SDC-Advanced Form Behavior - TTL Representation - Structured Data Capture v4.0.0-ci-build

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions
: SDC-Advanced Form Behavior

Page standards status: Informative
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/questionnaire-sdc-profile-example-form-behavior> a fhir:Questionnaire ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "questionnaire-sdc-profile-example-form-behavior"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-behave" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-behave>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire questionnaire-sdc-profile-example-form-behavior</b></p><a name=\"questionnaire-sdc-profile-example-form-behavior\"> </a><a name=\"hcquestionnaire-sdc-profile-example-form-behavior\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-sdc-questionnaire-behave.html\">Advanced Behavior Questionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> SDCAdvancedRenderingExample</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-form-behavior#4.0.0-ci-build</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value constraints</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 1.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First Name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Max Length: 50</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 1.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last Name</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 1.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Postal Code (A1A 1A1)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 1.4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter your weight in kg</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-quantity.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"quantity\" class=\"hierarchy\"/> 1.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Body Weight</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-quantity\">quantity</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-attachment.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"attachment\" class=\"hierarchy\"/> 1.6</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Attach Proof of Citizenship</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment\">attachment</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value constraints</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.1\">4 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Activity Level</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"https://loinc.org/LL4882-8\">LOINC Answer Codes for LL4882-8</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Applicable health conditions</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"ValueSet-formBehaviorConditions.html\">Questionnaire Form Behavior Conditions</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 2.6</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Email*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 2.7</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Current Date:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.7.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> 2.7.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.8</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Heart History (check all that applies)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.8\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.9</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Heart History (check at least 2):</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.9\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.10</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Heart History (check no more than 3):</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.10\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 2.11</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What treatments do you now have for heart disease? (select all that applies)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.11\">6 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.12\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-quantity.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"quantity\" class=\"hierarchy\"/> 2.12</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dosage</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-quantity\">quantity</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.13\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-quantity.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"quantity\" class=\"hierarchy\"/> 2.13</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Specify age:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-quantity\">quantity</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.2.14\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> 2.14</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Select your preferred practitioner:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Calculation</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 3.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Deadline for submission (7 days from now)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" id=\"item.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" id=\"item.3.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 3.2.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Last Name:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" id=\"item.3.2.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 3.2.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">First Name:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" id=\"item.3.2.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 3.2.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Gender:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" id=\"item.3.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Calculated Expression</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" id=\"item.3.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 3.3.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Weight (kg)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" id=\"item.3.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 3.3.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Body Height (inches)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" id=\"item.3.3.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 3.3.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Your Body Mass Index (BMI)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)\" id=\"item.3.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 3.4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">CQF-related Example</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)\" id=\"item.3.