VH Case Report Form Logical Model - JSON Representation - University of the Philippines Manila Viral Hepatitis Project Implementation Guide v0.2.1

University of the Philippines Manila Viral Hepatitis Project Implementation Guide, published by UP Manila Viral Hepatitis Project. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/gpvillanuevasilab/UPVH_WHO_SMART-Template/ and changes regularly. See the Directory of published versions
Logical Model: ViralHepatitisCaseReportFormModel - JSON Profile

Draft as of 2026-02-06
JSON representation of the ViralHepatitisCaseReportFormModel logical model.
Raw json | Download
{
  "resourceType" : "StructureDefinition",
  "id" : "ViralHepatitisCaseReportFormModel",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition ViralHepatitisCaseReportFormModel</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel\" title=\"Viral Hepatitis Case Report Form Logical Model\">ViralHepatitisCaseReportFormModel</a><a name=\"ViralHepatitisCaseReportFormModel\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">VH Case Report Form Logical Model</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.ConsultDate\" title=\"Consult Date (MM/DD/YYYY)\">ConsultDate</a><a name=\"ViralHepatitisCaseReportFormModel.ConsultDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Consult Date (MM/DD/YYYY)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.PatientCode\" title=\"Patient Identifier\">PatientCode</a><a name=\"ViralHepatitisCaseReportFormModel.PatientCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient Code</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.TestingFacilityName\" title=\"The location where the encounter takes place.\">TestingFacilityName</a><a name=\"ViralHepatitisCaseReportFormModel.TestingFacilityName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>()</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Testing Facility Name</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.ContactNo\" title=\"Contact number of the Patient\">ContactNo</a><a name=\"ViralHepatitisCaseReportFormModel.ContactNo\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#ContactPoint\">ContactPoint</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Contact Number<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.FacilityAddress\" title=\"Physical location where the encounter takes place\">FacilityAddress</a><a name=\"ViralHepatitisCaseReportFormModel.FacilityAddress\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Facility Address</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.ClientType\" title=\"Walk-in, Referrakm, and In-patient\">ClientType</a><a name=\"ViralHepatitisCaseReportFormModel.ClientType\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client Type</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB\" title=\"If patient tested positive for Hepatitis B\">TestedPositiveForHepatitisB</a><a name=\"ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If patient tested positive for Hepatitis B</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC\" title=\"If patient tested positive for Hepatitis C\">TestedPositiveForHepatitisC</a><a name=\"ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If patient tested positive for Hepatitis C</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest\" title=\"Date of Baseline HBsAgTest (MM/DD/YYYY)\">DateofBaselineHBsAgTest</a><a name=\"ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Baseline HBsAgTest (MM/DD/YYYY)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest\" title=\"Date of Baseline Anti-HCV test (MM/DD/YYYY)\">DateofBaselineAnti-HCVTest</a><a name=\"ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Baseline Anti-HCV test (MM/DD/YYYY)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.FirstName\" title=\"First Name of the Patient\">FirstName</a><a name=\"ViralHepatitisCaseReportFormModel.FirstName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First Name<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.MiddleName\" title=\"Middle Name of the Patient\">MiddleName</a><a name=\"ViralHepatitisCaseReportFormModel.MiddleName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Middle Name<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.LastName\" title=\"Last Name of the Patient\">LastName</a><a name=\"ViralHepatitisCaseReportFormModel.LastName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last Name</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.Suffix\" title=\"Suffix of the Patient\">Suffix</a><a name=\"ViralHepatitisCaseReportFormModel.Suffix\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#HumanName\">HumanName</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Suffix<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.UniqueIdentifierCode\" title=\"First two letters of mother's name, First two letters of father's name, birth order, and Birthdate (MM/FF/BO/MM/DD/YYYY)\">UniqueIdentifierCode</a><a name=\"ViralHepatitisCaseReportFormModel.UniqueIdentifierCode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Unique Identifier Code for the patient</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName\" title=\"Format - AA/XX/XX/XX/XX/XXXX\">FirstTwoLetterOfMothersName</a><a name=\"ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First two letters of mother's name</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName\" title=\"Format - XX/AA/XX/XX/XX/XXXX\">FirstTwoLetterOfFathersName</a><a name=\"ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First two letters of father's name</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder\" title=\"Format - XX/XX/##/XX/XX/XXXX\">BirthOrder</a><a name=\"ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Birth Order</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate\" title=\"Format - XX/XX/XX/MM/DD/YYYY\">BirthDate</a><a name=\"ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Birth Date</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.SexAssignedAtBirth\" title=\"Sex Assigned at Birth\">SexAssignedAtBirth</a><a name=\"ViralHepatitisCaseReportFormModel.SexAssignedAtBirth\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sex Assigned at Birth</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.SelfIdentity\" title=\"Patient Self Identity\">SelfIdentity</a><a name=\"ViralHepatitisCaseReportFormModel.SelfIdentity\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient Self Identity</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.IsShePregnant\" title=\"If female, is she pregnant?