Antimicrobiology - S2 Get data to collect - Response - 1.3. Questionnaire - XML Representation

Prescription Search Support, published by eHealth Platform Belgium. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/pss/ and changes regularly. See the Directory of published versions
Questionnaire: Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c - XML Profile

XML representation of the 30551ce1-5a28-4356-b684-2e639094ad4c questionnaire.
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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="30551ce1-5a28-4356-b684-2e639094ad4c"/>
  <meta>
    <profile
             value="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/PSSDataAcquisitionForm"/>
  </meta>
  <language value="nl-BE"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="nl-BE" xmlns="http://www.w3.org/1999/xhtml" lang="nl-BE"><p class="res-header-id"><b>Generated Narrative: Questionnaire 30551ce1-5a28-4356-b684-2e639094ad4c</b></p><a name="30551ce1-5a28-4356-b684-2e639094ad4c"> </a><a name="hc30551ce1-5a28-4356-b684-2e639094ad4c"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: nl-BE</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PSSDataAcquisitionForm.html">PSS Data Acquisition Form</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" 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: 1px #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: 1px #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_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://www.ehealth.fgov.be/standards/fhir/pss/Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c#1.0.0</td></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.sp_excMand_knownPathogen_vag" 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-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> sp_excMand_knownPathogen_vag</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Oorzakelijke kiem vulvo-vaginitis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.sp_excMand_knownPathogen_vag">3 options</a></td></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.pv_pregnant" 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-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> pv_pregnant</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Zwangerschap</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.sp_exc_causalPathogen_ure" 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-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> sp_exc_causalPathogen_ure</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Oorzakelijke kiem Urethritis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.sp_exc_causalPathogen_ure">4 options</a></td></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.sp_riskPatient_ast" 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-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> sp_riskPatient_ast</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Risicopatiënt</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" id="item.pv_compromisedImmuneSystem" 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.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-boolean.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="boolean" class="hierarchy"/> pv_compromisedImmuneSystem</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Gecompromitteerd immuunsysteem</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" id="item.pv_oncologyPatient" 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-q-boolean.png" alt="." style="background-color: white; background-color: inherit" title="boolean" class="hierarchy"/> pv_oncologyPatient</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Oncologische patiënt</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #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: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" 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><hr/><p><b>Options Sets</b></p><a name="opt-item.sp_excMand_knownPathogen_vag"> </a><p><b>Answer options for sp_excMand_knownPathogen_vag </b></p><ul><li style="font-size: 11px">null#pv_candida_vag (&quot;Candida vaginitis&quot;)</li><li style="font-size: 11px">null#pv_trichomonas_vag (&quot;Trichomonas vaginalis&quot;)</li><li style="font-size: 11px">null#pv_bacterial_vag (&quot;Bacteriële vaginose&quot;)</li></ul><a name="opt-item.sp_exc_causalPathogen_ure"> </a><p><b>Answer options for sp_exc_causalPathogen_ure </b></p><ul><li style="font-size: 11px">null#pv_causalPatChlamydia_ure (&quot;Chlamydia&quot;)</li><li style="font-size: 11px">null#pv_causalPatGonokok_ure (&quot;Gonokok&quot;)</li><li style="font-size: 11px">null#pv_causalPatMycoplasma_ure (&quot;Mycoplasma genitalium&quot;)</li><li style="font-size: 11px">null#pv_causalPatOther_ure (&quot;Andere&quot;)</li></ul></div>
  </text>
  <url
       value="https://www.ehealth.fgov.be/standards/fhir/pss/Questionnaire/30551ce1-5a28-4356-b684-2e639094ad4c"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.2.51.22.2.35.1"/>
  </identifier>
  <version value="1.0.0"/>
  <status value="active"/>
  <date value="2025-08-13T11:06:46+00:00"/>
  <publisher value="eHealth Platform Belgium"/>
  <contact>
    <name value="eHealth Platform Belgium"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.ehealth.fgov.be/standards/fhir/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="support@be-ehealth-standards.atlassian.net"/>
    </telecom>
  </contact>
  <contact>
    <name value="Message Structure eHealth"/>
    <telecom>
      <system value="email"/>
      <value value="support@be-ehealth-standards.atlassian.net"/>
      <use value="work"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="BE"/>
      <display value="Belgium"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="sp_excMand_knownPathogen_vag"/>
    <text value="Oorzakelijke kiem vulvo-vaginitis">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr-BE"/>
        </extension>
        <extension url="content">
          <valueString value="Germe causal vulvo vaginite"/>
        </extension>
      </extension>
    </text>
    <type value="choice"/>
    <required value="true"/>
    <repeats value="false"/>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/CandidaCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_candida_vag"/>
        <display value="Candida vaginitis">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Vaginite à candida"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/TrichomonasCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_trichomonas_vag"/>
        <display value="Trichomonas vaginalis">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Trichomonas vaginalis"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/BacterialCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_bacterial_vag"/>
        <display value="Bacteriële vaginose">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Vaginose bactérienne"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <extension
               url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
      <valueCanonical
                      value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/PregnancyCodes"/>
    </extension>
    <linkId value="pv_pregnant"/>
    <text value="Zwangerschap">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr-BE"/>
        </extension>
        <extension url="content">
          <valueString value="Grossesse"/>
        </extension>
      </extension>
    </text>
    <type value="boolean"/>
  </item>
  <item>
    <linkId value="sp_exc_causalPathogen_ure"/>
    <text value="Oorzakelijke kiem Urethritis">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr-BE"/>
        </extension>
        <extension url="content">
          <valueString value="Germe causal Urétrite"/>
        </extension>
      </extension>
    </text>
    <type value="choice"/>
    <repeats value="false"/>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/ChlamydiaCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_causalPatChlamydia_ure"/>
        <display value="Chlamydia">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Chlamydia"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/GonokokCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_causalPatGonokok_ure"/>
        <display value="Gonokok">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Gonocoque"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/MycoplasmaCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_causalPatMycoplasma_ure"/>
        <display value="Mycoplasma genitalium">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Mycoplasma genitalium"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/OtherCodes"/>
      </extension>
      <valueCoding>
        <code value="pv_causalPatOther_ure"/>
        <display value="Andere">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="fr-BE"/>
            </extension>
            <extension url="content">
              <valueString value="Autres"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="sp_riskPatient_ast"/>
    <text value="Risicopatiënt">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="fr-BE"/>
        </extension>
        <extension url="content">
          <valueString value="Patient à risque"/>
        </extension>
      </extension>
    </text>
    <type value="boolean"/>
    <item>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/CompromisedImmuneSystemCodes"/>
      </extension>
      <linkId value="pv_compromisedImmuneSystem"/>
      <text value="Gecompromitteerd immuunsysteem">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE"/>
          </extension>
          <extension url="content">
            <valueString
                         value="Immunosuppression / système immunitaire déprimé"/>
          </extension>
        </extension>
      </text>
      <type value="boolean"/>
    </item>
    <item>
      <extension
                 url="https://www.ehealth.fgov.be/standards/fhir/pss/StructureDefinition/CodeValueSet">
        <valueCanonical
                        value="https://www.ehealth.fgov.be/standards/fhir/pss/ValueSet/OncologyPatientCodes"/>
      </extension>
      <linkId value="pv_oncologyPatient"/>
      <text value="Oncologische patiënt">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="fr-BE"/>
          </extension>
          <extension url="content">
            <valueString value="Patient oncologique"/>
          </extension>
        </extension>
      </text>
      <type value="boolean"/>
    </item>
  </item>
</Questionnaire>