b755-3b20392cd931"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":6},"layout":"default","localId":"99a2c820-307e-4d35-86f8-c95891c3f8b0"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"c14f342f-a308-46c5-8291-ab1393b062d9"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"paragraph","content":[]},{"type":"paragraph","attrs":{"localId":"a63a5527-a61b-4f58-b59b-cab645eeb08e"},"content":[{"type":"text","text":"Find your NZBN on the NZBN website","marks":[{"type":"link","attrs":{"href":"https://www.nzbn.govt.nz/mynzbn/search/"}},{"type":"subsup","attrs":{"type":"sup"}}]}]}]}]},{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product details "}]},{"type":"paragraph","attrs":{"localId":"a2fcfa80-9c59-4e26-aa92-512b962bee96"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":8},"layout":"default","localId":"ad6fd626-95a6-4f17-b5a2-f847b9ca8c4e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":9},"layout":"default","localId":"349dcd68-5c30-47ec-89bf-26ee9128f0b1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":10},"layout":"default","localId":"d963e3d2-834f-43df-92cd-19a4f13f501f"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":397},"layout":"default","localId":"c1a57dd9-fe89-4ed3-8cb4-ca55b20a5118"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":415},"layout":"default","localId":"787632ff-7c40-41d7-808b-1e61535d6d32"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":419},"layout":"default","localId":"15a7c401-e72b-463c-ae58-2d930d948d0b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"02131cb0-5248-4740-87c6-ad7846a4407f"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"e4d1ddf2-d6ef-4c13-b1c2-914510e0bc3a"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":461},"layout":"default","localId":"6e51da44-d8c1-4260-b948-b603bf55b26a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":462},"layout":"default","localId":"f16d61fe-9026-4f02-a6ad-7b7735b44d32"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":133},"layout":"default","localId":"7c551031-f260-4292-a5f7-70964017aaf4"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":305},"layout":"default","localId":"263e76d5-fa9b-40dc-856a-b5075ac6172a"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":306},"layout":"default","localId":"2a289f11-0a1f-42cb-9d96-6480a55a77c9"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":137},"layout":"default","localId":"3bf39fee-243f-4e8a-928c-25ccae129bd5"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":139},"layout":"default","localId":"3f90c46b-c5e0-4442-b71d-7c76f2de19bb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"5db20242-e351-4f07-8e15-769a20be23ab"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":463},"layout":"default","localId":"32af1c1c-4f06-4461-bd3e-80e0ab634687"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":464},"layout":"default","localId":"98070b40-c9d2-41a4-a105-44c0d1e95372"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":147},"layout":"default","localId":"07c8a462-f728-4133-9564-fa4fcf9e294e"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":312},"layout":"default","localId":"92b0ce19-c3b8-44e8-8ad6-30c7f09a1fb6"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":313},"layout":"default","localId":"a0b64790-6a08-4fe5-b469-2b71f11a6879"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":152},"layout":"default","localId":"b2921fbc-5bf7-4b9f-8bce-eedcd86f3f70"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":154},"layout":"default","localId":"62072a42-e87c-48f0-8658-d3febf7dfd9e"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"3fcf5ddb-9511-4891-9252-0bc13ed934bf"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":467},"layout":"default","localId":"84884732-f29f-46c7-b3f7-4ca6e7dc006a"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":468},"layout":"default","localId":"447697e4-f5f1-4f55-ba65-332d072f6473"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":157},"layout":"default","localId":"80751468-dfa4-4043-99f5-75aff92b6140"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":320},"layout":"default","localId":"51aef6e3-12e8-44fe-929d-f5644f6ae43b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":321},"layout":"default","localId":"a6df4e2d-d983-48d3-986a-0fa663eefe4f"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":162},"layout":"default","localId":"cc557f7f-4c04-4f43-966c-107cdf73e52a"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":164},"layout":"default","localId":"a328df0f-b165-4e3e-8f6b-89288b6b9e7a"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"877903b3-c464-40c1-aca7-7df5e1488193"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":465},"layout":"default","localId":"65e2720f-b6f1-40bc-a68f-254a1668c870"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":466},"layout":"default","localId":"b3f3a1ed-af06-4eb3-89bf-395c5c702a6f"}},{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"f92dbf23-f7ab-4619-9e28-30831d076561"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":132},"layout":"default","localId":"eb91d8d9-4c91-415a-844d-c7ad2696b8c7"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 2 details "}]},{"type":"paragraph","attrs":{"localId":"58a98a11-b3f6-4a67-886d-fa9d75320c0b"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"4ab1bdec-e694-4338-892b-171ec68c5be0"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":29},"layout":"default","localId":"1e51f33b-fe1f-405a-8886-e52d6f40913b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":30},"layout":"default","localId":"5abef508-e2ed-4cb8-894e-92f37da63ac9"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":399},"layout":"default","localId":"7f4992a8-75fb-456d-98f9-bb09569be912"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":400},"layout":"default","localId":"4420dcb4-1081-41cf-bbd1-41f4fafc7cf0"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":176},"layout":"default","localId":"dbda67da-2be8-4640-92ae-b470b515caa8"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":178},"layout":"default","localId":"4841e899-8041-413c-a223-efd3eb006fbd"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"f21f74c4-5233-40ca-a2f2-e9a7d9626700"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":469},"layout":"default","localId":"ab0f22a3-b085-4711-b810-bb0cf9645a6c"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":470},"layout":"default","localId":"ecf4bda7-2256-4982-b478-091019826c4e"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":181},"layout":"default","localId":"f983dd31-f1f2-4f08-a9c1-c790c1747b44"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":331},"layout":"default","localId":"d1b8ccd5-7d96-45bc-abe5-6f6af4da535b"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":332},"layout":"default","localId":"6ed241e4-0cd1-45c2-b904-053e696a9dca"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":186},"layout":"default","localId":"2048c09f-3e35-45f6-893d-756a39c2201b"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":188},"layout":"default","localId":"4aa4c263-0824-481c-9a54-1c412628a0fb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"250b2e4d-881f-431b-9627-94858aa876f4"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":471},"layout":"default","localId":"69adca37-c51b-4fa4-b0ca-b00af03db262"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":472},"layout":"default","localId":"842fcdf8-f784-490a-aec9-8c28e9b9ed68"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":191},"layout":"default","localId":"29a83ca2-3d9d-4254-bde4-990ed55b04b8"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":395},"layout":"default","localId":"04b17fc7-102f-4484-8266-da6029a4a88f"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":396},"layout":"default","localId":"5e0dd023-c794-4e4f-a0eb-5de60eee297c"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":196},"layout":"default","localId":"85a8181c-5993-4f71-9381-60f963a55332"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":198},"layout":"default","localId":"fcfc3cb3-bd0b-44bc-9288-db4cad4459e6"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"f7458e72-df0f-4870-8d5f-fee601c3bcbf"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":473},"layout":"default","localId":"e6e07359-b6db-4877-ba75-afd81897e9d1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":474},"layout":"default","localId":"99001e62-d38b-4b2e-9519-4df706ecfbfc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":201},"layout":"default","localId":"94504b50-3c01-4cb1-910c-f5978fb92831"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":339},"layout":"default","localId":"af6bf4de-08e5-4556-aaac-4e6d1d30143c"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":340},"layout":"default","localId":"4017556f-26f3-4ba2-b885-6cbb7cd3a191"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":206},"layout":"default","localId":"75c11297-3aa9-4a62-ada6-fa033c747e5c"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":208},"layout":"default","localId":"a77b0fc0-9115-4e42-b32a-53589affe7ae"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"78f6aad8-4b0b-4a5f-b5e6-97ae0376b4af"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":478},"layout":"default","localId":"f5f300c9-4791-4430-8701-d3392a459610"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":479},"layout":"default","localId":"b5ce232d-dc75-4109-9e94-dd666c9b896c"}}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"99d1dfbd-96d2-4b5b-ad26-4699fca76177"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":70},"layout":"default","localId":"ad369338-fb82-49dd-a79c-31342a736625"}}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 3 details "}]},{"type":"paragraph","attrs":{"localId":"c096a69c-440d-43f7-8e93-ad9dd59abdab"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":110},"layout":"default","localId":"508f2d2b-9850-40d3-8eb0-eb9f1353be15"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":111},"layout":"default","localId":"9fee83e2-d83d-48a9-85ae-a479e67bea50"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":112},"layout":"default","localId":"749785c1-a29c-4395-abdd-f0674ecebac8"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":401},"layout":"default","localId":"fb73f979-a67a-46db-b1dd-b28a45e86d84"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":402},"layout":"default","localId":"8b3fe4f2-12f5-4aad-82ec-2b8efab6360a"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":219},"layout":"default","localId":"8e37a800-4733-4cac-925f-b7625b724451"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":221},"layout":"default","localId":"66215e30-8027-4999-bf21-97e89255ac70"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"9cecd243-6988-413d-ad48-702d5abd0735"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":480},"layout":"default","localId":"21ca50dc-5815-4a73-b2a1-4bb24063a515"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":481},"layout":"default","localId":"be790781-e63a-41de-9168-823d2a7718f2"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":224},"layout":"default","localId":"f2545f12-e43d-48a7-8e58-69307617a071"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":341},"layout":"default","localId":"44f60b19-c121-4fbf-9415-748854579d16"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":342},"layout":"default","localId":"3d9ded35-7d78-4deb-87e7-2e6d1fe49941"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":229},"layout":"default","localId":"09784793-7ebf-4b64-b6c4-88d9315c801f"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":231},"layout":"default","localId":"2af2620f-1a20-4a0c-8be2-db7d060587ee"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"286ddd84-ff27-49d4-93b1-3b436