VH Case Report Form Logical Model - XML 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 - XML Profile

Draft as of 2026-02-06
XML representation of the ViralHepatitisCaseReportFormModel logical model.
Raw xml | Download

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ViralHepatitisCaseReportFormModel"/>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <url
       value="http://worldhealthorganization.github.io/smart-ig-upvhproject/StructureDefinition/ViralHepatitisCaseReportFormModel"/>
  <version value="0.2.1"/>
  <name value="ViralHepatitisCaseReportFormModel"/>
  <title value="VH Case Report Form Logical Model"/>
  <status value="draft"/>
  <date value="2026-02-06T04:39:10+00:00"/>
  <publisher value="UP Manila Viral Hepatitis Project"/>
  <contact>
    <name value="UP Manila Viral Hepatitis Project"/>
    <telecom>
      <system value="url"/>
      <value value="http://ehealth4hepatitis.ph"/>
    </telecom>
  </contact>
  <description value="Viral Hepatitis Case Report Form Logical Model"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://worldhealthorganization.github.io/smart-ig-upvhproject/StructureDefinition/ViralHepatitisCaseReportFormModel"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="ViralHepatitisCaseReportFormModel">
      <path value="ViralHepatitisCaseReportFormModel"/>
      <short value="VH Case Report Form Logical Model"/>
      <definition value="Viral Hepatitis Case Report Form Logical Model"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ConsultDate">
      <path value="ViralHepatitisCaseReportFormModel.ConsultDate"/>
      <short value="Consult Date (MM/DD/YYYY)"/>
      <definition value="Consult Date (MM/DD/YYYY)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.ConsultDate"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PatientCode">
      <path value="ViralHepatitisCaseReportFormModel.PatientCode"/>
      <short value="Patient Code"/>
      <definition value="Patient Identifier"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.PatientCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.TestingFacilityName">
      <path value="ViralHepatitisCaseReportFormModel.TestingFacilityName"/>
      <short value="Testing Facility Name"/>
      <definition value="The location where the encounter takes place."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.TestingFacilityName"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ContactNo">
      <path value="ViralHepatitisCaseReportFormModel.ContactNo"/>
      <short value="Contact Number"/>
      <definition value="Contact number of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.ContactNo"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="ContactPoint"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.FacilityAddress">
      <path value="ViralHepatitisCaseReportFormModel.FacilityAddress"/>
      <short value="Facility Address"/>
      <definition value="Physical location where the encounter takes place"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.FacilityAddress"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ClientType">
      <path value="ViralHepatitisCaseReportFormModel.ClientType"/>
      <short value="Client Type"/>
      <definition value="Walk-in, Referrakm, and In-patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.ClientType"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB"/>
      <short value="If patient tested positive for Hepatitis B"/>
      <definition value="If patient tested positive for Hepatitis B"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC"/>
      <short value="If patient tested positive for Hepatitis C"/>
      <definition value="If patient tested positive for Hepatitis C"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest">
      <path
            value="ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest"/>
      <short value="Date of Baseline HBsAgTest (MM/DD/YYYY)"/>
      <definition value="Date of Baseline HBsAgTest (MM/DD/YYYY)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest">
      <path
            value="ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest"/>
      <short value="Date of Baseline Anti-HCV test (MM/DD/YYYY)"/>
      <definition value="Date of Baseline Anti-HCV test (MM/DD/YYYY)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.FirstName">
      <path value="ViralHepatitisCaseReportFormModel.FirstName"/>
      <short value="First Name"/>
      <definition value="First Name of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.FirstName"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.MiddleName">
      <path value="ViralHepatitisCaseReportFormModel.MiddleName"/>
      <short value="Middle Name"/>
      <definition value="Middle Name of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.MiddleName"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.LastName">
      <path value="ViralHepatitisCaseReportFormModel.LastName"/>
      <short value="Last Name"/>
      <definition value="Last Name of the Patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.LastName"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.Suffix">
      <path value="ViralHepatitisCaseReportFormModel.Suffix"/>
      <short value="Suffix"/>
      <definition value="Suffix of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.Suffix"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode">
      <path value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode"/>
      <short value="Unique Identifier Code for the patient"/>
      <definition
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.ViralHepatitisCaseReportFormModel.UniqueIdentifierCode">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.ViralHepatitisCaseReportFormModel.UniqueIdentifierCode"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.extension">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.value">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.value"/>