\">IsShePregnant</a><a name=\"ViralHepatitisCaseReportFormModel.IsShePregnant\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If female, is she pregnant?<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant\" title=\"If female, is she pregnant?\">IsShePregnant</a><a name=\"ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">If female, is she pregnant?<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.NumberOfChildren\" title=\"Number of Children\">NumberOfChildren</a><a name=\"ViralHepatitisCaseReportFormModel.NumberOfChildren\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Number of Children<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.CivilStatus\" title=\"Civil Status\">CivilStatus</a><a name=\"ViralHepatitisCaseReportFormModel.CivilStatus\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Civil Status<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.Nationality\" title=\"Nationality\">Nationality</a><a name=\"ViralHepatitisCaseReportFormModel.Nationality\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Nationality<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.AgeInYears\" title=\"Age of Patient in Years\">AgeInYears</a><a name=\"ViralHepatitisCaseReportFormModel.AgeInYears\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Age\">Age</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Age of Patient in Years</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.PhilHealthNo\" title=\"PhilHealth Number of the Patient\">PhilHealthNo</a><a name=\"ViralHepatitisCaseReportFormModel.PhilHealthNo\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PhilHealth Number of the Patient</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality\" title=\"Current City/Municipality Address of the Patient\">CurrentAddressCityMunicipality</a><a name=\"ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Current City/Municipality Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.CurrentAddressProvince\" title=\"Current Province Address of the Patient\">CurrentAddressProvince</a><a name=\"ViralHepatitisCaseReportFormModel.CurrentAddressProvince\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Current Province Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.CurrentAddressRegion\" title=\"Current Region Address of the Patient\">CurrentAddressRegion</a><a name=\"ViralHepatitisCaseReportFormModel.CurrentAddressRegion\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Current Region Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality\" title=\"Permanent City/Municipality Address of the Patient\">PermanentAddressCityMunicipality</a><a name=\"ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Permanent City/Municipality Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.PermanentAddressProvince\" title=\"Permanent Province Address of the Patient\">PermanentAddressProvince</a><a name=\"ViralHepatitisCaseReportFormModel.PermanentAddressProvince\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Permanent Province Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.PermanentAddressRegion\" title=\"Permanent Region Address of the Patient\">PermanentAddressRegion</a><a name=\"ViralHepatitisCaseReportFormModel.PermanentAddressRegion\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Address\">Address</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Permanent Region Address of the Patient<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB\" title=\"Did the client's mother test positive for Hepatitis B?\">DidTheClientsMotherTestPositiveForHepatitisB</a><a name=\"ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Client's mother for Hepatitis B</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC\" title=\"Did the client's mother test positive for Hepatitis C?\">DidTheClientsMotherTestPositiveForHepatitisC</a><a name=\"ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Client's mother for Hepatitis C</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB\" title=\"Did the client's spouse/partner test positive for Hepatitis B?\">DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB</a><a name=\"ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Client's Spouse/Partner for Hepatitis B</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC\" title=\"Did the client's spouse/partner test positive for Hepatitis C?\">DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC</a><a name=\"ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Client's Spouse/Partner for Hepatitis C</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers\" title=\"Does the client have history of sharing needle and/or syringe with others?\">DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of client of using/sharing needle or syringe with others</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs\" title=\"Does the client have history of injecting drugs?\">DoesTheClientHaveHistoryOfInjectingDrugs</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Does the client have history of injecting drugs?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood\" title=\"Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?\">HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood</a><a name=\"ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo\" title=\"Did the client receive a tattoo?\">DidTheClientReceiveATattoo</a><a name=\"ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Did the client receive a tattoo?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale\" title=\"Was there a history(past year) of sexual intercourse with a male?\">WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale</a><a name=\"ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Was there a history(past year) of sexual intercourse with a male?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale\" title=\"Was there a history(past year) of sexual intercourse with a female?\">WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale</a><a name=\"ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Was there a history(past year) of sexual intercourse with a female?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex\" title=\"Does the client pay (in cash or in kind) for sex?\">DoesTheClientPayInCashOrInKindForSex</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Does the client pay (in cash or in kind) for sex?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex\" title=\"Does the client accept payment (in cash or in kind) in exchange for sex?\">DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Does the client accept payment (in cash or in kind) in exchange for sex?