143f220"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":482},"layout":"default","localId":"b9a06dd7-7afd-44f3-82ab-b3151b8a1d84"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":483},"layout":"default","localId":"a669f23f-4d60-4fa3-9f71-16b2bfa50dd4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":234},"layout":"default","localId":"84d0cc61-2c22-4841-ae38-e209bf66b644"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":349},"layout":"default","localId":"28645b72-a521-44ba-b727-da669cd27512"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":350},"layout":"default","localId":"60bf70f6-be77-4f96-b988-ead4dd83193e"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":239},"layout":"default","localId":"fdddeff7-c119-4cec-9bd3-579685c3920e"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":241},"layout":"default","localId":"3d75a201-36ce-4535-96b4-ca6c3534d1b2"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"febef765-313f-4a68-ba8c-e62b40de49da"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":484},"layout":"default","localId":"0197846e-6d50-44da-bf0e-917c267d26b1"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":485},"layout":"default","localId":"a61c36e1-27d9-4c01-9160-ffcac2148644"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":244},"layout":"default","localId":"73f3994f-86b8-484e-ba7d-671e4cd21b80"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":351},"layout":"default","localId":"80a8b785-966f-40ed-8524-38f70e6a11ed"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":352},"layout":"default","localId":"13175c43-6e77-4524-9a25-b6dbdb631f11"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":249},"layout":"default","localId":"8e79a0e4-c397-42e7-a395-b6d81a6dac68"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":251},"layout":"default","localId":"64db38b5-9c78-4683-b30d-866ec7f0b0db"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"98f6bd09-2f80-434c-b0c9-afa40c4e5c78"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":486},"layout":"default","localId":"f1b7c196-842c-454b-afa5-61a6b9a31d0b"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":487},"layout":"default","localId":"ad0f6393-7ef7-4c17-9b39-af7138c9495a"}}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"panel","attrs":{"panelType":"info"},"content":[{"type":"paragraph","attrs":{"localId":"e7d3a596-977b-4f80-aa2d-5455e043c445"},"content":[{"type":"text","text":"If you have more than 4 versions of this product in use, please add it as another product below."}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":256},"layout":"default","localId":"a33f1470-9b39-4a7c-99b1-9311952ff78b"}},{"type":"rule"}]},{"version":1,"type":"doc","content":[{"type":"heading","attrs":{"level":2,"localId":"307d7aff-c0f9-469b-90de-073f3eb75dec"},"content":[{"type":"text","text":"Product 4 details "}]},{"type":"paragraph","attrs":{"localId":"439b7530-ce82-48ce-9f83-054ffdb4fa14"},"content":[{"type":"text","text":"Provide details of your organisation "}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":92},"layout":"default","localId":"9b090bc4-3d06-4ecc-a025-53c468e896a5"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":93},"layout":"default","localId":"a2dee6a5-a6d1-4ea0-b547-863ce8ccde43"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":94},"layout":"default","localId":"5ab6c494-bb99-4315-b11a-8e1860b426db"}},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":403},"layout":"default","localId":"528d3f39-614b-45de-90fb-32179b94476d"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":404},"layout":"default","localId":"50e76c8d-870b-4af8-8d23-192301b18ca6"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":261},"layout":"default","localId":"2ba59cf8-60c0-47aa-a2d6-7ace9d2387d3"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":263},"layout":"default","localId":"1b3a389a-5998-4cee-a517-4fc36a03db50"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"5f1303a1-2063-47a0-a9e6-98b455cea52a"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":489},"layout":"default","localId":"95d4787c-28dc-4aa7-a2ca-a3c082e380fc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":490},"layout":"default","localId":"4c2babc4-d08f-4d5f-a702-b82516ecfde2"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":266},"layout":"default","localId":"827e6040-e84b-4332-b6f9-525341926d99"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":343},"layout":"default","localId":"71c8caf1-3204-4a47-afd6-3721386ebc3a"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":344},"layout":"default","localId":"38efc539-a375-4ac3-8a43-bb3d5a594048"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":271},"layout":"default","localId":"0a46285e-76a3-4278-98fe-f34d47a0df4a"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":273},"layout":"default","localId":"efb6ee1c-487b-4176-8202-98c576e98adb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"d4231885-b308-4f25-9f9d-877e581f4322"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":491},"layout":"default","localId":"892ea377-c45e-4718-ab6d-c141dcc1acde"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":492},"layout":"default","localId":"2ba7e775-0f1b-414c-abc5-b7aa26d8c2cc"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":276},"layout":"default","localId":"447f41bb-9c85-4766-9e0e-f61c0a2ad686"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":345},"layout":"default","localId":"1a6ac518-5231-49b1-9a09-942191db5908"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":346},"layout":"default","localId":"89be41ee-fefd-4ea6-8527-be6bc1d58c54"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":281},"layout":"default","localId":"a98bcf71-ef86-4c8a-b76d-7fed8fa4f015"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":283},"layout":"default","localId":"cc12c124-9125-4816-