      <representation value="xmlAttr"/>
      <short value="Primitive value for id"/>
      <definition value="Primitive value for id"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/regex">
          <valueString value="[A-Za-z0-9\-\.]{1,64}"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName"/>
      <short value="First two letters of mother's name"/>
      <definition value="Format - AA/XX/XX/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName"/>
      <short value="First two letters of father's name"/>
      <definition value="Format - XX/AA/XX/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder"/>
      <short value="Birth Order"/>
      <definition value="Format - XX/XX/##/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate"/>
      <short value="Birth Date"/>
      <definition value="Format - XX/XX/XX/MM/DD/YYYY"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.SexAssignedAtBirth">
      <path value="ViralHepatitisCaseReportFormModel.SexAssignedAtBirth"/>
      <short value="Sex Assigned at Birth"/>
      <definition value="Sex Assigned at Birth"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.SexAssignedAtBirth"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.SelfIdentity">
      <path value="ViralHepatitisCaseReportFormModel.SelfIdentity"/>
      <short value="Patient Self Identity"/>
      <definition value="Patient Self Identity"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.SelfIdentity"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.IsShePregnant">
      <path value="ViralHepatitisCaseReportFormModel.IsShePregnant"/>
      <short value="If female, is she pregnant?"/>
      <definition value="If female, is she pregnant?"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.IsShePregnant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.IsShePregnant.id">
      <path value="ViralHepatitisCaseReportFormModel.IsShePregnant.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.IsShePregnant.extension">
      <path
            value="ViralHepatitisCaseReportFormModel.IsShePregnant.extension"/>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.IsShePregnant.value">
      <path value="ViralHepatitisCaseReportFormModel.IsShePregnant.value"/>
      <representation value="xmlAttr"/>
      <short value="Primitive value for code"/>
      <definition value="Primitive value for code"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="string.value"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/regex">
          <valueString value="[^\s]+(\s[^\s]+)*"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant">
      <path
            value="ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant"/>
      <short value="If female, is she pregnant?"/>
      <definition value="If female, is she pregnant?"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.NumberOfChildren">
      <path value="ViralHepatitisCaseReportFormModel.NumberOfChildren"/>
      <short value="Number of Children"/>
      <definition value="Number of Children"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.NumberOfChildren"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CivilStatus">
      <path value="ViralHepatitisCaseReportFormModel.CivilStatus"/>
      <short value="Civil Status"/>
      <definition value="Civil Status"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.CivilStatus"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.Nationality">
      <path value="ViralHepatitisCaseReportFormModel.Nationality"/>
      <short value="Nationality"/>
      <definition value="Nationality"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.Nationality"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.AgeInYears">
      <path value="ViralHepatitisCaseReportFormModel.AgeInYears"/>
      <short value="Age of Patient in Years"/>
      <definition value="Age of Patient in Years"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.AgeInYears"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Age"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PhilHealthNo">
      <path value="ViralHepatitisCaseReportFormModel.PhilHealthNo"/>
      <short value="PhilHealth Number of the Patient"/>
      <definition value="PhilHealth Number of the Patient"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.PhilHealthNo"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality">
      <path
            value="ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality"/>
      <short value="Current City/Municipality Address of the Patient"/>
      <definition value="Current City/Municipality Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CurrentAddressProvince">
      <path value="ViralHepatitisCaseReportFormModel.CurrentAddressProvince"/>
      <short value="Current Province Address of the Patient"/>
      <definition value="Current Province Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.CurrentAddressProvince"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CurrentAddressRegion">
      <path value="ViralHepatitisCaseReportFormModel.CurrentAddressRegion"/>
      <short value="Current Region Address of the Patient"/>
      <definition value="Current Region Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="ViralHepatitisCaseReportFormModel.CurrentAddressRegion"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality">
      <path
            value="ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality"/>
      <short value="Permanent City/Municipality Address of the Patient"/>
      <definition value="Permanent City/Municipality Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PermanentAddressProvince">
      <path
            value="ViralHepatitisCaseReportFormModel.PermanentAddressProvince"/>
      <short value="Permanent Province Address of the Patient"/>