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> 3.4.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter weight in kg</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)\" id=\"item.3.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 3.4.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter email address</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.3.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> 3.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other Controls</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Marital Status</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-marital-status.html\">MaritalStatus</a><br/>Initial Value: Coding = <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-MaritalStatus.html\" title=\"http://terminology.hl7.org/CodeSystem/v3-MaritalStatus\">MaritalStatus</a>#D \"Divorced\"</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)\" id=\"item.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.4.2.1\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Choose Gender</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.4.2.2\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Are you pregnant? (enableWhen = gender is Female, disableDisplay=protected)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.4.2.1\">4.2.1</a> = Female (AdministrativeGender#female)</span><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-example-yesnodontknow.html\">Yes/No/Don't Know</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.4.2.3\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Are you diabetic? (enableWhen = gender is Female, disableDisplay=hidden)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <span><a href=\"#item.4.2.1\">4.2.1</a> = Female (AdministrativeGender#female)</span><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-example-yesnodontknow.html\">Yes/No/Don't Know</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.4.2.4\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2.4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Have you been diagnosed with Gestational Diabetes? (enableBehavior = only when pregnant and diabetic, disableDisplay=protected)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enable When: <ul><li><a href=\"#item.4.2.2\">4.2.2</a> = Yes (v2 Y/N Indicator#Y)</li><li><a href=\"#item.4.2.3\">4.2.3</a> = Yes (v2 Y/N Indicator#Y)</li></ul><br/>Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-example-yesnodontknow.html\">Yes/No/Don't Know</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)\" id=\"item.4.2.5\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> 4.2.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Enter your birthdate (MM/DD/YYYY)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-administrative-gender.html\">AdministrativeGender</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)\" id=\"item.4.2.6\" 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_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.2.6</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Have you had mammogram before?(enableWhenExpression = only when gender is female and age &gt; 40, disableDisplay=protected)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Value Set: <a href=\"http://hl7.org/fhir/R4/valueset-example-yesnodontknow.html\">Yes/No/Don't Know</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.4.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-attachment.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"attachment\" class=\"hierarchy\"/> 4.4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Signature of Patient</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-attachment\">attachment</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.4.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"reference\" class=\"hierarchy\"/> 4.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">All the practitioners below can speak the patient's language. Choose all preferred practioners:</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-reference\">reference</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)\" id=\"item.4.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> 4.6</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" id=\"item.4.6.1\" 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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> 4.6.1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Home Address</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" id=\"item.4.6.2\" 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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 4.6.2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Address</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.line\">Patient.address.line</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" id=\"item.4.6.3\" 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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 4.6.3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">City</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.city\">Patient.address.city</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)\" id=\"item.4.6.4\" 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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> 4.6.4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Province</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.state\">Patient.address.state</a><br/>Options: <a href=\"#opt-item.4.6.4\">10 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)\" id=\"item.4.6.5\" 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_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> 4.6.5</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Postal Code</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Definition: <a href=\"http://hl7.org/fhir/R4/patient.html#Patient.address.postalCode\">Patient.address.postalCode</a></td></tr>#xD;\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.2.1\"> </a><p><b>Answer options for 2.1 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA28397-0 (\"Often true\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6729-3 (\"Sometimes true\")</li><li style=\"font-size: 11px\">http://loinc.org#LA28398-8 (\"Never true\")</li><li style=\"font-size: 11px\">http://loinc.org#LA15775-2 (\"Don't know/refused\")</li></ul><a name=\"opt-item.2.8\"> </a><p><b>Answer options for 2.8 </b></p><ul><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")</li></ul><a name=\"opt-item.2.9\"> </a><p><b>Answer options for 2.9 </b></p><ul><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")</li></ul><a name=\"opt-item.2.10\"> </a><p><b>Answer options for 2.10 </b></p><ul><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U1 (\"Heart attack\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U2 (\"Heart surgery\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U3 (\"Cardiac catheterization\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U4 (\"Coronary angioplasty (PTCA)\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/procedures#U5 (\"Cardiac pacemaker\")</li></ul><a name=\"opt-item.2.11\"> </a><p><b>Answer options for 2.11 </b></p><ul><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#noTreatment (\"NoTreatment\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#aspirin (\"Aspirin\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#otherMeds (\"Other medicines, tablets, or pills\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#diet (\"Diet\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#exercise (\"Exercise\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/treatments#none (\"None of the above\")</li></ul><a name=\"opt-item.4.6.4\"> </a><p><b>Answer options for 4.6.4 </b></p><ul><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#Alberta (\"Alberta\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#BritishColumbia (\"British Columbia\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#Manitoba (\"Manitoba\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#NewBrunswick (\"New Brunswick\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#NewfoundlandAndLabrador (\"Newfoundland and Labrador\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#NovaScotia (\"Nova Scotia\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#Ontario (\"Ontario\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#PrinceEdwardIsland (\"Prince Edward Island\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#Quebec (\"Quebec\")</li><li style=\"font-size: 11px\">http://example.org/CodeSystem/provinces#Saskatchewan (\"Saskatchewan\")</li></ul><h2>Contained Resources</h2><hr/><p class=\"res-header-id\"><b>ValueSet #WeightUnits</b></p><a name=\"questionnaire-sdc-profile-example-form-behavior/WeightUnits\"> </a><a name=\"hcquestionnaire-sdc-profile-example-form-behavior/WeightUnits\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-sdc-valueset.html\">SDC Value Set</a></p></div><p>This value set includes codes based on the following rules:</p><ul><li>Import all the codes that are contained in <a href=\"http://hl7.org/fhir/R4/valueset-ucum-bodyweight.html\">Body Weight Units</a></li><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-data-absent-reason.html\"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><span title=\"Version is explicitly stated to be 1.0.0\"> version ?1.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-data-absent-reason.html#data-absent-reason-unknown\">unknown</a></td><td>Unknown</td><td>The value is expected to exist but is not known.</td></tr></table></li></ul></div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:ValueSet ;
     fhir:index -1 ;
     fhir:Resource.id [ fhir:value "WeightUnits" ] ;
     fhir:Resource.meta [
       fhir:Meta.profile [
         fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset" ;
         fhir:index -1 ;
         fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset>
       ]
     ] ;
     fhir:ValueSet.name [ fhir:value "WeightUnits" ] ;
     fhir:ValueSet.status [ fhir:value "active" ] ;
     fhir:ValueSet.description [ fhir:value "Adds 'unknown' to the ucum body weight value set" ] ;
     fhir:ValueSet.immutable [ fhir:value "false"^^xsd:boolean ] ;
     fhir:ValueSet.compose [
       fhir:ValueSet.compose.include [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/ucum-bodyweight" ;
           fhir:index -1 ;
           fhir:link <http://hl7.org/fhir/ValueSet/ucum-bodyweight>
         ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/data-absent-reason" ] ;
         fhir:ValueSet.compose.include.version [ fhir:value "1.0.0" ] ;
         fhir:ValueSet.compose.include.concept [
           fhir:index -1 ;
           fhir:ValueSet.compose.include.concept.code [ fhir:value "unknown" ] ;
           fhir:ValueSet.compose.include.concept.display [ fhir:value "Unknown" ]
         ]
       ]
     ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm" ] ;
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/version-algorithm" ] ;
       fhir:Coding.code [ fhir:value "semver" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/variable" ] ;
     fhir:Extension.valueExpression [
       fhir:Expression.name [ fhir:value "weight" ] ;
       fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
       fhir:Expression.expression [ fhir:value "%resource.repeat(item).where(linkId='3.3.1').item.answer.value" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/variable" ] ;
     fhir:Extension.valueExpression [
       fhir:Expression.name [ fhir:value "height" ] ;
       fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
       fhir:Expression.expression [ fhir:value "%resource.repeat(item).where(linkId='3.3.2').item.answer.value*0.0254" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-library" ] ;
     fhir:Extension.valueCanonical [
       fhir:value "http://example.org/Library/MeasurementLimits" ;
       fhir:link <http://example.org/Library/MeasurementLimits>
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "name" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/sdc/CodeSystem/launchContext" ] ;
         fhir:Coding.code [ fhir:value "patient" ] ;
         fhir:Coding.display [ fhir:value "Patient" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "type" ] ;
       fhir:Extension.valueCode [ fhir:value "Patient" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "description" ] ;
       fhir:Extension.valueString [ fhir:value "The patient that is to be used to pre-populate the form" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-launchContext" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-endpoint" ] ;
     fhir:Extension.valueUri [ fhir:value "http://example.org/QuestionnaireResponse/create" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode" ] ;
     fhir:Extension.valueCode [ fhir:value "sequential" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleDefinitionRoot" ] ;
     fhir:Extension.valueUri [ fhir:value "http://example.org/StructureDefinition/myElementLibrary" ]
  ] ;
  fhir:DomainResource.modifierExtension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension" ] ;
     fhir:Extension.valueCanonical [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode" ;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-entryMode>
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-rendering-criticalExtension" ] ;
     fhir:Extension.valueCanonical [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression" ;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression>
     ]
  ] ;