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast\" title=\"Was there a history of employment abroad in the past?\">WasThereAHistoryOfEmploymentAbroadInThePast</a><a name=\"ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Was there a history of employment abroad in the past?</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer\" title=\"Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?\">IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer</a><a name=\"ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis\" title=\"Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?\">DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of having Hepatocellular Carcinoma</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts\" title=\"Does the client have history of receiving blood/blood products?\">DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of Receiving Blood or Blood Products</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis\" title=\"Does the client have history of undergoing hemodialysis?\">DoesTheClientHaveHistoryOfUndergoingHemodialysis</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of undergoing hemodialysis</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA\" title=\"Was there a history of being vaccinated for Hepatitis A?\">WasThereAHistoryOfBeingVaccinatedForHepatitisA</a><a name=\"ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of Being Vaccinated for Hepatitis A</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB\" title=\"Was there a history of being vaccinated for Hepatitis B?\">WasThereAHistoryOfBeingVaccinatedForHepatitisB</a><a name=\"ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of Being Vaccinated for Hepatitis B</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment\" title=\"Does the client have history of HIV treatment prior to enrollment?\">DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment</a><a name=\"ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Client's History of Undergoing HIV Treatment Prior to Enrollment</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV\" title=\"Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?\">HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV</a><a name=\"ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken\" title=\"If the client has history of taking antiretroviral drugs, please specify the drug(s) used\">NoYesHIVMedsTaken</a><a name=\"ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">List of Antiretroviral Drugs for HIV Taken</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB\" title=\"Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?\">HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB</a><a name=\"ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken\" title=\"If the client has history of taking antiviral drugs for Hepatitis B, please specify the drug(s) used\">NoYesHepatitisBMedsTaken</a><a name=\"ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">List of Antiviral Drugs for Hepatitis B Taken</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC\" title=\"Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?\">HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC</a><a name=\"ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ViralHepatitisCaseReportFormModel-definitions.html#ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken\" title=\"If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used\">NoYesHepatitisCMedsTaken</a><a name=\"ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">List of Antiviral Drugs for Hepatitis C Taken</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "url" : "http://worldhealthorganization.github.io/smart-ig-upvhproject/StructureDefinition/ViralHepatitisCaseReportFormModel",
  "version" : "0.2.1",
  "name" : "ViralHepatitisCaseReportFormModel",
  "title" : "VH Case Report Form Logical Model",
  "status" : "draft",
  "date" : "2026-02-06T04:39:10+00:00",
  "publisher" : "UP Manila Viral Hepatitis Project",
  "contact" : [
    {
      "name" : "UP Manila Viral Hepatitis Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://ehealth4hepatitis.ph"
        }
      ]
    }
  ],
  "description" : "Viral Hepatitis Case Report Form Logical Model",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://worldhealthorganization.github.io/smart-ig-upvhproject/StructureDefinition/ViralHepatitisCaseReportFormModel",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "snapshot" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString" : "4.0.1"
      }
    ],
    "element" : [
      {
        "id" : "ViralHepatitisCaseReportFormModel",
        "path" : "ViralHepatitisCaseReportFormModel",
        "short" : "VH Case Report Form Logical Model",
        "definition" : "Viral Hepatitis Case Report Form Logical Model",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "isModifier" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ConsultDate",
        "path" : "ViralHepatitisCaseReportFormModel.ConsultDate",
        "short" : "Consult Date (MM/DD/YYYY)",
        "definition" : "Consult Date (MM/DD/YYYY)",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.ConsultDate",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PatientCode",
        "path" : "ViralHepatitisCaseReportFormModel.PatientCode",
        "short" : "Patient Code",
        "definition" : "Patient Identifier",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.PatientCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestingFacilityName",
        "path" : "ViralHepatitisCaseReportFormModel.TestingFacilityName",
        "short" : "Testing Facility Name",
        "definition" : "The location where the encounter takes place.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.TestingFacilityName",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Reference"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ContactNo",
        "path" : "ViralHepatitisCaseReportFormModel.ContactNo",
        "short" : "Contact Number",
        "definition" : "Contact number of the Patient",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.ContactNo",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "ContactPoint"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.FacilityAddress",
        "path" : "ViralHepatitisCaseReportFormModel.FacilityAddress",
        "short" : "Facility Address",
        "definition" : "Physical location where the encounter takes place",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.FacilityAddress",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ClientType",