      <definition value="Permanent Province Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.PermanentAddressProvince"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PermanentAddressRegion">
      <path value="ViralHepatitisCaseReportFormModel.PermanentAddressRegion"/>
      <short value="Permanent Region Address of the Patient"/>
      <definition value="Permanent Region Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.PermanentAddressRegion"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB"/>
      <short value="History of Client's mother for Hepatitis B"/>
      <definition
                  value="Did the client's mother test positive for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC"/>
      <short value="History of Client's mother for Hepatitis C"/>
      <definition
                  value="Did the client's mother test positive for Hepatitis C?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB"/>
      <short value="History of Client's Spouse/Partner for Hepatitis B"/>
      <definition
                  value="Did the client's spouse/partner test positive for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC"/>
      <short value="History of Client's Spouse/Partner for Hepatitis C"/>
      <definition
                  value="Did the client's spouse/partner test positive for Hepatitis C?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers"/>
      <short
             value="History of client of using/sharing needle or syringe with others"/>
      <definition
                  value="Does the client have history of sharing needle and/or syringe with others?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs"/>
      <short value="Does the client have history of injecting drugs?"/>
      <definition value="Does the client have history of injecting drugs?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood">
      <path
            value="ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood"/>
      <short
             value="Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?"/>
      <definition
                  value="Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo"/>
      <short value="Did the client receive a tattoo?"/>
      <definition value="Did the client receive a tattoo?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale"/>
      <short
             value="Was there a history(past year) of sexual intercourse with a male?"/>
      <definition
                  value="Was there a history(past year) of sexual intercourse with a male?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale"/>
      <short
             value="Was there a history(past year) of sexual intercourse with a female?"/>
      <definition
                  value="Was there a history(past year) of sexual intercourse with a female?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex"/>
      <short value="Does the client pay (in cash or in kind) for sex?"/>
      <definition value="Does the client pay (in cash or in kind) for sex?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex"/>
      <short
             value="Does the client accept payment (in cash or in kind) in exchange for sex?"/>
      <definition
                  value="Does the client accept payment (in cash or in kind) in exchange for sex?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast"/>
      <short value="Was there a history of employment abroad in the past?"/>
      <definition
                  value="Was there a history of employment abroad in the past?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer">
      <path
            value="ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer"/>
      <short
             value="History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer"/>
      <definition
                  value="Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis"/>
      <short value="Client's History of having Hepatocellular Carcinoma"/>
      <definition
                  value="Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts"/>
      <short value="Client's History of Receiving Blood or Blood Products"/>
      <definition
                  value="Does the client have history of receiving blood/blood products?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis"/>
      <short value="Client's History of undergoing hemodialysis"/>
      <definition
                  value="Does the client have history of undergoing hemodialysis?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA"/>
      <short value="Client's History of Being Vaccinated for Hepatitis A"/>
      <definition
                  value="Was there a history of being vaccinated for Hepatitis A?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB"/>
      <short value="Client's History of Being Vaccinated for Hepatitis B"/>
      <definition
                  value="Was there a history of being vaccinated for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment"/>
      <short
             value="Client's History of Undergoing HIV Treatment Prior to Enrollment"/>
      <definition
                  value="Does the client have history of HIV treatment prior to enrollment?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV"/>
      <short
             value="The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.id">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.extension">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.modifierExtension">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="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
                    value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken"/>
      <short value="List of Antiretroviral Drugs for HIV Taken"/>
      <definition
                  value="If the client has history of taking antiretroviral drugs, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB"/>
      <short