  fhir:Questionnaire.url [ fhir:value "http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-form-behavior"] ;
  fhir:Questionnaire.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.17.35.9" ]
  ] ;
  fhir:Questionnaire.version [ fhir:value "4.0.0-ci-build"] ;
  fhir:Questionnaire.name [ fhir:value "SDCAdvancedRenderingExample"] ;
  fhir:Questionnaire.status [ fhir:value "active"] ;
  fhir:Questionnaire.date [ fhir:value "2026-07-15T05:01:03+00:00"^^xsd:dateTime] ;
  fhir:Questionnaire.publisher [ fhir:value "HL7 International / FHIR Infrastructure"] ;
  fhir:Questionnaire.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / FHIR Infrastructure" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fiwg" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fiwg" ]
     ]
  ] ;
  fhir:Questionnaire.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ] ;
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ] ;
  fhir:Questionnaire.item [
     fhir:index -1 ;
     fhir:Questionnaire.item.linkId [ fhir:value "1" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Value constraints" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "First Name" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.maxLength [ fhir:value "50"^^xsd:integer ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minLength" ] ;
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.2" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Last Name" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "key" ] ;
           fhir:Extension.valueId [ fhir:value "contraint-regex1" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "severity" ] ;
           fhir:Extension.valueCode [ fhir:value "error" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "expression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%resource.repeat(item).where(linkId='1.3').answer.all(value.matches('[A-Z][0-9][A-Z] [0-9][A-Z][0-9]'))" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "human" ] ;
           fhir:Extension.valueString [ fhir:value "Postal code must match syntax A1A 1A1." ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/targetConstraint" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.3" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Postal Code (A1A 1A1)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
         fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ] ;
         fhir:Extension.valueDecimal [ fhir:value "100"^^xsd:decimal ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxDecimalPlaces" ] ;
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.4" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Enter your weight in kg" ] ;
       fhir:Questionnaire.item.type [ fhir:value "decimal" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet" ] ;
         fhir:Extension.valueCanonical [ fhir:value "#WeightUnits" ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-minQuantity" ] ;
         fhir:Extension.valueQuantity [
           fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ;
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Quantity.code [ fhir:value "kg" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-maxQuantity" ] ;
         fhir:Extension.valueQuantity [
           fhir:Quantity.value [ fhir:value "100"^^xsd:decimal ] ;
           fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Quantity.code [ fhir:value "kg" ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.5" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Body Weight" ] ;
       fhir:Questionnaire.item.type [ fhir:value "quantity" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/mimeType" ] ;
         fhir:Extension.valueCode [ fhir:value "image/jpeg" ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/mimeType" ] ;
         fhir:Extension.valueCode [ fhir:value "application/pdf" ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxSize" ] ;
         fhir:Extension.valueDecimal [ fhir:value "1048576"^^xsd:decimal ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "1.6" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Attach Proof of Citizenship" ] ;
       fhir:Questionnaire.item.type [ fhir:value "attachment" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Questionnaire.item.linkId [ fhir:value "2" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Value constraints" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more." ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           a loinc:LA28397-0 ;
           fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
           fhir:Coding.code [ fhir:value "LA28397-0" ] ;
           fhir:Coding.display [ fhir:value "Often true" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           a loinc:LA6729-3 ;
           fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
           fhir:Coding.code [ fhir:value "LA6729-3" ] ;
           fhir:Coding.display [ fhir:value "Sometimes true" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           a loinc:LA28398-8 ;
           fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
           fhir:Coding.code [ fhir:value "LA28398-8" ] ;
           fhir:Coding.display [ fhir:value "Never true" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           a loinc:LA15775-2 ;
           fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
           fhir:Coding.code [ fhir:value "LA15775-2" ] ;
           fhir:Coding.display [ fhir:value "Don't know/refused" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.3" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Activity Level" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://loinc.org/vs/LL4882-8" ;
         fhir:link <http://loinc.org/vs/LL4882-8>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "option" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/conditions" ] ;
             fhir:Coding.code [ fhir:value "3" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "expression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%patient.gender!='male'" ]
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "option" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/conditions" ] ;
             fhir:Coding.code [ fhir:value "4" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "expression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%patient.gender!='female'" ]
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerOptionsToggleExpression" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.5" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Applicable health conditions" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://hl7.org/fhir/uv/sdc/ValueSet/formBehaviorConditions" ;
         fhir:link <http://hl7.org/fhir/uv/sdc/ValueSet/formBehaviorConditions>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-keyboard" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/sdc/CodeSystem/keyboardType" ] ;
