Vaccination CDS Implementation Guide
0.1.0 - ci-build
Vaccination CDS Implementation Guide, published by Euvabeco. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/EUVABECO/VCDS/ and changes regularly. See the Directory of published versions
| Draft as of 2024-10-25 |
XML representation of the Questionnaire resource profile.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="Questionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition Questionnaire</b></p><a name="Questionnaire"> </a><a name="hcQuestionnaire"> </a><a name="Questionnaire-en-US"> </a><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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" 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="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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & 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 : 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_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-Questionnaire-definitions.html#Questionnaire">Questionnaire</a><a name="Questionnaire"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R5/questionnaire.html">Questionnaire</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">A structured set of questions</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : 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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Questionnaire-definitions.html#Questionnaire.version">version</a><a name="Questionnaire.version"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Version of the CDS rules corresponding to the questionnaire</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; 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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Questionnaire-definitions.html#Questionnaire.item">item</a><a name="Questionnaire.item"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Questionnaire-definitions.html#Questionnaire.item.code">code</a><a name="Questionnaire.item.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/R5/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Mandatory for actual conditions<br/><span style="font-weight:bold">Binding: </span><a href="ValueSet-Conditions.html" title="https://euvabeco.net/vcds-ig/ValueSet/Conditions">Persistent codes for conditions</a> (<a href="http://hl7.org/fhir/R5/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</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,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">
<valueUri
value="http://hl7.org/fhir/StructureDefinition/MetadataResource"/>
</extension>
<url
value="https://euvabeco.net/vcds-ig/StructureDefinition/Questionnaire"/>
<version value="0.1.0"/>
<name value="Questionnaire"/>
<status value="draft"/>
<date value="2024-10-25T15:43:37+00:00"/>
<publisher value="Euvabeco"/>
<contact>
<name value="Euvabeco"/>
<telecom>
<system value="url"/>
<value value="https://euvabeco.eu"/>
</telecom>
</contact>
<description
value="In this questionnaire, the relevant conditions for the CDS are identified with a persistent
code from the Conditions code system."/>
<fhirVersion value="5.0.0"/>
<mapping>
<identity value="workflow"/>
<uri value="http://hl7.org/fhir/workflow"/>
<name value="Workflow Pattern"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/fivews"/>
<name value="FiveWs Pattern Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<uri value="http://hl7.org/fhir/object-implementation"/>
<name value="Object Implementation Information"/>
</mapping>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 V2 Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="Questionnaire"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
<derivation value="constraint"/>
<snapshot>
<element id="Questionnaire">
<path value="Questionnaire"/>
<short value="A structured set of questions"/>
<definition
value="A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection."/>
<alias value="Form"/>
<alias value="CRF"/>
<alias value="Survey"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="cnl-0"/>
<severity value="warning"/>
<human
value="Name should be usable as an identifier for the module by machine processing applications such as code generation"/>
<expression
value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-2"/>
<severity value="error"/>
<human
value="The link ids for groups and questions must be unique within the questionnaire"/>
<expression value="descendants().linkId.isDistinct()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="w5"/>
<map value="conformance.behavior,infrastructure.information"/>
</mapping>
<mapping>
<identity value="workflow"/>
<map value="Definition"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Observation[moodCode=DEF]"/>
</mapping>
</element>
<element id="Questionnaire.id">
<path value="Questionnaire.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comment
value="Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="id"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Questionnaire.meta">
<path value="Questionnaire.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Meta"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
</element>
<element id="Questionnaire.implicitRules">
<path value="Questionnaire.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/>
<comment
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/>
</element>
<element id="Questionnaire.language">
<path value="Questionnaire.language"/>
<short value="Language of the resource content"/>
<definition
value="The base language in which the resource is written."/>
<comment
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="1"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Language"/>
</extension>
<strength value="required"/>
<description value="IETF language tag for a human language"/>
<valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/>
<additional>
<purpose value="starter"/>
<valueSet value="http://hl7.org/fhir/ValueSet/languages"/>
</additional>
</binding>
</element>
<element id="Questionnaire.text">
<path value="Questionnaire.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comment
value="Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Narrative"/>
</type>
<condition value="dom-6"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="Questionnaire.contained">
<path value="Questionnaire.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning."/>
<comment
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<condition value="dom-2"/>
<condition value="dom-4"/>
<condition value="dom-3"/>
<condition value="dom-5"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Questionnaire.extension">
<path value="Questionnaire.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 managable, 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="DomainResource.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() > id.count())"/>
<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()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Questionnaire.modifierExtension">
<path value="Questionnaire.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to 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/R5/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.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() > id.count())"/>
<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()"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Questionnaire.url">
<path value="Questionnaire.url"/>
<short
value="Canonical identifier for this questionnaire, represented as an absolute URI (globally unique)"/>
<definition
value="An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers."/>
<comment
value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](http://hl7.org/fhir/R5/resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](http://hl7.org/fhir/R5/resource.html#meta) element to indicate where the current master source of the resource can be found.