             value="The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.id">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.extension">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.modifierExtension">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="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
                    value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken"/>
      <short value="List of Antiviral Drugs for Hepatitis B Taken"/>
      <definition
                  value="If the client has history of taking antiviral drugs for Hepatitis B, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC"/>
      <short
             value="The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.id">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.extension">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="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
               value="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 value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.modifierExtension">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="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.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="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
                    value="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 value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken"/>
      <short value="List of Antiviral Drugs for Hepatitis C Taken"/>
      <definition
                  value="If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ViralHepatitisCaseReportFormModel">
      <path value="ViralHepatitisCaseReportFormModel"/>
      <short value="VH Case Report Form Logical Model"/>
      <definition value="Viral Hepatitis Case Report Form Logical Model"/>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ConsultDate">
      <path value="ViralHepatitisCaseReportFormModel.ConsultDate"/>
      <short value="Consult Date (MM/DD/YYYY)"/>
      <definition value="Consult Date (MM/DD/YYYY)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PatientCode">
      <path value="ViralHepatitisCaseReportFormModel.PatientCode"/>
      <short value="Patient Code"/>
      <definition value="Patient Identifier"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.TestingFacilityName">
      <path value="ViralHepatitisCaseReportFormModel.TestingFacilityName"/>
      <short value="Testing Facility Name"/>
      <definition value="The location where the encounter takes place."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ContactNo">
      <path value="ViralHepatitisCaseReportFormModel.ContactNo"/>
      <short value="Contact Number"/>
      <definition value="Contact number of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="ContactPoint"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.FacilityAddress">
      <path value="ViralHepatitisCaseReportFormModel.FacilityAddress"/>
      <short value="Facility Address"/>
      <definition value="Physical location where the encounter takes place"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.ClientType">
      <path value="ViralHepatitisCaseReportFormModel.ClientType"/>
      <short value="Client Type"/>
      <definition value="Walk-in, Referrakm, and In-patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisB"/>
      <short value="If patient tested positive for Hepatitis B"/>
      <definition value="If patient tested positive for Hepatitis B"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.TestedPositiveForHepatitisC"/>
      <short value="If patient tested positive for Hepatitis C"/>
      <definition value="If patient tested positive for Hepatitis C"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest">
      <path
            value="ViralHepatitisCaseReportFormModel.DateofBaselineHBsAgTest"/>
      <short value="Date of Baseline HBsAgTest (MM/DD/YYYY)"/>
      <definition value="Date of Baseline HBsAgTest (MM/DD/YYYY)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest">
      <path
            value="ViralHepatitisCaseReportFormModel.DateofBaselineAnti-HCVTest"/>
      <short value="Date of Baseline Anti-HCV test (MM/DD/YYYY)"/>
      <definition value="Date of Baseline Anti-HCV test (MM/DD/YYYY)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.FirstName">
      <path value="ViralHepatitisCaseReportFormModel.FirstName"/>
      <short value="First Name"/>
      <definition value="First Name of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.MiddleName">
      <path value="ViralHepatitisCaseReportFormModel.MiddleName"/>
      <short value="Middle Name"/>
      <definition value="Middle Name of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.LastName">
      <path value="ViralHepatitisCaseReportFormModel.LastName"/>
      <short value="Last Name"/>
      <definition value="Last Name of the Patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.Suffix">
      <path value="ViralHepatitisCaseReportFormModel.Suffix"/>
      <short value="Suffix"/>
      <definition value="Suffix of the Patient"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="HumanName"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode">
      <path value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode"/>
      <short value="Unique Identifier Code for the patient"/>
      <definition
                  value="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 value="1"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfMothersName"/>
      <short value="First two letters of mother's name"/>
      <definition value="Format - AA/XX/XX/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.FirstTwoLetterOfFathersName"/>
      <short value="First two letters of father's name"/>
      <definition value="Format - XX/AA/XX/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthOrder"/>
      <short value="Birth Order"/>
      <definition value="Format - XX/XX/##/XX/XX/XXXX"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate">