           fhir:Coding.code [ fhir:value "email" ] ;
           fhir:Coding.display [ fhir:value "email" ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.6" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Email*" ] ;
       fhir:Questionnaire.item.type [ fhir:value "string" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
         fhir:Extension.valueExpression [
           fhir:Expression.description [ fhir:value "current date" ] ;
           fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
           fhir:Expression.expression [ fhir:value "today()" ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.7" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Current Date:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.7.1" ] ;
       fhir:Questionnaire.item.text [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "Substitute in current date" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "'Please only enter data that has been validated as of ' + today()" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.type [ fhir:value "display" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-openLabel" ] ;
         fhir:Extension.valueString [ fhir:value "Other event (specify)" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.8" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Heart History (check all that applies)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "open-choice" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U1" ] ;
           fhir:Coding.display [ fhir:value "Heart attack" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U2" ] ;
           fhir:Coding.display [ fhir:value "Heart surgery" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U3" ] ;
           fhir:Coding.display [ fhir:value "Cardiac catheterization" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U4" ] ;
           fhir:Coding.display [ fhir:value "Coronary angioplasty (PTCA)" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U5" ] ;
           fhir:Coding.display [ fhir:value "Cardiac pacemaker" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-minOccurs" ] ;
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.9" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Heart History (check at least 2):" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U1" ] ;
           fhir:Coding.display [ fhir:value "Heart attack" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U2" ] ;
           fhir:Coding.display [ fhir:value "Heart surgery" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U3" ] ;
           fhir:Coding.display [ fhir:value "Cardiac catheterization" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U4" ] ;
           fhir:Coding.display [ fhir:value "Coronary angioplasty (PTCA)" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U5" ] ;
           fhir:Coding.display [ fhir:value "Cardiac pacemaker" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs" ] ;
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.10" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Heart History (check no more than 3):" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U1" ] ;
           fhir:Coding.display [ fhir:value "Heart attack" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U2" ] ;
           fhir:Coding.display [ fhir:value "Heart surgery" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U3" ] ;
           fhir:Coding.display [ fhir:value "Cardiac catheterization" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U4" ] ;
           fhir:Coding.display [ fhir:value "Coronary angioplasty (PTCA)" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/procedures" ] ;
           fhir:Coding.code [ fhir:value "U5" ] ;
           fhir:Coding.display [ fhir:value "Cardiac pacemaker" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/questionnaire-item-control" ] ;
             fhir:Coding.code [ fhir:value "check-box" ] ;
             fhir:Coding.display [ fhir:value "Check-box" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.11" ] ;
       fhir:Questionnaire.item.text [ fhir:value "What treatments do you now have for heart disease? (select all that applies)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ;
       fhir:Questionnaire.item.answerOption [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "noTreatment" ] ;
           fhir:Coding.display [ fhir:value "NoTreatment" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "aspirin" ] ;
           fhir:Coding.display [ fhir:value "Aspirin" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "otherMeds" ] ;
           fhir:Coding.display [ fhir:value "Other medicines, tablets, or pills" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "diet" ] ;
           fhir:Coding.display [ fhir:value "Diet" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "exercise" ] ;
           fhir:Coding.display [ fhir:value "Exercise" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionExclusive" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ] ;
         fhir:Questionnaire.item.answerOption.valueCoding [
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/treatments" ] ;
           fhir:Coding.code [ fhir:value "none" ] ;
           fhir:Coding.display [ fhir:value "None of the above" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Coding.code [ fhir:value "mL" ] ;
           fhir:Coding.display [ fhir:value "mL" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Coding.code [ fhir:value "L" ] ;
           fhir:Coding.display [ fhir:value "L" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Coding.code [ fhir:value "g" ] ;
           fhir:Coding.display [ fhir:value "g" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption" ] ;
         fhir:Extension.valueCoding [
           fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
           fhir:Coding.code [ fhir:value "mg" ] ;
           fhir:Coding.display [ fhir:value "mg" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-unitOpen" ] ;
         fhir:Extension.valueCode [ fhir:value "optionsOrType" ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-unitSupplementalSystem" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://example.org/SomeUnitCodeSystem" ;
           fhir:link <http://example.org/SomeUnitCodeSystem>
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.12" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Dosage" ] ;
       fhir:Questionnaire.item.type [ fhir:value "quantity" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unitValueSet" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/ValueSet/age-units" ;
           fhir:link <http://hl7.org/fhir/ValueSet/age-units>