The name of the referenced questionnaire can be conveyed using the http://hl7.org/fhir/StructureDefinition/display extension."/>
<requirements
value="Allows the questionnaire to be referenced by a single globally unique identifier.
This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.url"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</type>
<constraint>
<key value="cnl-1"/>
<severity value="warning"/>
<human
value="URL should not contain | or # - these characters make processing canonical references problematic"/>
<expression value="exists() implies matches('^[^|# ]+$')"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.url"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier[scope=BUSN;reliability=ISS]"/>
</mapping>
</element>
<element id="Questionnaire.identifier">
<path value="Questionnaire.identifier"/>
<short value="Business identifier for questionnaire"/>
<definition
value="A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance."/>
<comment
value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI."/>
<requirements
value="Allows externally provided and/or usable business identifiers to be easily associated with the questionnaire."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.identifier"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.identifier"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".identifier"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.version">
<path value="Questionnaire.version"/>
<short
value="Version of the CDS rules corresponding to the questionnaire"/>
<definition
value="The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence."/>
<comment
value="There may be different questionnaires that have the same url but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the questionnaire with the format. The version SHOULD NOT contain a '#' - see [Business Version](http://hl7.org/fhir/R5/resource.html#bv-format)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.version"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.version"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.version"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A (to add?)"/>
</mapping>
</element>
<element id="Questionnaire.versionAlgorithm[x]">
<path value="Questionnaire.versionAlgorithm[x]"/>
<short value="How to compare versions"/>
<definition
value="Indicates the mechanism used to compare versions to determine which is more current."/>
<comment
value="If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.versionAlgorithm[x]"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<type>
<code value="Coding"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<strength value="extensible"/>
<valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Definition.versionAlgorithm"/>
</mapping>
</element>
<element id="Questionnaire.name">
<path value="Questionnaire.name"/>
<short value="Name for this questionnaire (computer friendly)"/>
<definition
value="A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation."/>
<comment
value="The name is not expected to be globally unique. The name should be a simple alphanumeric type no-whitespace name to ensure that it is machine-processing friendly."/>
<requirements value="Supports code generation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.name"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="cnl-0"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.name"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Questionnaire.title">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.title"/>
<short value="Name for this questionnaire (human friendly)"/>
<definition
value="A short, descriptive, user-friendly title for the questionnaire."/>
<comment
value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.title"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.title"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".title"/>
</mapping>
</element>
<element id="Questionnaire.derivedFrom">
<path value="Questionnaire.derivedFrom"/>
<short value="Based on Questionnaire"/>
<definition
value="The URL of a Questionnaire that this Questionnaire is based on."/>
<comment
value="This element covers a broad range of relationships, from 'somewhat inspired by' to 'fully compliant with'. There is a standard extensionthat allows clearer differentiation between the specifics of the derivation relationship where this is needed - e.g. to determine substitutability and validation expectations - [http://hl7.org/fhir/StructureDefinition/questionnaire-derivationType](http://hl7.org/fhir/extensions/StructureDefinition-questionnaire-derivationType.html)."/>
<requirements
value="Allows a Questionnaire to be created based on another Questionnaire."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.derivedFrom"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="canonical"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.derivedFromCanonical"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=DRIV].target[classCode=OBS, moodCode=DEFN]"/>
</mapping>
</element>
<element id="Questionnaire.status">
<path value="Questionnaire.status"/>
<short value="draft | active | retired | unknown"/>
<definition value="The current state of this questionnaire."/>
<comment
value="A nominal state-transition diagram can be found in the] documentation
Unknown does not represent 'other' - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<requirements
value="Enables tracking the lifecycle of the content and filtering of questionnaires that are appropriate for use versus not."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="que-1a"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="PublicationStatus"/>
</extension>
<strength value="required"/>