        "path" : "ViralHepatitisCaseReportFormModel.ClientType",
        "short" : "Client Type",
        "definition" : "Walk-in, Referrakm, and In-patient",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.ClientType",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB",
        "short" : "If patient tested positive for Hepatitis B",
        "definition" : "If patient tested positive for Hepatitis B",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC",
        "short" : "If patient tested positive for Hepatitis C",
        "definition" : "If patient tested positive for Hepatitis C",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest",
        "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest",
        "short" : "Date of Baseline HBsAgTest (MM/DD/YYYY)",
        "definition" : "Date of Baseline HBsAgTest (MM/DD/YYYY)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest",
        "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest",
        "short" : "Date of Baseline Anti-HCV test (MM/DD/YYYY)",
        "definition" : "Date of Baseline Anti-HCV test (MM/DD/YYYY)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.FirstName",
        "path" : "ViralHepatitisCaseReportFormModel.FirstName",
        "short" : "First Name",
        "definition" : "First Name of the Patient",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.FirstName",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.MiddleName",
        "path" : "ViralHepatitisCaseReportFormModel.MiddleName",
        "short" : "Middle Name",
        "definition" : "Middle Name of the Patient",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.MiddleName",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.LastName",
        "path" : "ViralHepatitisCaseReportFormModel.LastName",
        "short" : "Last Name",
        "definition" : "Last Name of the Patient",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.LastName",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.Suffix",
        "path" : "ViralHepatitisCaseReportFormModel.Suffix",
        "short" : "Suffix",
        "definition" : "Suffix of the Patient",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.Suffix",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "short" : "Unique Identifier Code for the patient",
        "definition" : "First two letters of mother's name, First two letters of father's name, birth order, and Birthdate (MM/FF/BO/MM/DD/YYYY)",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.extension",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.value",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.value",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Primitive value for id",
        "definition" : "Primitive value for id",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "string.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString" : "[A-Za-z0-9\\-\\.]{1,64}"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName",
        "short" : "First two letters of mother's name",
        "definition" : "Format - AA/XX/XX/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName",
        "short" : "First two letters of father's name",
        "definition" : "Format - XX/AA/XX/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "id"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder",
        "short" : "Birth Order",
        "definition" : "Format - XX/XX/##/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate",
        "short" : "Birth Date",
        "definition" : "Format - XX/XX/XX/MM/DD/YYYY",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "date"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.SexAssignedAtBirth",
        "path" : "ViralHepatitisCaseReportFormModel.SexAssignedAtBirth",
        "short" : "Sex Assigned at Birth",
        "definition" : "Sex Assigned at Birth",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.SexAssignedAtBirth",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.SelfIdentity",
        "path" : "ViralHepatitisCaseReportFormModel.SelfIdentity",
        "short" : "Patient Self Identity",
        "definition" : "Patient Self Identity",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.SelfIdentity",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant",
        "short" : "If female, is she pregnant?",
        "definition" : "If female, is she pregnant?",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "code"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant.id",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "xml:id (or equivalent in JSON)",
        "definition" : "unique id for the element within a resource (for internal references)",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant.extension",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.extension",
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant.value",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.value",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Primitive value for code",
        "definition" : "Primitive value for code",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "string.value",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              },
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/regex",
                "valueString" : "[^\\s]+(\\s[^\\s]+)*"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant",
        "short" : "If female, is she pregnant?",
        "definition" : "If female, is she pregnant?",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.NumberOfChildren",
        "path" : "ViralHepatitisCaseReportFormModel.NumberOfChildren",
        "short" : "Number of Children",
        "definition" : "Number of Children",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.NumberOfChildren",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CivilStatus",
        "path" : "ViralHepatitisCaseReportFormModel.CivilStatus",
        "short" : "Civil Status",
        "definition" : "Civil Status",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.CivilStatus",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.Nationality",
        "path" : "ViralHepatitisCaseReportFormModel.Nationality",
        "short" : "Nationality",
        "definition" : "Nationality",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.Nationality",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.AgeInYears",
        "path" : "ViralHepatitisCaseReportFormModel.AgeInYears",
        "short" : "Age of Patient in Years",
        "definition" : "Age of Patient in Years",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.AgeInYears",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Age"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PhilHealthNo",