b871-928ef37918ad"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"7fbf2b0b-1032-47e8-9db5-6e30f5fcda0e"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":493},"layout":"default","localId":"4b9c82a5-543a-4a8a-84fa-5797649c5dd7"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":494},"layout":"default","localId":"8d072809-5f85-4764-b6a9-5ab5f73abcee"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":286},"layout":"default","localId":"db2d92a1-5237-4833-b94e-d58bd6960047"}}]},{"version":1,"type":"doc","content":[{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":347},"layout":"default","localId":"00388c11-8a84-4400-80be-bf9f7627a22c"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":348},"layout":"default","localId":"ba8ef713-d9f3-4d0a-8481-7c07a05f5e38"}}]}]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":291},"layout":"default","localId":"4bbbc624-6dc5-4bb5-a3b7-922a20f5f333"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":293},"layout":"default","localId":"2337ebac-3a82-4c87-ba58-117a4004ecfb"}}]},{"version":1,"type":"doc","content":[{"type":"panel","attrs":{"panelType":"warning"},"content":[{"type":"paragraph","attrs":{"localId":"eca4b9b3-b3b2-4589-9c81-261db8fbb3f5"},"content":[{"type":"text","text":"By selecting that you are compliant with both formats, you acknowledge and agree that you are fully responsible for the accuracy and completeness of the information provided and Health New Zealand is relying on the information you provide. It is your obligation to ensure that your systems meet the necessary standards and requirements."}]}]},{"type":"paragraph","content":[]}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":495},"layout":"default","localId":"0eaa5790-75b4-4a22-9390-5c38a5061616"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":496},"layout":"default","localId":"28bf3784-1041-4444-bc16-50045aac0c27"}},{"type":"rule"}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"heading","attrs":{"level":3,"localId":"e17ad065-6449-4876-8058-2d3b4262997d"},"content":[{"type":"text","text":"Please find links to useful information regarding New NHI format below:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"ce87737a-a67e-4dad-b66a-1ec788ccb69f"},"content":[{"type":"text","text":"General Enquiry on NHI Number Format Changes","marks":[{"type":"link","attrs":{"href":"https://www.tewhatuora.govt.nz/health-services-and-programmes/health-identity/national-health-index/nhi-number-format-changes/"}}]}]}]},{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"fc1d49fa-ce8c-4fe6-b7ec-2bcb295938f9"},"content":[{"type":"text","text":"Extra Tests for New NHI Number Format","marks":[{"type":"link","attrs":{"href":"https://nhi-ig.hip-uat.digital.health.nz/ComplianceTestingImportantInformation.html#extra-tests-for-new-nhi-number-format"}}]},{"type":"text","text":" "}]}]}]},{"type":"heading","attrs":{"level":2,"localId":"ad3f0aad-ef5d-423c-805f-6c3ed7380f41"},"content":[{"type":"text","text":"Request and Support:"}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":42},"layout":"default","localId":"80a7af22-1c29-490e-a39a-3c27363ef299"}}]},{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":61},"layout":"default","localId":"80a5a8b3-fb46-4767-8824-f602d586e3d8"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":74},"layout":"default","localId":"301aea44-ce4a-42d9-bd7c-624d58827822"}}]}],"conditions":{"182":{"t":"sh","i":{"co":{"cIds":{"181":["1"]}}},"o":{"sIds":["26"]}},"307":{"t":"sh","i":{"co":{"cIds":{"306":["10441"]}}},"o":{"sIds":["6"]}},"329":{"t":"sh","i":{"co":{"cIds":{"400":["10455"]}}},"o":{"sIds":["24"]}},"314":{"t":"sh","i":{"co":{"cIds":{"313":["10446"]}}},"o":{"sIds":["11"]}},"353":{"t":"sh","i":{"co":{"cIds":{"396":["10466"]}}},"o":{"sIds":["32"]}},"308":{"t":"sh","i":{"co":{"cIds":{"306":["10437","10438","10439"]}}},"o":{"sIds":["7"]}},"277":{"t":"sh","i":{"co":{"cIds":{"276":["1"]}}},"o":{"sIds":["75"]}},"381":{"t":"sh","i":{"co":{"cIds":{"344":["10501"]}}},"o":{"sIds":["71"]}},"388":{"t":"sh","i":{"co":{"cIds":{"276":["1"]}}},"o":{"sIds":["79"]}},"302":{"t":"sh","i":{"co":{"cIds":{"415":["10436"]}}},"o":{"sIds":["1"]}},"335":{"t":"sh","i":{"co":{"cIds":{"332":["10460"]}}},"o":{"sIds":["29"]}},"158":{"t":"sh","i":{"co":{"cIds":{"157":["1"]}}},"o":{"sIds":["15"]}},"458":{"t":"sh","i":{"co":{"cIds":{"157":["1"]}}},"o":{"sIds":["19"]}},"324":{"t":"sh","i":{"co":{"cIds":{"321":["10450"]}}},"o":{"sIds":["18"]}},"362":{"t":"sh","i":{"co":{"cIds":{"402":["10475"]}}},"o":{"sIds":["46"]}},"378":{"t":"sh","i":{"co":{"cIds":{"404":["10492","10493","10494"]}}},"o":{"sIds":["67"]}},"373":{"t":"sh","i":{"co":{"cIds":{"352":["10487","10488","10489"]}}},"o":{"sIds":["60"]}},"385":{"t":"sh","i":{"co":{"cIds":{"346":["10506"]}}},"o":{"sIds":["76"]}},"497":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["41"]}},"287":{"t":"sh","i":{"co":{"cIds":{"286":["1"]}}},"o":{"sIds":["80"]}},"393":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["42"]}},"303":{"t":"sh","i":{"co":{"cIds":{"415":["10432","10433","10434"]}}},"o":{"sIds":["2"]}},"134":{"t":"sh","i":{"co":{"cIds":{"133":["1"]}}},"o":{"sIds":["5"]}},"390":{"t":"sh","i":{"co":{"cIds":{"348":["10507","10508","10509"]}}},"o":{"sIds":["82"]}},"361":{"t":"sh","i":{"co":{"cIds":{"402":["10472","10473","10474"]}}},"o":{"sIds":["45"]}},"382":{"t":"sh","i":{"co":{"cIds":{"344":["10497","10498","10499"]}}},"o":{"sIds":["72"]}},"356":{"t":"sh","i":{"co":{"cIds":{"191":["1"]}}},"o":{"sIds":["35"]}},"336":{"t":"sh","i":{"co":{"cIds":{"181":["1"]}}},"o":{"sIds":["30"]}},"328":{"t":"sh","i":{"co":{"cIds":{"400":["10452","10453","10454"]}}},"o":{"sIds":["23"]}},"379":{"t":"sh","i":{"co":{"cIds":{"404":["10495"]}}},"o":{"sIds":["68"]}},"192":{"t":"sh","i":{"co":{"cIds":{"191":["1"]}}},"o":{"sIds":["31"]}},"367":{"t":"sh","i":{"co":{"cIds":{"224":["