<description value="The lifecycle status of an artifact."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Definition.status"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.status"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".status"/>
</mapping>
</element>
<element id="Questionnaire.experimental">
<path value="Questionnaire.experimental"/>
<short value="For testing purposes, not real usage"/>
<definition
value="A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and is not intended for genuine usage."/>
<comment
value="Allows filtering of questionnaires that are appropriate for use versus not."/>
<requirements
value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level questionnaire."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.experimental"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="If absent, this resource is treated as though it is not experimental."/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.experimental"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.class"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Questionnaire.subjectType">
<path value="Questionnaire.subjectType"/>
<short value="Resource that can be subject of QuestionnaireResponse"/>
<definition
value="The types of subjects that can be the subject of responses created for the questionnaire."/>
<comment value="If none are specified, then the subject is unlimited."/>
<requirements
value="Allows enforcing that a QuestionnaireResponse only has a .subject element of the appropriate type."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.subjectType"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="ResourceType"/>
</extension>
<strength value="required"/>
<description
value="One of the resource types defined as part of this version of FHIR."/>
<valueSet value="http://hl7.org/fhir/ValueSet/resource-types|5.0.0"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Definition.subject[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=META].target[classCode=OBS, moodCode=DEFN, isCriterion=true].participation.role.classCode"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.who"/>
</mapping>
</element>
<element id="Questionnaire.date">
<path value="Questionnaire.date"/>
<short value="Date last changed"/>
<definition
value="The date (and optionally time) when the questionnaire was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes."/>
<comment
value="The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<alias value="Revision Date"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.date"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.date"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.recorded"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].time"/>
</mapping>
</element>
<element id="Questionnaire.publisher">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.publisher"/>
<short
value="Name of the publisher/steward (organization or individual)"/>
<definition
value="The name of the organization or individual responsible for the release and ongoing maintenance of the questionnaire."/>
<comment
value="Usually an organization but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context."/>
<requirements
value="Helps establish the "authority/credibility" of the questionnaire. May also allow for contact."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.publisher"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.publisher"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.author"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=AUT].role"/>
</mapping>
</element>
<element id="Questionnaire.contact">
<path value="Questionnaire.contact"/>
<short value="Contact details for the publisher"/>
<definition
value="Contact details to assist a user in finding and communicating with the publisher."/>
<comment
value="May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.contact"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="ContactDetail"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.contact"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".participation[typeCode=CALLBCK].role"/>
</mapping>
</element>
<element id="Questionnaire.description">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.description"/>
<short value="Natural language description of the questionnaire"/>
<definition
value="A free text natural language description of the questionnaire from a consumer's perspective."/>
<comment
value="This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context. (E.g. the language of the questionnaire is presumed to be the predominant language in the place the questionnaire was created)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.description"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="markdown"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.description"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="Questionnaire.useContext">
<path value="Questionnaire.useContext"/>
<short value="The context that the content is intended to support"/>
<definition
value="The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaires."/>
<comment
value="When multiple useContexts are specified, there is no expectation that all or even any of the contexts apply."/>
<requirements value="Assist in searching for appropriate content."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.useContext"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="UsageContext"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.useContext"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A (to add?)"/>
</mapping>
</element>
<element id="Questionnaire.jurisdiction">
<path value="Questionnaire.jurisdiction"/>
<short value="Intended jurisdiction for questionnaire (if applicable)"/>
<definition
value="A legal or geographic region in which the questionnaire is intended to be used."/>
<comment
value="It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.
DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.jurisdiction"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="Jurisdiction"/>
</extension>
<strength value="extensible"/>
<description
value="Countries and regions within which this artifact is targeted for use."/>
<valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Definition.jurisdiction"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A (to add?)"/>
</mapping>
</element>
<element id="Questionnaire.purpose">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.purpose"/>
<short value="Why this questionnaire is defined"/>
<definition
value="Explanation of why this questionnaire is needed and why it has been designed as it has."/>
<comment
value="This element does not describe the usage of the questionnaire. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this questionnaire."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.purpose"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="markdown"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.purpose"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="FiveWs.why[x]"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".reasonCode.text"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.copyright">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.copyright"/>
<short value="Use and/or publishing restrictions"/>
<definition
value="A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire."/>
<requirements
value="Consumers of the questionnaire must be able to determine any legal restrictions on the use of the artifact and/or its content."/>
<alias value="License"/>
<alias value="Restrictions"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.copyright"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="markdown"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.copyright"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A (to add?)"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.copyrightLabel">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.copyrightLabel"/>
<short value="Copyright holder and year(s)"/>
<definition
value="A short string (<50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/>
<comment
value="The (c) symbol should NOT be included in this string. It will be added by software when rendering the notation. Full details about licensing, restrictions, warrantees, etc. goes in the more general 'copyright' element."/>
<requirements
value="Defines the content expected to be rendered in all representations of the artifact."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.copyrightLabel"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.copyrightLabel"/>
</mapping>
</element>
<element id="Questionnaire.approvalDate">
<path value="Questionnaire.approvalDate"/>
<short value="When the questionnaire was approved by publisher"/>
<definition
value="The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage."/>
<comment
value="The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.approvalDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.approvalDate"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="SUBJ"].act[classCode=CACT;moodCode=EVN;code="approval"].effectiveTime"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.lastReviewDate">
<path value="Questionnaire.lastReviewDate"/>
<short
value="When the questionnaire was last reviewed by the publisher"/>
<definition
value="The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date."/>
<comment
value="If specified, this date follows the original approval date.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<requirements
value="Gives a sense of how "current" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.lastReviewDate"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.lastReviewDate"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode="SUBJ"; subsetCode="RECENT"].act[classCode=CACT;moodCode=EVN;code="review"].effectiveTime"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.effectivePeriod">
<path value="Questionnaire.effectivePeriod"/>
<short value="When the questionnaire is expected to be used"/>
<definition
value="The period during which the questionnaire content was or is planned to be in active use."/>
<comment
value="The effective period for a questionnaire determines when the content is applicable for usage and is independent of publication and review dates. For example, a questionnaire intended to be used for the year 2016 might be published in 2015.
See guidance around (not) making local changes to elements [here](http://hl7.org/fhir/R5/canonicalresource.html#localization)."/>
<requirements
value="Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the questionnaire are or are expected to be used instead."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.effectivePeriod"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Period"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<mapping>
<identity value="workflow"/>
<map value="Definition.effectivePeriod"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A (to add?)"/>
</mapping>
<mapping>
<identity value="objimpl"/>
<map value="no-gen-base"/>
</mapping>
</element>
<element id="Questionnaire.code">
<path value="Questionnaire.code"/>
<short value="Concept that represents the overall questionnaire"/>
<definition
value="An identifier for this collection of questions in a particular terminology such as LOINC."/>
<requirements
value="Allows linking of the complete Questionnaire resources to formal terminologies. It's common for "panels" of questions to be identified by a code."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.code"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="true"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireConcept"/>
</extension>
<strength value="example"/>
<description
value="Codes for questionnaires, groups and individual questions."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/questionnaire-questions"/>
</binding>
<mapping>
<identity value="workflow"/>
<map value="Definition.code"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
</element>
<element id="Questionnaire.item">
<path value="Questionnaire.item"/>
<short value="Questions and sections within the Questionnaire"/>
<definition
value="A particular question, question grouping or display text that is part of the questionnaire."/>
<comment
value="The content of the questionnaire is constructed from an ordered, hierarchical collection of items."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item"/>
<min value="0"/>
<max value="*"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="que-1a"/>
<severity value="error"/>
<human
value="Group items must have nested items when Questionanire is complete"/>
<expression
value="(type='group' and %resource.status='complete') implies item.empty().not()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-1b"/>
<severity value="warning"/>
<human value="Groups should have items"/>
<expression value="type='group' implies item.empty().not()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-1c"/>
<severity value="error"/>
<human value="Display items cannot have child items"/>
<expression value="type='display' implies item.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-3"/>