        "path" : "ViralHepatitisCaseReportFormModel.PhilHealthNo",
        "short" : "PhilHealth Number of the Patient",
        "definition" : "PhilHealth Number of the Patient",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.PhilHealthNo",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality",
        "short" : "Current City/Municipality Address of the Patient",
        "definition" : "Current City/Municipality Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressProvince",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressProvince",
        "short" : "Current Province Address of the Patient",
        "definition" : "Current Province Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressProvince",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressRegion",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressRegion",
        "short" : "Current Region Address of the Patient",
        "definition" : "Current Region Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressRegion",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality",
        "short" : "Permanent City/Municipality Address of the Patient",
        "definition" : "Permanent City/Municipality Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressProvince",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressProvince",
        "short" : "Permanent Province Address of the Patient",
        "definition" : "Permanent Province Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressProvince",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressRegion",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressRegion",
        "short" : "Permanent Region Address of the Patient",
        "definition" : "Permanent Region Address of the Patient",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressRegion",
          "min" : 1,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB",
        "short" : "History of Client's mother for Hepatitis B",
        "definition" : "Did the client's mother test positive for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC",
        "short" : "History of Client's mother for Hepatitis C",
        "definition" : "Did the client's mother test positive for Hepatitis C?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB",
        "short" : "History of Client's Spouse/Partner for Hepatitis B",
        "definition" : "Did the client's spouse/partner test positive for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC",
        "short" : "History of Client's Spouse/Partner for Hepatitis C",
        "definition" : "Did the client's spouse/partner test positive for Hepatitis C?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers",
        "short" : "History of client of using/sharing needle or syringe with others",
        "definition" : "Does the client have history of sharing needle and/or syringe with others?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs",
        "short" : "Does the client have history of injecting drugs?",
        "definition" : "Does the client have history of injecting drugs?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood",
        "path" : "ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood",
        "short" : "Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?",
        "definition" : "Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo",
        "short" : "Did the client receive a tattoo?",
        "definition" : "Did the client receive a tattoo?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale",
        "short" : "Was there a history(past year) of sexual intercourse with a male?",
        "definition" : "Was there a history(past year) of sexual intercourse with a male?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale",
        "short" : "Was there a history(past year) of sexual intercourse with a female?",
        "definition" : "Was there a history(past year) of sexual intercourse with a female?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex",
        "short" : "Does the client pay (in cash or in kind) for sex?",
        "definition" : "Does the client pay (in cash or in kind) for sex?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex",
        "short" : "Does the client accept payment (in cash or in kind) in exchange for sex?",
        "definition" : "Does the client accept payment (in cash or in kind) in exchange for sex?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast",
        "short" : "Was there a history of employment abroad in the past?",
        "definition" : "Was there a history of employment abroad in the past?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer",
        "path" : "ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer",
        "short" : "History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer",
        "definition" : "Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis",
        "short" : "Client's History of having Hepatocellular Carcinoma",
        "definition" : "Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts",
        "short" : "Client's History of Receiving Blood or Blood Products",
        "definition" : "Does the client have history of receiving blood/blood products?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis",
        "short" : "Client's History of undergoing hemodialysis",
        "definition" : "Does the client have history of undergoing hemodialysis?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA",
        "short" : "Client's History of Being Vaccinated for Hepatitis A",
        "definition" : "Was there a history of being vaccinated for Hepatitis A?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB",
        "short" : "Client's History of Being Vaccinated for Hepatitis B",
        "definition" : "Was there a history of being vaccinated for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment",
        "short" : "Client's History of Undergoing HIV Treatment Prior to Enrollment",
        "definition" : "Does the client have history of HIV treatment prior to enrollment?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment",
          "min" : 1,
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        },
        "type" : [
          {
            "code" : "CodeableConcept"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV",
        "short" : "The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis",
        "definition" : "Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