1"]}}},"o":{"sIds":["52"]}},"387":{"t":"sh","i":{"co":{"cIds":{"346":["10505"]}}},"o":{"sIds":["78"]}},"317":{"t":"sh","i":{"co":{"cIds":{"147":["1"]}}},"o":{"sIds":["14"]}},"375":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["64"]}},"498":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["63"]}},"372":{"t":"sh","i":{"co":{"cIds":{"352":["10491"]}}},"o":{"sIds":["59"]}},"43":{"t":"sh","i":{"co":{"cIds":{"42":["10418"]}}},"o":{"sIds":["86"]}},"148":{"t":"sh","i":{"co":{"cIds":{"147":["1"]}}},"o":{"sIds":["10"]}},"202":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["36"]}},"364":{"t":"sh","i":{"co":{"cIds":{"342":["10481"]}}},"o":{"sIds":["49"]}},"445":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["25"]}},"360":{"t":"sh","i":{"co":{"cIds":{"402":["10476"]}}},"o":{"sIds":["44"]}},"383":{"t":"sh","i":{"co":{"cIds":{"344":["10500"]}}},"o":{"sIds":["73"]}},"386":{"t":"sh","i":{"co":{"cIds":{"346":["10502","10503","10504"]}}},"o":{"sIds":["77"]}},"267":{"t":"sh","i":{"co":{"cIds":{"266":["1"]}}},"o":{"sIds":["70"]}},"394":{"t":"sh","i":{"co":{"cIds":{"286":["1"]}}},"o":{"sIds":["84"]}},"391":{"t":"sh","i":{"co":{"cIds":{"348":["10510"]}}},"o":{"sIds":["83"]}},"309":{"t":"sh","i":{"co":{"cIds":{"306":["10440"]}}},"o":{"sIds":["8"]}},"245":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["58"]}},"322":{"t":"sh","i":{"co":{"cIds":{"321":["10451"]}}},"o":{"sIds":["16"]}},"368":{"t":"sh","i":{"co":{"cIds":{"350":["10486"]}}},"o":{"sIds":["54"]}},"477":{"t":"sh","i":{"co":{"cIds":{"201":["1"]}}},"o":{"sIds":["40"]}},"315":{"t":"sh","i":{"co":{"cIds":{"313":["10442","10443","10444"]}}},"o":{"sIds":["12"]}},"225":{"t":"sh","i":{"co":{"cIds":{"224":["1"]}}},"o":{"sIds":["48"]}},"389":{"t":"sh","i":{"co":{"cIds":{"348":["10511"]}}},"o":{"sIds":["81"]}},"109":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["43"]}},"354":{"t":"sh","i":{"co":{"cIds":{"396":["10462","10464","10463"]}}},"o":{"sIds":["33"]}},"357":{"t":"sh","i":{"co":{"cIds":{"340":["10471"]}}},"o":{"sIds":["37"]}},"488":{"t":"sh","i":{"co":{"cIds":{"244":["1"]}}},"o":{"sIds":["62"]}},"365":{"t":"sh","i":{"co":{"cIds":{"342":["10477","10478","10479"]}}},"o":{"sIds":["50"]}},"311":{"t":"sh","i":{"co":{"cIds":{"133":["1"]}}},"o":{"sIds":["9"]}},"371":{"t":"sh","i":{"co":{"cIds":{"234":["1"]}}},"o":{"sIds":["57"]}},"167":{"t":"sh","i":{"co":{"cIds":{"132":["3"]}}},"o":{"sIds":["21"]}},"304":{"t":"sh","i":{"co":{"cIds":{"415":["10435"]}}},"o":{"sIds":["3"]}},"333":{"t":"sh","i":{"co":{"cIds":{"332":["10461"]}}},"o":{"sIds":["27"]}},"235":{"t":"sh","i":{"co":{"cIds":{"234":["1"]}}},"o":{"sIds":["53"]}},"374":{"t":"sh","i":{"co":{"cIds":{"352":["10490"]}}},"o":{"sIds":["61"]}},"363":{"t":"sh","i":{"co":{"cIds":{"70":["3"]}}},"o":{"sIds":["47"]}},"359":{"t":"sh","i":{"co":{"cIds":{"340":["10470"]}}},"o":{"sIds":["39"]}},"384":{"t":"sh","i":{"co":{"cIds":{"266":["1"]}}},"o":{"sIds":["74"]}},"369":{"t":"sh","i":{"co":{"cIds":{"350":["10482","10483","10484"]}}},"o":{"sIds":["55"]}},"323":{"t":"sh","i":{"co":{"cIds":{"321":["10447","10448","10449"]}}},"o":{"sIds":["17"]}},"366":{"t":"sh","i":{"co":{"cIds":{"342":["10480"]}}},"o":{"sIds":["51"]}},"91":{"t":"sh","i":{"co":{"cIds":{"256":["3"]}}},"o":{"sIds":["65"]}},"355":{"t":"sh","i":{"co":{"cIds":{"396":["10465"]}}},"o":{"sIds":["34"]}},"316":{"t":"sh","i":{"co":{"cIds":{"313":["10445"]}}},"o":{"sIds":["13"]}},"380":{"t":"sh","i":{"co":{"cIds":{"256":["3"]}}},"o":{"sIds":["69"]}},"377":{"t":"sh","i":{"co":{"cIds":{"404":["10496"]}}},"o":{"sIds":["66"]}},"334":{"t":"sh","i":{"co":{"cIds":{"332":["10457","10458","10459"]}}},"o":{"sIds":["28"]}},"327":{"t":"sh","i":{"co":{"cIds":{"400":["10456"]}}},"o":{"sIds":["22"]}},"370":{"t":"sh","i":{"co":{"cIds":{"350":["10485"]}}},"o":{"sIds":["56"]}},"358":{"t":"sh","i":{"co":{"cIds":{"340":["10467","10469","10468"]}}},"o":{"sIds":["38"]}}},"sections":{"80":{"name":"add version","conditions":["287","388","384","380","375","393"]},"18":{"name":"Compliance Done","conditions":["324","158","317","311"]},"28":{"name":"if Compliance in progress","conditions":["334","182","445"]},"45":{"name":"if Compliance in progress","conditions":["361","109","393"]},"34":{"name":"Compliance Done","conditions":["355","192","336","445"]},"67":{"name":"if Compliance in progress","conditions":["378","91","375","393"]},"12":{"name":"if Compliance in progress","conditions":["315","148","311"]},"66":{"name":"Not doing Compliance ","conditions":["377","91","375","393"]},"51":{"name":"Compliance Done","conditions":["366","225","363","393"]},"84":{"name":"","conditions":["394","388","384","380","375","393"]},"8":{"name":"Compliance Done","conditions":["309","134"]},"73":{"name":"Compliance Done","conditions":["383","267","380","375","393"]},"78":{"name":"Compliance Done","conditions":["387","277","384","380","375","393"]},"19":{"name":"","conditions":["458","317","311"]},"23":{"name":"if Compliance in progress","conditions":["328","167"]},"62":{"conditions":["488","371","367","363","393"]},"4":{"name":"App1Version2","conditions":[]},"77":{"name":"if Compliance in progress","conditions":["386","277","384","380","375","393"]},"40":{"conditions":["477","356","336","445"]},"15":{"name":"add version","conditions":["158","317","311"]},"11":{"name":"Not doing Compliance ","conditions":["314","148","311"]},"9":{"name":"App1 Version3","conditions":["311"]},"44":{"name":"Not doing Compliance ","conditions":["360","109","393"]},"33":{"name":"if Compliance in progress","conditions":["354","192","336","445"]},"22":{"name":"Not doing Compliance ","conditions":["327","167"]},"56":{"name":"Compliance Done","conditions":["370","235","367","363","393"]},"55":{"name":"if Compliance in progress","conditions":["369","235","367","363","393"]},"26":{"name":"A2Version2","conditions":["182","445"]},"50":{"name":"if Compliance in