<severity value="error"/>
<human value="Display items cannot have a "code" asserted"/>
<expression value="type!='display' or code.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-4"/>
<severity value="error"/>
<human
value="A question cannot have both answerOption and answerValueSet"/>
<expression value="answerOption.empty() or answerValueSet.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-5"/>
<severity value="error"/>
<human
value="Only coding, decimal, integer, date, dateTime, time, string or quantity items can have answerOption or answerValueSet"/>
<expression
value="(type='coding' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-6"/>
<severity value="error"/>
<human
value="Required and repeat aren't permitted for display items"/>
<expression
value="type!='display' or (required.empty() and repeats.empty())"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-8"/>
<severity value="error"/>
<human
value="Initial values can't be specified for groups or display items"/>
<expression
value="(type!='group' and type!='display') or initial.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-9"/>
<severity value="error"/>
<human
value="Read-only can't be specified for "display" items"/>
<expression value="type!='display' or readOnly.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-10"/>
<severity value="error"/>
<human
value="Maximum length can only be declared for simple question types"/>
<expression
value="(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url')) or answerConstraint='optionOrString' or maxLength.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-11"/>
<severity value="error"/>
<human
value="If one or more answerOption is present, initial cannot be present. Use answerOption.initialSelected instead"/>
<expression value="answerOption.empty() or initial.empty()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-12"/>
<severity value="error"/>
<human
value="If there are more than one enableWhen, enableBehavior must be specified"/>
<expression
value="enableWhen.count() > 1 implies enableBehavior.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-13"/>
<severity value="error"/>
<human
value="Can only have multiple initial values for repeating items"/>
<expression value="repeats=true or initial.count() <= 1"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<constraint>
<key value="que-14"/>
<severity value="warning"/>
<human
value="Can only have answerConstraint if answerOption or answerValueSet are present. (This is a warning because extensions may serve the same purpose)"/>
<expression
value="answerConstraint.exists() implies answerOption.exists() or answerValueSet.exists()"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"/>
</mapping>
</element>
<element id="Questionnaire.item.id">
<path value="Questionnaire.item.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>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Questionnaire.item.extension">
<path value="Questionnaire.item.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 element. To make the use of extensions safe and managable, 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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.modifierExtension">
<path value="Questionnaire.item.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 managable, 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/R5/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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.linkId">
<path value="Questionnaire.item.linkId"/>
<short value="Unique id for item in questionnaire"/>
<definition
value="An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource."/>
<comment
value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements
value="[QuestionnaireResponse](http://hl7.org/fhir/R5/questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.linkId"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<condition value="que-2"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="que-15"/>
<severity value="warning"/>
<human value="Link ids should be 255 characters or less"/>
<expression value="$this.length() <= 255"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".id"/>
</mapping>
</element>
<element id="Questionnaire.item.definition">
<path value="Questionnaire.item.definition"/>
<short value="ElementDefinition - details for the item"/>
<definition
value="This element is a URI that refers to an [ElementDefinition](http://hl7.org/fhir/R5/elementdefinition.html) or to an [ObservationDefinition](http://hl7.org/fhir/R5/observationdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in [Comments](http://hl7.org/fhir/R5/questionnaire.html#definition), below."/>
<comment
value="The uri refers to an ElementDefinition in a [StructureDefinition](http://hl7.org/fhir/R5/structuredefinition.html#) or to an [ObservationDefinition](http://hl7.org/fhir/R5/observationdefinition.html) and always starts with the [canonical URL](http://hl7.org/fhir/R5/references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](http://hl7.org/fhir/R5/types-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition."/>
<requirements
value="A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.definition"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="uri"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map
value=".outboundRelationship[typeCode=INST].target[classCode=OBS, moodCode=DEF]"/>
</mapping>
</element>
<element id="Questionnaire.item.code">
<path value="Questionnaire.item.code"/>
<short value="Mandatory for actual conditions"/>
<definition
value="A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers)."/>
<comment
value="The value may come from the ElementDefinition referred to by .definition."/>
<requirements
value="Allows linking of groups of questions to formal terminologies."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item.code"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Coding"/>
</type>
<condition value="que-3"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<valueSet value="https://euvabeco.net/vcds-ig/ValueSet/Conditions"/>
</binding>
<mapping>
<identity value="rim"/>
<map value=".code"/>
</mapping>
</element>
<element id="Questionnaire.item.prefix">
<path value="Questionnaire.item.prefix"/>
<short value="E.g. "1(a)", "2.5.3""/>
<definition
value="A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire."/>
<comment
value="These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed. Typically, these won't be used for "display" items, though such use is not prohibited. Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire."/>
<requirements
value="Separating the label from the question text allows improved rendering. Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used."/>
<alias value="label"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.prefix"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Not supported"/>
</mapping>
</element>
<element id="Questionnaire.item.text">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.item.text"/>
<short value="Primary text for the item"/>
<definition
value="The name of a section, the text of a question or text content for a display item."/>