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        ],
        "constraint" : [
          {
            "key" : "ele-1",
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            "human" : "All FHIR elements must have a @value or children",
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        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.id",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.id",
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        "short" : "Unique id for inter-element referencing",
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        "min" : 0,
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          "path" : "Element.id",
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        "type" : [
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                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
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            "code" : "http://hl7.org/fhirpath/System.String"
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        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
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      },
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        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.extension",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.extension",
        "slicing" : {
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        "alias" : [
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        "min" : 0,
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          "path" : "Element.extension",
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        "type" : [
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        ],
        "constraint" : [
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        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.modifierExtension",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.modifierExtension",
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        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
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        "min" : 0,
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        "isModifier" : true,
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      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken",
        "short" : "List of Antiretroviral Drugs for HIV Taken",
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        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken",
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        "type" : [
          {
            "code" : "BackboneElement"
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        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB",
        "short" : "The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis",
        "definition" : "Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB",
          "min" : 1,
          "max" : "1"
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        "type" : [
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            "code" : "BackboneElement"
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        ],
        "constraint" : [
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        "id" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.id",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.id",
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        "short" : "Unique id for inter-element referencing",
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        "min" : 0,
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        "type" : [
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        "id" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.extension",
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        "short" : "Additional content defined by implementations",
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        "min" : 0,
        "max" : "*",
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        "type" : [
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        ],
        "constraint" : [
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        "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken",
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        "definition" : "Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?",
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        "max" : "1",
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        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.id",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.extension",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.modifierExtension",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.modifierExtension",
        "short" : "Extensions that cannot be ignored even if unrecognized",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
        "alias" : [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "BackboneElement.modifierExtension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : true,
        "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary" : true,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken",
        "short" : "List of Antiviral Drugs for Hepatitis C Taken",
        "definition" : "If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "ViralHepatitisCaseReportFormModel",
        "path" : "ViralHepatitisCaseReportFormModel",
        "short" : "VH Case Report Form Logical Model",
        "definition" : "Viral Hepatitis Case Report Form Logical Model"
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ConsultDate",
        "path" : "ViralHepatitisCaseReportFormModel.ConsultDate",
        "short" : "Consult Date (MM/DD/YYYY)",
        "definition" : "Consult Date (MM/DD/YYYY)",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PatientCode",
        "path" : "ViralHepatitisCaseReportFormModel.PatientCode",
        "short" : "Patient Code",
        "definition" : "Patient Identifier",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestingFacilityName",
        "path" : "ViralHepatitisCaseReportFormModel.TestingFacilityName",
        "short" : "Testing Facility Name",
        "definition" : "The location where the encounter takes place.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ContactNo",
        "path" : "ViralHepatitisCaseReportFormModel.ContactNo",
        "short" : "Contact Number",