      <path
            value="ViralHepatitisCaseReportFormModel.UniqueIdentifierCode.BirthDate"/>
      <short value="Birth Date"/>
      <definition value="Format - XX/XX/XX/MM/DD/YYYY"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.SexAssignedAtBirth">
      <path value="ViralHepatitisCaseReportFormModel.SexAssignedAtBirth"/>
      <short value="Sex Assigned at Birth"/>
      <definition value="Sex Assigned at Birth"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.SelfIdentity">
      <path value="ViralHepatitisCaseReportFormModel.SelfIdentity"/>
      <short value="Patient Self Identity"/>
      <definition value="Patient Self Identity"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.IsShePregnant">
      <path value="ViralHepatitisCaseReportFormModel.IsShePregnant"/>
      <short value="If female, is she pregnant?"/>
      <definition value="If female, is she pregnant?"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant">
      <path
            value="ViralHepatitisCaseReportFormModel.IsShePregnant.IsShePregnant"/>
      <short value="If female, is she pregnant?"/>
      <definition value="If female, is she pregnant?"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.NumberOfChildren">
      <path value="ViralHepatitisCaseReportFormModel.NumberOfChildren"/>
      <short value="Number of Children"/>
      <definition value="Number of Children"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CivilStatus">
      <path value="ViralHepatitisCaseReportFormModel.CivilStatus"/>
      <short value="Civil Status"/>
      <definition value="Civil Status"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.Nationality">
      <path value="ViralHepatitisCaseReportFormModel.Nationality"/>
      <short value="Nationality"/>
      <definition value="Nationality"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.AgeInYears">
      <path value="ViralHepatitisCaseReportFormModel.AgeInYears"/>
      <short value="Age of Patient in Years"/>
      <definition value="Age of Patient in Years"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Age"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PhilHealthNo">
      <path value="ViralHepatitisCaseReportFormModel.PhilHealthNo"/>
      <short value="PhilHealth Number of the Patient"/>
      <definition value="PhilHealth Number of the Patient"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality">
      <path
            value="ViralHepatitisCaseReportFormModel.CurrentAddressCityMunicipality"/>
      <short value="Current City/Municipality Address of the Patient"/>
      <definition value="Current City/Municipality Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CurrentAddressProvince">
      <path value="ViralHepatitisCaseReportFormModel.CurrentAddressProvince"/>
      <short value="Current Province Address of the Patient"/>
      <definition value="Current Province Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.CurrentAddressRegion">
      <path value="ViralHepatitisCaseReportFormModel.CurrentAddressRegion"/>
      <short value="Current Region Address of the Patient"/>
      <definition value="Current Region Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality">
      <path
            value="ViralHepatitisCaseReportFormModel.PermanentAddressCityMunicipality"/>
      <short value="Permanent City/Municipality Address of the Patient"/>
      <definition value="Permanent City/Municipality Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PermanentAddressProvince">
      <path
            value="ViralHepatitisCaseReportFormModel.PermanentAddressProvince"/>
      <short value="Permanent Province Address of the Patient"/>
      <definition value="Permanent Province Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element id="ViralHepatitisCaseReportFormModel.PermanentAddressRegion">
      <path value="ViralHepatitisCaseReportFormModel.PermanentAddressRegion"/>
      <short value="Permanent Region Address of the Patient"/>
      <definition value="Permanent Region Address of the Patient"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="Address"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisB"/>
      <short value="History of Client's mother for Hepatitis B"/>
      <definition
                  value="Did the client's mother test positive for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsMotherTestPositiveForHepatitisC"/>
      <short value="History of Client's mother for Hepatitis C"/>
      <definition
                  value="Did the client's mother test positive for Hepatitis C?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisB"/>
      <short value="History of Client's Spouse/Partner for Hepatitis B"/>
      <definition
                  value="Did the client's spouse/partner test positive for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientsSpouseOrPartnerTestPositiveForHepatitisC"/>
      <short value="History of Client's Spouse/Partner for Hepatitis C"/>
      <definition
                  value="Did the client's spouse/partner test positive for Hepatitis C?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfSharingNeedleAndOrSyringeWithOthers"/>
      <short
             value="History of client of using/sharing needle or syringe with others"/>
      <definition
                  value="Does the client have history of sharing needle and/or syringe with others?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfInjectingDrugs"/>
      <short value="Does the client have history of injecting drugs?"/>
      <definition value="Does the client have history of injecting drugs?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood">
      <path
            value="ViralHepatitisCaseReportFormModel.HasTheClientBeenAccidentallyPrickedByObjectContaminatedWithBlood"/>
      <short
             value="Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?"/>