<comment
value="When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading. Group item instructions should be included as a display type item within the group."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.text"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".text"/>
</mapping>
</element>
<element id="Questionnaire.item.type">
<path value="Questionnaire.item.type"/>
<short
value="group | display | boolean | decimal | integer | date | dateTime +"/>
<definition
value="The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, Coding, etc.)."/>
<comment
value="Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition."/>
<requirements
value="Defines the format in which the user is to be prompted for the answer."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="que-9"/>
<condition value="que-8"/>
<condition value="que-6"/>
<condition value="que-5"/>
<condition value="que-3"/>
<condition value="que-10"/>
<condition value="que-1a"/>
<condition value="que-1b"/>
<condition value="que-1c"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireItemType"/>
</extension>
<strength value="required"/>
<description
value="Distinguishes groups from questions and display text and indicates data type for questions."/>
<valueSet value="http://hl7.org/fhir/ValueSet/item-type|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.enableWhen">
<path value="Questionnaire.item.enableWhen"/>
<short value="Only allow data when"/>
<definition
value="A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true."/>
<comment
value="If multiple repetitions of this extension are present, the interpretation is driven by enableBehavior (either all repetitions must evaluate to true for this item to be enabled, or only one must evaluate to true for the item to be enabled). If the enableWhen.question has multiple answers, the condition evaluates to true if *any* of the answers for the referenced item match the enableWhen condition. This element is a modifier because if enableWhen is present for an item, "required" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to. If enableWhen logic depends on an item that is disabled, the logic should proceed as though the item is not valued - even if a default value or other value might be retained in memory in the event of the item being re-enabled. In some cases, the comparison between the indicated answer and the specified value may differ only by precision. For example, the enableWhen might be Q1 > 1970, but the answer to Q1 is 1970-10-15. There is not a clear answer as to whether 1970-10-15 should be considered 'greater' than 1970, given that it is an imprecise value. In these indeterminate situations, the form filler has the option of refusing to render the form. If the form **is** displayed, items where enableWhen is indeterminate SHOULD be treated as enabled with a warning indicating that the questionnaire logic was faulty and it is possible that the item should not be enabled. Questionnaires SHOULD be designed to take into account challenges around varying precision to minimize non-deterministic situations by setting constraints around expected precision, etc."/>
<requirements
value="Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history. Also allows conditional display of instructions or groups of questions."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item.enableWhen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<condition value="que-12"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="que-7"/>
<severity value="error"/>
<human
value="If the operator is 'exists', the value must be a boolean"/>
<expression value="operator = 'exists' implies (answer is boolean)"/>
<source
value="http://hl7.org/fhir/StructureDefinition/Questionnaire"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="true"/>
<isModifierReason
value="If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.enableWhen.id">
<path value="Questionnaire.item.enableWhen.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>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Questionnaire.item.enableWhen.extension">
<path value="Questionnaire.item.enableWhen.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 element. To make the use of extensions safe and managable, 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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.enableWhen.modifierExtension">
<path value="Questionnaire.item.enableWhen.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 managable, 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/R5/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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.enableWhen.question">
<path value="Questionnaire.item.enableWhen.question"/>
<short
value="The linkId of question that determines whether item is enabled/disabled"/>
<definition
value="The linkId for the question whose answer (or lack of answer) governs whether this item is enabled."/>
<comment
value="If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the "ancestor" axis and then the "preceding" axis and then the "following" axis. If there are multiple items with the same linkId and all are equadistant (e.g. a question references a question that appears in a separate repeating group), that is an error. (Consider using the enableWhenExpression extension to define logic to handle such a situation.)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.enableWhen.question"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.enableWhen.operator">
<path value="Questionnaire.item.enableWhen.operator"/>
<short value="exists | = | != | > | < | >= | <="/>
<definition
value="Specifies the criteria by which the question is enabled."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.enableWhen.operator"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="que-7"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireItemOperator"/>
</extension>
<strength value="required"/>
<description value="The criteria by which a question is enabled."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.enableWhen.answer[x]">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.item.enableWhen.answer[x]"/>
<short value="Value for question comparison based on operator"/>
<definition
value="A value that the referenced question is tested using the specified operator in order for the item to be enabled. If there are multiple answers, a match on any of the answers suffices. If different behavior is desired (all must match, at least 2 must match, etc.), consider using the enableWhenExpression extension."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.enableWhen.answer[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="decimal"/>
</type>
<type>
<code value="integer"/>
</type>
<type>
<code value="date"/>
</type>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="time"/>
</type>
<type>
<code value="string"/>
</type>
<type>
<code value="Coding"/>
</type>
<type>
<code value="Quantity"/>
</type>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource"/>
</type>
<condition value="que-7"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireQuestionOption3"/>
</extension>
<strength value="example"/>