        "definition" : "Contact number of the Patient",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "ContactPoint"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.FacilityAddress",
        "path" : "ViralHepatitisCaseReportFormModel.FacilityAddress",
        "short" : "Facility Address",
        "definition" : "Physical location where the encounter takes place",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.ClientType",
        "path" : "ViralHepatitisCaseReportFormModel.ClientType",
        "short" : "Client Type",
        "definition" : "Walk-in, Referrakm, and In-patient",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB",
        "short" : "If patient tested positive for Hepatitis B",
        "definition" : "If patient tested positive for Hepatitis B",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC",
        "short" : "If patient tested positive for Hepatitis C",
        "definition" : "If patient tested positive for Hepatitis C",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest",
        "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest",
        "short" : "Date of Baseline HBsAgTest (MM/DD/YYYY)",
        "definition" : "Date of Baseline HBsAgTest (MM/DD/YYYY)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest",
        "path" : "ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest",
        "short" : "Date of Baseline Anti-HCV test (MM/DD/YYYY)",
        "definition" : "Date of Baseline Anti-HCV test (MM/DD/YYYY)",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "dateTime"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.FirstName",
        "path" : "ViralHepatitisCaseReportFormModel.FirstName",
        "short" : "First Name",
        "definition" : "First Name of the Patient",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.MiddleName",
        "path" : "ViralHepatitisCaseReportFormModel.MiddleName",
        "short" : "Middle Name",
        "definition" : "Middle Name of the Patient",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.LastName",
        "path" : "ViralHepatitisCaseReportFormModel.LastName",
        "short" : "Last Name",
        "definition" : "Last Name of the Patient",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.Suffix",
        "path" : "ViralHepatitisCaseReportFormModel.Suffix",
        "short" : "Suffix",
        "definition" : "Suffix of the Patient",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "HumanName"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode",
        "short" : "Unique Identifier Code for the patient",
        "definition" : "First two letters of mother's name, First two letters of father's name, birth order, and Birthdate (MM/FF/BO/MM/DD/YYYY)",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "id"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName",
        "short" : "First two letters of mother's name",
        "definition" : "Format - AA/XX/XX/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "id"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName",
        "short" : "First two letters of father's name",
        "definition" : "Format - XX/AA/XX/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "id"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder",
        "short" : "Birth Order",
        "definition" : "Format - XX/XX/##/XX/XX/XXXX",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate",
        "path" : "ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate",
        "short" : "Birth Date",
        "definition" : "Format - XX/XX/XX/MM/DD/YYYY",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "date"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.SexAssignedAtBirth",
        "path" : "ViralHepatitisCaseReportFormModel.SexAssignedAtBirth",
        "short" : "Sex Assigned at Birth",
        "definition" : "Sex Assigned at Birth",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.SelfIdentity",
        "path" : "ViralHepatitisCaseReportFormModel.SelfIdentity",
        "short" : "Patient Self Identity",
        "definition" : "Patient Self Identity",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant",
        "short" : "If female, is she pregnant?",
        "definition" : "If female, is she pregnant?",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "code"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant",
        "path" : "ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant",
        "short" : "If female, is she pregnant?",
        "definition" : "If female, is she pregnant?",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.NumberOfChildren",
        "path" : "ViralHepatitisCaseReportFormModel.NumberOfChildren",
        "short" : "Number of Children",
        "definition" : "Number of Children",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "integer"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CivilStatus",
        "path" : "ViralHepatitisCaseReportFormModel.CivilStatus",
        "short" : "Civil Status",
        "definition" : "Civil Status",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.Nationality",
        "path" : "ViralHepatitisCaseReportFormModel.Nationality",
        "short" : "Nationality",
        "definition" : "Nationality",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.AgeInYears",
        "path" : "ViralHepatitisCaseReportFormModel.AgeInYears",
        "short" : "Age of Patient in Years",
        "definition" : "Age of Patient in Years",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Age"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PhilHealthNo",
        "path" : "ViralHepatitisCaseReportFormModel.PhilHealthNo",
        "short" : "PhilHealth Number of the Patient",
        "definition" : "PhilHealth Number of the Patient",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Identifier"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality",
        "short" : "Current City/Municipality Address of the Patient",
        "definition" : "Current City/Municipality Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressProvince",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressProvince",
        "short" : "Current Province Address of the Patient",
        "definition" : "Current Province Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.CurrentAddressRegion",
        "path" : "ViralHepatitisCaseReportFormModel.CurrentAddressRegion",
        "short" : "Current Region Address of the Patient",
        "definition" : "Current Region Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality",
        "short" : "Permanent City/Municipality Address of the Patient",