progress","conditions":["365","225","363","393"]},"37":{"name":"Not doing Compliance ","conditions":["357","202","356","336","445"]},"68":{"name":"Compliance Done","conditions":["379","91","375","393"]},"61":{"name":"Compliance Done","conditions":["374","245","371","367","363","393"]},"13":{"name":"Compliance Done","conditions":["316","148","311"]},"46":{"name":"Compliance Done","conditions":["362","109","393"]},"24":{"name":"Compliance Done","conditions":["329","167"]},"83":{"name":"Compliance Done","conditions":["391","287","388","384","380","375","393"]},"35":{"name":"A2Version4","conditions":["356","336","445"]},"16":{"name":"Not doing Compliance ","conditions":["322","158","317","311"]},"79":{"name":"Version","conditions":["388","384","380","375","393"]},"5":{"name":"add version","conditions":["134"]},"72":{"name":"if Compliance in progress","conditions":["382","267","380","375","393"]},"10":{"name":"add version","conditions":["148","311"]},"59":{"name":"Not doing Compliance ","conditions":["372","245","371","367","363","393"]},"48":{"name":"add version","conditions":["225","363","393"]},"21":{"name":"Product 2","conditions":["167"]},"76":{"name":"Not doing Compliance ","conditions":["385","277","384","380","375","393"]},"54":{"name":"Not doing Compliance ","conditions":["368","235","367","363","393"]},"43":{"name":"product 3 ","conditions":["109","393"]},"65":{"name":"product 4","conditions":["91","375","393"]},"71":{"name":"Not doing Compliance ","conditions":["381","267","380","375","393"]},"57":{"name":"Version","conditions":["371","367","363","393"]},"32":{"name":"Not doing Compliance ","conditions":["353","192","336","445"]},"6":{"name":"Not doing Compliance ","conditions":["307","134"]},"36":{"name":"A4Version4","conditions":["202","356","336","445"]},"1":{"name":"Not doing Compliance ","conditions":["302"]},"39":{"name":"Compliance Done","conditions":["359","202","356","336","445"]},"82":{"name":"if Compliance in progress","conditions":["390","287","388","384","380","375","393"]},"49":{"name":"Not doing Compliance ","conditions":["364","225","363","393"]},"17":{"name":"if Compliance in progress","conditions":["323","158","317","311"]},"25":{"name":"App2 Version2","conditions":["445"]},"60":{"name":"if Compliance in progress","conditions":["373","245","371","367","363","393"]},"14":{"name":"App1 Version4","conditions":["317","311"]},"47":{"name":"Version","conditions":["363","393"]},"31":{"name":"App2 Version3","conditions":["192","336","445"]},"69":{"name":"Version","conditions":["380","375","393"]},"58":{"name":"add version","conditions":["245","371","367","363","393"]},"64":{"name":"Add product ","conditions":["375","393"]},"53":{"name":"add version","conditions":["235","367","363","393"]},"42":{"name":"Add product ","conditions":["393"]},"75":{"name":"add version","conditions":["277","384","380","375","393"]},"20":{"name":"","conditions":[]},"27":{"name":"Not doing Compliance ","conditions":["333","182","445"]},"70":{"name":"add version","conditions":["267","380","375","393"]},"2":{"name":"if Compliance in progress","conditions":["303"]},"86":{"name":"Support","conditions":["43"]},"38":{"name":"if Compliance in progress","conditions":["358","202","356","336","445"]},"81":{"name":"Not doing Compliance ","conditions":["389","287","388","384","380","375","393"]},"30":{"name":"A2Version3","conditions":["336","445"]},"7":{"name":"if Compliance in progress","conditions":["308","134"]},"29":{"name":"Compliance Done","conditions":["335","182","445"]},"41":{"conditions":["497","356","336","445"]},"63":{"conditions":["498","371","367","363","393"]},"3":{"name":"Compliance Done","conditions":["304"]},"74":{"name":"Version","conditions":["384","380","375","393"]},"52":{"name":"Version","conditions":["367","363","393"]},"85":{"name":"Support","conditions":[]}},"questions":{"93":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10226","questionKey":""},"147":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"479":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"483":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"305":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10229","questionKey":""},"8":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10212","questionKey":""},"400":{"type":"cd","label":"Compliance Status: ","description":"","validation":{"rq":true},"jiraField":"customfield_10238","questionKey":""},"276":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"164":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"461":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"321":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10236","questionKey":""},"332":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10241","questionKey":""},"313":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10235","questionKey":""},"4":{"type":"tl","label":"Organisation legal name","description":"","validation":{"rq":true},"jiraField":"customfield_10209","questionKey":""},"343":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10255","questionKey":""},"404":{"type":"cd","label":"Compliance Status: ","description":"","validation":{"rq":true},"jiraField":"customfield_10258","questionKey":""},"415":{"type":"cd","label":"Compliance Status:","description":"","validation":{"rq":true},"jiraField":"customfield_10232","questionKey":""},"110":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10221","questionKey":""},"469":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"320":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10237","questionKey":""},"481":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"486":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"139":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"181":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"132":{"type":"cs","label":"Do