<description value="Allowed values to answer questions."/>
<valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.enableBehavior">
<path value="Questionnaire.item.enableBehavior"/>
<short value="all | any"/>
<definition
value="Controls how multiple enableWhen values are interpreted - whether all or any must be true."/>
<comment
value="This element must be specified if more than one enableWhen value is provided."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.enableBehavior"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<condition value="que-12"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="EnableWhenBehavior"/>
</extension>
<strength value="required"/>
<description
value="Controls how multiple enableWhen values are interpreted - whether all or any must be true."/>
<valueSet
value="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.disabledDisplay">
<path value="Questionnaire.item.disabledDisplay"/>
<short value="hidden | protected"/>
<definition
value="Indicates if and how items that are disabled (because enableWhen evaluates to 'false') should be displayed."/>
<comment
value="If not specified, rendering behavior is up to the client. This element is only meaningful if enableWhen or an equivalent extension is present"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.disabledDisplay"/>
<min value="0"/>
<max value="1"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="DisabledDisplay"/>
</extension>
<strength value="required"/>
<description
value="Defines how disabled elements should be rendered"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/questionnaire-disabled-display|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.required">
<path value="Questionnaire.item.required"/>
<short value="Whether the item must be included in data results"/>
<definition
value="An indication, if true, that the item must be present in a "completed" QuestionnaireResponse. If false, the item may be skipped when answering the questionnaire."/>
<comment
value="If the required item is a question, it must have a direct answer (i.e. an answer to the question itself, not merely answers to child questions) in order for the QuestionnaireResponse to be complete. If the required item is a group, it must have at least one descendant question which has an answer Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true. It also only has meaning if the parent element is present. If a non-required 'group' item contains a 'required' question item, it's completely fine to omit the group (because it's not required) despite it having a required child. Similarly, if an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one descendant item with a populated answer). The value for 'required' may come from the ElementDefinition referred to by .definition."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.required"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="Items are assumed not to be required unless explicitly specified, though extensions may impose additional expectations"/>
<condition value="que-6"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.repeats">
<path value="Questionnaire.item.repeats"/>
<short value="Whether the item may repeat"/>
<definition
value="An indication, if true, that a QuestionnaireResponse for this item may include multiple answers associated with a single instance of this item (for question-type items) or multiple repetitions of the item (for group-type items)."/>
<comment
value="If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse. When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. "repeat the question") or to simply allow entry/selection of multiple answers for the question (repeat the answers). Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.
The resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.
The value may come from the ElementDefinition referred to by .definition. When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers."/>
<requirements
value="Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.repeats"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value"/>
<condition value="que-6"/>
<condition value="que-13"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.readOnly">
<path value="Questionnaire.item.readOnly"/>
<short value="Don't allow human editing"/>
<definition
value="An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire."/>
<comment
value="If specified on a 'group', then all items beneath the specified group are read only. For questions, this only marks the answer associated with the specific item read only. Descendant questions are not impacted. The value of readOnly elements can be established by asserting extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers."/>
<requirements
value="Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it. May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.readOnly"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<condition value="que-9"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.maxLength">
<path value="Questionnaire.item.maxLength"/>
<short value="No more than these many characters"/>
<definition
value="The maximum number of characters that are permitted in the answer to be considered a "valid" QuestionnaireResponse."/>
<comment
value="For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.maxLength"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<condition value="que-10"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="N/A"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.answerConstraint">
<path value="Questionnaire.item.answerConstraint"/>
<short value="optionsOnly | optionsOrType | optionsOrString"/>
<definition
value="For items that have a defined set of allowed answers (via answerOption or answerValueSet), indicates whether values *other* than those specified can be selected."/>
<requirements
value="Introduces the ability for questions to have 'other' answers"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.answerConstraint"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<meaningWhenMissing
value="If not specified, answerConstraint is presumed to be 'optionsOnly'"/>
<condition value="que-10"/>
<condition value="que-14"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireAnswerConstraint"/>
</extension>
<strength value="required"/>
<description
value="Indicates differnt modes for restricting values when options or valueset are specified"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/questionnaire-answer-constraint|5.0.0"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.answerValueSet">
<path value="Questionnaire.item.answerValueSet"/>
<short value="ValueSet containing permitted answers"/>
<definition
value="A reference to a value set containing a list of values representing permitted answers for a question."/>
<comment
value="LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](https://terminology.hl7.org/LOINC.html). The value may come from the ElementDefinition referred to by .definition."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.answerValueSet"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="canonical"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/ValueSet"/>
</type>
<condition value="que-5"/>