      <definition
                  value="Has the client been accidentally pricked by needles/sharps or other objects contaminated with blood?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo">
      <path
            value="ViralHepatitisCaseReportFormModel.DidTheClientReceiveATattoo"/>
      <short value="Did the client receive a tattoo?"/>
      <definition value="Did the client receive a tattoo?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAMale"/>
      <short
             value="Was there a history(past year) of sexual intercourse with a male?"/>
      <definition
                  value="Was there a history(past year) of sexual intercourse with a male?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryInThePastYearOfSexualIntercourseWithAFemale"/>
      <short
             value="Was there a history(past year) of sexual intercourse with a female?"/>
      <definition
                  value="Was there a history(past year) of sexual intercourse with a female?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientPayInCashOrInKindForSex"/>
      <short value="Does the client pay (in cash or in kind) for sex?"/>
      <definition value="Does the client pay (in cash or in kind) for sex?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientAcceptPaymentInCashOrInKindInExchangeForSex"/>
      <short
             value="Does the client accept payment (in cash or in kind) in exchange for sex?"/>
      <definition
                  value="Does the client accept payment (in cash or in kind) in exchange for sex?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfEmploymentAbroadInThePast"/>
      <short value="Was there a history of employment abroad in the past?"/>
      <definition
                  value="Was there a history of employment abroad in the past?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer">
      <path
            value="ViralHepatitisCaseReportFormModel.IsThereAFamilyHistoryOfHCCOrPrimaryLiverCancer"/>
      <short
             value="History of Client's family on Hepatocellular Carcinoma (HCC)/Primary Liver Cancer"/>
      <definition
                  value="Is there a family history of Hepatocellular Carcinoma (HCC)/primary liver cancer?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHCCPriorToHepatitisBAndOrHepatitisCDiagnosis"/>
      <short value="Client's History of having Hepatocellular Carcinoma"/>
      <definition
                  value="Does the client have hepatocellular carcinoma prior to Hepatitis B and/or Hepatitis C diagnosis?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfReceivingBloodOrBloodProducts"/>
      <short value="Client's History of Receiving Blood or Blood Products"/>
      <definition
                  value="Does the client have history of receiving blood/blood products?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfUndergoingHemodialysis"/>
      <short value="Client's History of undergoing hemodialysis"/>
      <definition
                  value="Does the client have history of undergoing hemodialysis?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisA"/>
      <short value="Client's History of Being Vaccinated for Hepatitis A"/>
      <definition
                  value="Was there a history of being vaccinated for Hepatitis A?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB">
      <path
            value="ViralHepatitisCaseReportFormModel.WasThereAHistoryOfBeingVaccinatedForHepatitisB"/>
      <short value="Client's History of Being Vaccinated for Hepatitis B"/>
      <definition
                  value="Was there a history of being vaccinated for Hepatitis B?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment">
      <path
            value="ViralHepatitisCaseReportFormModel.DoesTheClientHaveHistoryOfHIVTreatmentPriorToEnrollment"/>
      <short
             value="Client's History of Undergoing HIV Treatment Prior to Enrollment"/>
      <definition
                  value="Does the client have history of HIV treatment prior to enrollment?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV"/>
      <short
             value="The Client has history of testing positive for HIV prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for HIV prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HIVIfTheClientHasHistoryOfTakingAntiretroviralDrugForHIV.NoYesHIVMedsTaken"/>
      <short value="List of Antiretroviral Drugs for HIV Taken"/>
      <definition
                  value="If the client has history of taking antiretroviral drugs, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB"/>
      <short
             value="The Client has history of testing positive for Hepatitis B prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for Hepatitis B prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisBIfTheClientHasHistoryOfTakingAntiviralDrugForHepB.NoYesHepatitisBMedsTaken"/>
      <short value="List of Antiviral Drugs for Hepatitis B Taken"/>
      <definition
                  value="If the client has history of taking antiviral drugs for Hepatitis B, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC"/>
      <short
             value="The Client has history of testing positive for Hepatitis C prior to the baseline diagnosis of viral hepatitis"/>
      <definition
                  value="Did the client tested positive for Hepatitis C prior to baseline diagnosis of hepatitis?"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken">
      <path
            value="ViralHepatitisCaseReportFormModel.HepatitisCIfTheClientHasHistoryOfTakingAntiviralDrugForHepC.NoYesHepatitisCMedsTaken"/>
      <short value="List of Antiviral Drugs for Hepatitis C Taken"/>
      <definition
                  value="If the client has history of taking antiviral drugs for Hepatitis C, please specify the drug(s) used"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
  </differential>
</StructureDefinition>