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.13" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Specify age:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "quantity" ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceResource" ] ;
         fhir:Extension.valueCode [ fhir:value "Practitioner" ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-referenceProfile" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://example.org/fhir/StructureDefinition/my-practitioner" ;
           fhir:link <http://example.org/fhir/StructureDefinition/my-practitioner>
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-lookupQuestionnaire" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://example.org/Questionnaire/1234" ;
           fhir:link <http://example.org/Questionnaire/1234>
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-answerExpression" ] ;
         fhir:Extension.valueExpression [
           fhir:Expression.description [ fhir:value "all active practitioners" ] ;
           fhir:Expression.language [ fhir:value "application/x-fhir-query" ] ;
           fhir:Expression.expression [ fhir:value "Practitioner?active=true&_sort=family,given" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "path" ] ;
           fhir:Extension.valueString [ fhir:value "name.where(use='official').family + ', ' + name.where(use='official').given.first()" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "forDisplay" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "2.14" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Select your preferred practitioner:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "reference" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Questionnaire.item.linkId [ fhir:value "3" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Calculation" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
         fhir:Extension.valueExpression [
           fhir:Expression.description [ fhir:value "deadline for submission" ] ;
           fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
           fhir:Expression.expression [ fhir:value "today() + 7 days" ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "3.1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Deadline for submission (7 days from now)" ] ;
       fhir:Questionnaire.item.type [ fhir:value "date" ] ;
       fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "3.2" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "patient's last name" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%patient.name.where(use='official').given.first()" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.2.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Last Name:" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "patient's first name" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%patient.name.where(use='official').family" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.2.2" ] ;
         fhir:Questionnaire.item.text [ fhir:value "First Name:" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "patient's gender" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%patient.gender" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.2.3" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Gender:" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "3.3" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Calculated Expression" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unit" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Coding.code [ fhir:value "kg" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.3.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Weight (kg)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "decimal" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unit" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Coding.code [ fhir:value "[in_i]" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.3.2" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Body Height (inches)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "decimal" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "BMI Calculation" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "(%weight/(%height.power(2))).round(1)" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-assembleDefinitionRoot" ] ;
           fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.3.3" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Your Body Mass Index (BMI)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "decimal" ] ;
         fhir:Questionnaire.item.readOnly [ fhir:value "true"^^xsd:boolean ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "3.4" ] ;
       fhir:Questionnaire.item.text [ fhir:value "CQF-related Example" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ;
           fhir:Extension.valueDecimal [
             fhir:value "1"^^xsd:decimal ;
             fhir:Element.extension [
               fhir:index -1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ] ;
               fhir:Extension.valueExpression [
                 fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
                 fhir:Expression.expression [ fhir:value "min_weight" ]
               ]
             ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ] ;
           fhir:Extension.valueDecimal [
             fhir:value "100"^^xsd:decimal ;
             fhir:Element.extension [
               fhir:index -1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ] ;
               fhir:Extension.valueExpression [
                 fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
                 fhir:Expression.expression [ fhir:value "max_weight" ]
               ]
             ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.4.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Enter weight in kg" ] ;
         fhir:Questionnaire.item.type [ fhir:value "decimal" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-keyboard" ] ;
           fhir:Extension.valueCoding [
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/sdc/CodeSystem/keyboardType" ] ;
             fhir:Coding.code [ fhir:value "email" ] ;
             fhir:Coding.display [ fhir:value "email" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "3.4.2" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Enter email address" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ] ;
         fhir:Questionnaire.item.required [
           fhir:value "false"^^xsd:boolean ;
           fhir:Element.extension [
             fhir:index -1 ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ] ;
             fhir:Extension.valueExpression [
               fhir:Expression.description [ fhir:value "current date" ] ;
               fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
               fhir:Expression.expression [ fhir:value "%patient.active" ]
             ]
           ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "3.5" ] ;