<condition value="que-4"/>
<condition value="que-14"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.answerOption">
<path value="Questionnaire.item.answerOption"/>
<short value="Permitted answer"/>
<definition value="One of the permitted answers for the question."/>
<comment
value="This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item.answerOption"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<condition value="que-5"/>
<condition value="que-4"/>
<condition value="que-11"/>
<condition value="que-14"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.answerOption.id">
<path value="Questionnaire.item.answerOption.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>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Questionnaire.item.answerOption.extension">
<path value="Questionnaire.item.answerOption.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 element. To make the use of extensions safe and managable, 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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.answerOption.modifierExtension">
<path value="Questionnaire.item.answerOption.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 managable, 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/R5/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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.answerOption.value[x]">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.item.answerOption.value[x]"/>
<short value="Answer value"/>
<definition
value="A potential answer that's allowed as the answer to this question."/>
<comment
value="The data type of the value must agree with the item.type."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.answerOption.value[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
<type>
<code value="date"/>
</type>
<type>
<code value="time"/>
</type>
<type>
<code value="string"/>
</type>
<type>
<code value="Coding"/>
</type>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireQuestionOption"/>
</extension>
<strength value="example"/>
<description value="Allowed values to answer questions."/>
<valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.answerOption.initialSelected">
<path value="Questionnaire.item.answerOption.initialSelected"/>
<short value="Whether option is selected by default"/>
<definition
value="Indicates whether the answer value is selected when the list of possible answers is initially shown."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.answerOption.initialSelected"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<meaningWhenMissing
value="Only selected items explicitly marked to be selected"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.initial">
<path value="Questionnaire.item.initial"/>
<short value="Initial value(s) when item is first rendered"/>
<definition
value="One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input."/>
<comment
value="The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created. Note that initial values can influence results. The data type of initial.answer[x] must agree with the item.type, and only repeating items can have more then one initial value."/>
<requirements value="In some workflows, having defaults saves time."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item.initial"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<condition value="que-8"/>
<condition value="que-13"/>
<condition value="que-11"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.initial.id">
<path value="Questionnaire.item.initial.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>
<condition value="ele-1"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Questionnaire.item.initial.extension">
<path value="Questionnaire.item.initial.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 element. To make the use of extensions safe and managable, 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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.initial.modifierExtension">
<path value="Questionnaire.item.initial.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 managable, 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/R5/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() > id.count())"/>
<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()"/>
<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="Questionnaire.item.initial.value[x]">
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
<valueBoolean value="true"/>
</extension>
<path value="Questionnaire.item.initial.value[x]"/>
<short value="Actual value for initializing the question"/>
<definition value="The actual value to for an initial answer."/>
<comment
value="The type of the initial value must be consistent with the type of the item."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Questionnaire.item.initial.value[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<type>
<code value="decimal"/>
</type>
<type>
<code value="integer"/>
</type>
<type>
<code value="date"/>
</type>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="time"/>
</type>
<type>
<code value="string"/>
</type>
<type>
<code value="uri"/>
</type>
<type>
<code value="Attachment"/>
</type>
<type>
<code value="Coding"/>
</type>
<type>
<code value="Quantity"/>
</type>
<type>
<code value="Reference"/>
<targetProfile
value="http://hl7.org/fhir/StructureDefinition/Resource"/>
</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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
<valueString value="QuestionnaireQuestionOption2"/>
</extension>
<strength value="example"/>
<description value="Allowed values to answer questions."/>
<valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers"/>
</binding>
<mapping>
<identity value="rim"/>
<map value="N/A - MIF rather than RIM level"/>
</mapping>
</element>
<element id="Questionnaire.item.item">
<path value="Questionnaire.item.item"/>
<short value="Nested questionnaire items"/>
<definition
value="Text, questions and other groups to be nested beneath a question or group."/>
<comment
value="There is no specified limit to the depth of nesting. However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting."/>
<requirements value="Reports can consist of complex nested groups."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Questionnaire.item.item"/>
<min value="0"/>
<max value="*"/>
</base>
<contentReference
value="http://hl7.org/fhir/StructureDefinition/Questionnaire#Questionnaire.item"/>
<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() > id.count())"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value=".outboundRelationship[typeCode=COMP].target"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="Questionnaire">
<path value="Questionnaire"/>
</element>
<element id="Questionnaire.version">
<path value="Questionnaire.version"/>
<short
value="Version of the CDS rules corresponding to the questionnaire"/>
<min value="1"/>
</element>
<element id="Questionnaire.item.code">
<path value="Questionnaire.item.code"/>
<short value="Mandatory for actual conditions"/>
<binding>
<strength value="required"/>
<valueSet value="https://euvabeco.net/vcds-ig/ValueSet/Conditions"/>
</binding>
</element>
</differential>
</StructureDefinition>