you want to add another Product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"396":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10243","questionKey":""},"9":{"type":"tl","label":"Product ID:","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10067","questionKey":""},"201":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"273":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"492":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"346":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10260","questionKey":""},"466":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"351":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10252","questionKey":""},"291":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"470":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"186":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"399":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10239","questionKey":""},"224":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"244":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"61":{"type":"rt","label":"What type of assistance do you need?","description":"Please provide a general description &/or attachment so we can better direct your enquiry.","validation":{"rq":true},"jiraField":"customfield_10265","questionKey":""},"491":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"206":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"94":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"306":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10233","questionKey":""},"495":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"231":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"5":{"type":"tl","label":"Organisation trading name","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"350":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10251","questionKey":""},"480":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"112":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"341":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10248","questionKey":""},"152":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"10":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"263":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"196":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"281":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"403":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10254","questionKey":""},"484":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"256":{"type":"cs","label":"Do you want to add another Product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"340":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10245","questionKey":""},"419":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"347":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10257","questionKey":""},"188":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"473":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"339":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10244","questionKey":""},"487":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"472":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"219":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"234":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"137":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"6":{"type":"tl","label":"Health Provider Index (HPI) Organisation ID or Vendor ID","description":"Health Provider Index format is GXXnnnn-C where \"X\" is alphanumeric, \"n\" is numberic and \"C\" is a check character. Vendor ID (If it has been issued by Te Whatu Ora) is HSVNnnnn where \"n\" represents a number)","validation":{"rq":false},"jiraField":"customfield_10066","defaultAnswer":{"text":"G0"},"questionKey":""},"241":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"1":{"type":"tl","label":"Name","description":"","validation":{"rq":true},"jiraField":"customfield_10076","questionKey":""},"490":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"348":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10261","questionKey":""},"286":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"221":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"397":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10227","questionKey":""},"208":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"133":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"111":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10225","questionKey":""},"162":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"463":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"344":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10259","questionKey":""},"191":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"494":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"249":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"42":{"type":"cs","label":"Do you require additional assistance?","description":"","validation":{"rq":true},"jiraField":"customfield_10219","questionKey":""},"467":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"293":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"178":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"70":{"type":"cs","label":"Do you want to add another product?","description":"","validation":{"rq":true},"choices":[{"id":"3","label":"Yes","other":false},{"id":"4","label":"No","other":false}],"questionKey":""},"266":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"2":{"type":"ts","label":"Mobile number","description":"","validation":{"rq":true},"jiraField":"customfield_10084","questionKey":""},"402":{"type":"cd","label":"Compliance