       fhir:Questionnaire.item.text [
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-expression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "last immunization date" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "'Your last immunization was on '+ %Immunization.occurrenceDateTime.substring(0,10) + '.'" ]
           ]
         ]
       ] ;
       fhir:Questionnaire.item.type [ fhir:value "display" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Questionnaire.item.linkId [ fhir:value "4" ] ;
     fhir:Questionnaire.item.text [ fhir:value "Other Controls" ] ;
     fhir:Questionnaire.item.type [ fhir:value "group" ] ;
     fhir:Questionnaire.item.item [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "4.1" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Marital Status" ] ;
       fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
       fhir:Questionnaire.item.answerValueSet [
         fhir:value "http://hl7.org/fhir/ValueSet/marital-status" ;
         fhir:link <http://hl7.org/fhir/ValueSet/marital-status>
       ] ;
       fhir:Questionnaire.item.initial [
         fhir:index -1 ;
         fhir:Questionnaire.item.initial.valueCoding [
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ] ;
           fhir:Coding.code [ fhir:value "D" ] ;
           fhir:Coding.display [ fhir:value "Divorced" ]
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Questionnaire.item.linkId [ fhir:value "4.2" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index -1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Choose Gender" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/administrative-gender" ;
           fhir:link <http://hl7.org/fhir/ValueSet/administrative-gender>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay" ] ;
           fhir:Extension.valueCode [ fhir:value "protected" ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.2" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Are you pregnant? (enableWhen = gender is Female, disableDisplay=protected)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.enableWhen [
           fhir:index -1 ;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "4.2.1" ] ;
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
           fhir:Questionnaire.item.enableWhen.answerCoding [
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ] ;
             fhir:Coding.code [ fhir:value "female" ]
           ]
         ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ;
           fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay" ] ;
           fhir:Extension.valueCode [ fhir:value "hidden" ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.3" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Are you diabetic? (enableWhen = gender is Female, disableDisplay=hidden)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.enableWhen [
           fhir:index -1 ;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "4.2.1" ] ;
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
           fhir:Questionnaire.item.enableWhen.answerCoding [
             fhir:Coding.system [ fhir:value "http://hl7.org/fhir/administrative-gender" ] ;
             fhir:Coding.code [ fhir:value "female" ]
           ]
         ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ;
           fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay" ] ;
           fhir:Extension.valueCode [ fhir:value "protected" ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.4" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Have you been diagnosed with Gestational Diabetes? (enableBehavior = only when pregnant and diabetic, disableDisplay=protected)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.enableWhen [
           fhir:index -1 ;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "4.2.2" ] ;
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
           fhir:Questionnaire.item.enableWhen.answerCoding [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0136" ] ;
             fhir:Coding.code [ fhir:value "Y" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "4.2.3" ] ;
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ] ;
           fhir:Questionnaire.item.enableWhen.answerCoding [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0136" ] ;
             fhir:Coding.code [ fhir:value "Y" ]
           ]
         ] ;
         fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ;
           fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/entryFormat" ] ;
           fhir:Extension.valueString [ fhir:value "MM/DD/YYYY" ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.5" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Enter your birthdate (MM/DD/YYYY)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "date" ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/administrative-gender" ;
           fhir:link <http://hl7.org/fhir/ValueSet/administrative-gender>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.item.disabledDisplay" ] ;
           fhir:Extension.valueCode [ fhir:value "protected" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-enableWhenExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "if last 2 questions were answered" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%resource.repeat(item).where(linkId='4.2.b.1').answer.value.code ='female' and today().toString().substring(0, 4).toInteger() - %resource.repeat(item).where(linkId='4.2.b.5').answer.value.toString().substring(0, 4).toInteger() >= 40" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.2.6" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Have you had mammogram before?(enableWhenExpression = only when gender is female and age > 40, disableDisplay=protected)" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/yesnodontknow" ;
           fhir:link <http://hl7.org/fhir/ValueSet/yesnodontknow>
         ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-signatureRequired" ] ;
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index -1 ;
             fhir:Coding.system [ fhir:value "urn:iso-astm:E1762-95:2013" ] ;
             fhir:Coding.code [ fhir:value "1.2.840.10065.1.12.1.8" ] ;
             fhir:Coding.display [ fhir:value "Signature Witness Signature" ]
           ] ;
           fhir:CodeableConcept.text [ fhir:value "the signature of a witness to any other signature." ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-usageMode" ] ;
         fhir:Extension.valueCode [ fhir:value "capture" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "4.4" ] ;
       fhir:Questionnaire.item.text [ fhir:value "Signature of Patient" ] ;
       fhir:Questionnaire.item.type [ fhir:value "attachment" ] ;
       fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-candidateExpression" ] ;
         fhir:Extension.valueExpression [