        "definition" : "Permanent City/Municipality Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressProvince",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressProvince",
        "short" : "Permanent Province Address of the Patient",
        "definition" : "Permanent Province Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.PermanentAddressRegion",
        "path" : "ViralHepatitisCaseReportFormModel.PermanentAddressRegion",
        "short" : "Permanent Region Address of the Patient",
        "definition" : "Permanent Region Address of the Patient",
        "min" : 1,
        "max" : "*",
        "type" : [
          {
            "code" : "Address"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB",
        "short" : "History of Client's mother for Hepatitis B",
        "definition" : "Did the client's mother test positive for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC",
        "short" : "History of Client's mother for Hepatitis C",
        "definition" : "Did the client's mother test positive for Hepatitis C?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB",
        "short" : "History of Client's Spouse/Partner for Hepatitis B",
        "definition" : "Did the client's spouse/partner test positive for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC",
        "short" : "History of Client's Spouse/Partner for Hepatitis C",
        "definition" : "Did the client's spouse/partner test positive for Hepatitis C?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers",
        "short" : "History of client of using/sharing needle or syringe with others",
        "definition" : "Does the client have history of sharing needle and/or syringe with others?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs",
        "short" : "Does the client have history of injecting drugs?",
        "definition" : "Does the client have history of injecting drugs?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood",
        "path" : "ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood",
        "short" : "Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?",
        "definition" : "Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo",
        "path" : "ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo",
        "short" : "Did the client receive a tattoo?",
        "definition" : "Did the client receive a tattoo?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale",
        "short" : "Was there a history(past year) of sexual intercourse with a male?",
        "definition" : "Was there a history(past year) of sexual intercourse with a male?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale",
        "short" : "Was there a history(past year) of sexual intercourse with a female?",
        "definition" : "Was there a history(past year) of sexual intercourse with a female?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex",
        "short" : "Does the client pay (in cash or in kind) for sex?",
        "definition" : "Does the client pay (in cash or in kind) for sex?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex",
        "short" : "Does the client accept payment (in cash or in kind) in exchange for sex?",
        "definition" : "Does the client accept payment (in cash or in kind) in exchange for sex?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast",
        "short" : "Was there a history of employment abroad in the past?",
        "definition" : "Was there a history of employment abroad in the past?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer",
        "path" : "ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer",
        "short" : "History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer",
        "definition" : "Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis",
        "short" : "Client's History of having Hepatocellular Carcinoma",
        "definition" : "Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts",
        "short" : "Client's History of Receiving Blood or Blood Products",
        "definition" : "Does the client have history of receiving blood/blood products?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis",
        "short" : "Client's History of undergoing hemodialysis",
        "definition" : "Does the client have history of undergoing hemodialysis?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA",
        "short" : "Client's History of Being Vaccinated for Hepatitis A",
        "definition" : "Was there a history of being vaccinated for Hepatitis A?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB",
        "path" : "ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB",
        "short" : "Client's History of Being Vaccinated for Hepatitis B",
        "definition" : "Was there a history of being vaccinated for Hepatitis B?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment",
        "path" : "ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment",
        "short" : "Client's History of Undergoing HIV Treatment Prior to Enrollment",
        "definition" : "Does the client have history of HIV treatment prior to enrollment?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV",
        "short" : "The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis",
        "definition" : "Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken",
        "path" : "ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken",
        "short" : "List of Antiretroviral Drugs for HIV Taken",
        "definition" : "If the client has history of taking antiretroviral drugs, please specify the drug(s) used",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB",
        "short" : "The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis",
        "definition" : "Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken",
        "short" : "List of Antiviral Drugs for Hepatitis B Taken",
        "definition" : "If the client has history of taking antiviral drugs for Hepatitis B, please specify the drug(s) used",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC",
        "short" : "The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis",
        "definition" : "Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      },
      {
        "id" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken",
        "path" : "ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken",
        "short" : "List of Antiviral Drugs for Hepatitis C Taken",
        "definition" : "If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ]
      }
    ]
  }
}