Status:","description":"","validation":{"rq":true},"jiraField":"customfield_10247","questionKey":""},"271":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"493":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"198":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"283":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"474":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"482":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"395":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10242","questionKey":""},"345":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10256","questionKey":""},"92":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10222","questionKey":""},"462":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"18":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"489":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"261":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"464":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"154":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"30":{"type":"cd","label":"Product Type","description":"","validation":{"rq":true},"choices":[{"id":"1","label":"Business Intelligence & Reporting","other":false},{"id":"2","label":"Clinical Charts, Forms and Records","other":false},{"id":"3","label":"Corporate Systems","other":false},{"id":"4","label":"Critical Clinical System","other":false},{"id":"5","label":"Departmental Systems","other":false},{"id":"6","label":"eCommunication & eReferrals","other":false},{"id":"7","label":"Emergency Department","other":false},{"id":"8","label":"Enterprise Integration","other":false},{"id":"9","label":"Laboratory","other":false},{"id":"10","label":"Maternity","other":false},{"id":"11","label":"Nursing Systems","other":false},{"id":"12","label":"Patient / Community","other":false},{"id":"13","label":"Patient Administration","other":false},{"id":"14","label":"Pharmacy & Medications Management","other":false},{"id":"15","label":"Radiology","other":false},{"id":"16","label":"Screening Programme","other":false},{"id":"17","label":"Surgical Services Specialist System","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"7":{"type":"ts","label":"New Zealand Business Number (NZBN)","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"352":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10253","questionKey":""},"331":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10240","questionKey":""},"496":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"251":{"type":"da","label":"Compliance due by Date:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"478":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"29":{"type":"tl","label":"Product ID: ","description":"E.g. HSAPP0206 (leave blank if unknown)","validation":{"rq":false},"jiraField":"customfield_10214","questionKey":""},"471":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"485":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"468":{"type":"tl","label":"Other comments:","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"3":{"type":"cd","label":"Role","description":"","validation":{"rq":true},"choices":[{"id":"7","label":"Architect","other":false},{"id":"1","label":"Developer","other":false},{"id":"2","label":"Business Owner ","other":false},{"id":"3","label":"Business Manager","other":false},{"id":"4","label":"Administrator","other":false},{"id":"5","label":"Project Manager","other":false},{"id":"6","label":"Security Officer","other":false},{"id":"0","label":"Other...","other":true}],"questionKey":""},"342":{"type":"cd","label":"Compliance Status","description":"","validation":{"rq":true},"jiraField":"customfield_10249","questionKey":""},"74":{"type":"at","label":"Attachments","description":"","validation":{"rq":false},"choices":[],"questionKey":""},"401":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10246","questionKey":""},"229":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"465":{"type":"tl","label":"Where is this product in use?","description":"E.g. NZ wide, specific region(s), specific DHBs","validation":{"rq":true},"choices":[],"questionKey":""},"349":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10250","questionKey":""},"28":{"type":"tl","label":"Product Name: ","description":"Market name of the product. (E.g. Medtech, Indici PMS)","validation":{"rq":true},"jiraField":"customfield_10213","questionKey":""},"157":{"type":"cm","label":"","description":"","validation":{"rq":false},"choices":[{"id":"1","label":"Do you have another version of this product live?","other":false}],"questionKey":""},"176":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"239":{"type":"rt","label":"Reason:","description":"Please provide an explanation on why compliance is not required","validation":{"rq":true},"choices":[],"questionKey":""},"312":{"type":"tl","label":"Product Version #: ","description":"","validation":{"rq":true},"jiraField":"customfield_10234","questionKey":""}}},"uuid":"47dc3424-4608-4c09-b8fb-138fc3a74537"},"linkedJiraFields":["customfield_10250","customfield_10251","customfield_10252","customfield_10076","customfield_10253","customfield_10232","customfield_10254","customfield_10233","customfield_10255","customfield_10234","customfield_10256","customfield_10212","customfield_10213","customfield_10235","customfield_10257","customfield_10247","customfield_10225","customfield_10226","customfield_10248","customfield_10249","customfield_10227","customfield_10229","customfield_10209","customfield_10084","customfield_10260","customfield_10261","customfield_10240","customfield_10241","customfield_10242","customfield_10066","customfield_10067","customfield_10243","customfield_10265","customfield_10221","customfield_10244","customfield_10222","customfield_10245","customfield_10246","customfield_10258","customfield_10236","customfield_10214","customfield_10237","customfield_10259","customfield_10238","customfield_10239","customfield_10219"]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}