           fhir:Expression.description [ fhir:value "active practitioners that speak at least one of the patient's language" ] ;
           fhir:Expression.language [ fhir:value "application/x-fhir-query" ] ;
           fhir:Expression.expression [ fhir:value "Practitioner?communication=&active=true" ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "path" ] ;
           fhir:Extension.valueString [ fhir:value "name.first().family" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "label" ] ;
           fhir:Extension.valueString [ fhir:value "LAST NAME" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "width" ] ;
           fhir:Extension.valueQuantity [
             fhir:Quantity.value [ fhir:value "40"^^xsd:decimal ] ;
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Quantity.code [ fhir:value "%" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "forDisplay" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "path" ] ;
           fhir:Extension.valueString [ fhir:value "name.first().given.first()" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "label" ] ;
           fhir:Extension.valueString [ fhir:value "FIRST NAME" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "width" ] ;
           fhir:Extension.valueQuantity [
             fhir:Quantity.value [ fhir:value "40"^^xsd:decimal ] ;
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Quantity.code [ fhir:value "%" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "forDisplay" ] ;
           fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "path" ] ;
           fhir:Extension.valueString [ fhir:value "gender" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "label" ] ;
           fhir:Extension.valueString [ fhir:value "GENDER" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "width" ] ;
           fhir:Extension.valueQuantity [
             fhir:Quantity.value [ fhir:value "20"^^xsd:decimal ] ;
             fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
             fhir:Quantity.code [ fhir:value "%" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "forDisplay" ] ;
           fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-choiceColumn" ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "4.5" ] ;
       fhir:Questionnaire.item.text [ fhir:value "All the practitioners below can speak the patient's language. Choose all preferred practioners:" ] ;
       fhir:Questionnaire.item.type [ fhir:value "reference" ] ;
       fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ]
     ], [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemPopulationContext" ] ;
         fhir:Extension.valueExpression [
           fhir:Expression.description [ fhir:value "Home address of the patient" ] ;
           fhir:Expression.name [ fhir:value "homeAddress" ] ;
           fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
           fhir:Expression.expression [ fhir:value "%patient.address.where(use='home').first()" ]
         ]
       ] ;
       fhir:Questionnaire.item.linkId [ fhir:value "4.6" ] ;
       fhir:Questionnaire.item.type [ fhir:value "group" ] ;
       fhir:Questionnaire.item.item [
         fhir:index -1 ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.6.1" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Home Address" ] ;
         fhir:Questionnaire.item.type [ fhir:value "display" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "Address Line 1" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%homeAddress.line.first()" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.6.2" ] ;
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.line" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Address" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "City" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%homeAddress.city" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.6.3" ] ;
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.city" ] ;
         fhir:Questionnaire.item.text [ fhir:value "City" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "State" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%homeAddress.state" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.6.4" ] ;
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.state" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Province" ] ;
         fhir:Questionnaire.item.type [ fhir:value "choice" ] ;
         fhir:Questionnaire.item.answerOption [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "Alberta" ] ;
             fhir:Coding.display [ fhir:value "Alberta" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "BritishColumbia" ] ;
             fhir:Coding.display [ fhir:value "British Columbia" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "Manitoba" ] ;
             fhir:Coding.display [ fhir:value "Manitoba" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "NewBrunswick" ] ;
             fhir:Coding.display [ fhir:value "New Brunswick" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "NewfoundlandAndLabrador" ] ;
             fhir:Coding.display [ fhir:value "Newfoundland and Labrador" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "NovaScotia" ] ;
             fhir:Coding.display [ fhir:value "Nova Scotia" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "Ontario" ] ;
             fhir:Coding.display [ fhir:value "Ontario" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "PrinceEdwardIsland" ] ;
             fhir:Coding.display [ fhir:value "Prince Edward Island" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "Quebec" ] ;
             fhir:Coding.display [ fhir:value "Quebec" ]
           ]
         ], [
           fhir:index -1 ;
           fhir:Questionnaire.item.answerOption.valueCoding [
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/provinces" ] ;
             fhir:Coding.code [ fhir:value "Saskatchewan" ] ;
             fhir:Coding.display [ fhir:value "Saskatchewan" ]
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression" ] ;
           fhir:Extension.valueExpression [
             fhir:Expression.description [ fhir:value "Postal Code" ] ;
             fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
             fhir:Expression.expression [ fhir:value "%homeAddress.postalCode" ]
           ]
         ] ;
         fhir:Questionnaire.item.linkId [ fhir:value "4.6.5" ] ;
         fhir:Questionnaire.item.definition [ fhir:value "http://hl7.org/fhir/StructureDefinition/Patient#Patient.address.postalCode" ] ;
         fhir:Questionnaire.item.text [ fhir:value "Postal Code" ] ;
         fhir:Questionnaire.item.type [ fhir:value "string" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Questionnaire/questionnaire-sdc-profile-example-form-behavior.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Questionnaire/questionnaire-sdc-profile-example-form-behavior.ttl> .