# Mapping of Claims Form 3 to FHIR - NHDR Implementation Guide Release 1.0 v0.1.0

* [**Table of Contents**](toc.md)
* [**Claims Form 3**](CF3.md)
* **Mapping of Claims Form 3 to FHIR**

## Mapping of Claims Form 3 to FHIR

**View
Form**

<iframe src="CF3.pdf" width="700" height="900"></iframe>

### Mapped Fields

| | | | | |
| :--- | :--- | :--- | :--- | :--- |
| **Part I - Patient's Clinical Record** |   |   |   |   |
| PhilHealth Accreditation No. (PAN) - Institutional Health Care Provider | Claim.provider | Reference([PH_Organization](StructureDefinition-PH-Organization.md)) | 1..1 |   |
| ► | Organization.identifier | Identifier |   |   |
| Name of Patient (Last Name) | Claim.patient | Reference([PH_Patient](StructureDefinition-PH-Patient.md)) | 1..1 |   |
| ► | Patient.name.family | string | 0..1 |   |
| Name of Patient (First Name) | Claim.patient | Reference([PH_Patient](StructureDefinition-PH-Patient.md)) | 1..1 |   |
| ► | Patient.name.given[**0**] | string | 0..* | Use first instance of`name.given` |
| Name of Patient (Middle Name) | Claim.patient | Reference([PH_Patient](StructureDefinition-PH-Patient.md)) | 1..1 |   |
| ► | Patient.name.given[**1**] | string | 0..* | Use second instance of`name.given` |
| Chief Complaint / Reason for Admission | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.reasonReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..* |   |
| ► | Observation.valueString | string | 0..1 |   |
| Date Admitted (MM-DD-YYYY)(Time Admitted HH:MM(AM/PM)) | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.period.start | dateTime | 0..1 |   |
| Date Discharged (MM-DD-YYYY)(Time Discharge HH:MM)(AM/PM) | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.period.end | dateTime | 0..1 |   |
| Brief History of Present Illness / OB History | Claim.diagnosis.diagnosisReference | Reference([PH_Condition](StructureDefinition-PH-Condition.md)) | 1..1 |   |
| ► | Condition.note | Annotation | 0..* |   |
| General Survey | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Vital Signs (BP) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Vital Signs (CR) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Vital Signs (RR) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Vital Signs (Temperature) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Abdomen | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| HEENT | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| GU (IE) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Chest / Lungs | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Skin / Extremities | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| CVS | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Neuro Examination | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Course in the Wards (attach additional sheets if necessary) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-ClinicalImpression.md)) | 0..1 |   |
| ► | ClinicalImpression.description | string | 0..1 |   |
| Pertinent Laboratory and Diagnostic Findings:**(CBC, Urinalysis, Fecalysis, X-ray, Biopsy, etc.)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.code | CodeableConcept | 0..1 |   |
| **Pertinent Laboratory**and Diagnostic Findings: (CBC, Urinalysis, Fecalysis, X-ray, Biopsy, etc.) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueString | string | 0..1 |   |
| Pertinent Laboratory and**Diagnostic Findings:**(CBC Urinalysis, Fecalysis, X-ray, Biopsy, etc.) | Claim.supportingInfo.valueReference | Reference([PH_DiagnosticReport](StructureDefinition-PH-DiagnosticReport.md)) | 0..1 |   |
| ► | DiagnosticReport.conclusion | string |   |   |
| Disposition on Discharge (Check notes for options) | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.hospitalization.dischargeDisposition | CodeableConcept | 0..1 |   |
| **Part II - Maternity Care Package** |   |   |   |   |
| 1. Initial Prenatal Consultation (MM-DD-YYYY) | Claim.item.servicedDate | date | 0..1 |   |
| 2. Clinical History and Physical Examination: a. Vital signs are normal | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.interpretation | CodeableConcept | 0..* |   |
| 2. Clinical History and Physical Examination: b. Ascertain the present Pregnancy is low-Risk | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueBoolean | boolean | 0..1 |   |
| 2. Clinical History and Physical Examination: c. Menstrual History**LMP**(MM-DD-YYYY) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Clinical History and Physical Examination: c. Menstrual History LMP (**MM-DD-YYYY**) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueDateTime | dateTime | 0..1 |   |
| 2. Clinical History and Physical Examination: d. Menstrual History**(Age of Menarche)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Clinical History and Physical Examination: d. Menstrual History (Age of Menarche)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History**(G)** | ClaimsupportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (G)**(value)** | ClaimsupportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History**(P)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (P)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History (P)**[T]** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (P)**[T] (value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History (P)**[P]** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (P)**[P] (value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History (P)**[A]** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (P)**[A] (value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 2. Obstetric History (P)**[L]** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 2. Obstetric History (P)**[L] (value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueInteger | integer | 0..1 |   |
| 3. Obstetric risk factors (Check notes for options) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.code | CodeableConcept | 1..1 |   |
| 4. Medical / Surgical risk factors (Check notes for options) | Claim.diagnosis.diagnosisCodeableConcept | CodeableConcept | 1..1 |   |
| 5. Admitting Diagnosis | Claim.diagnosis.diagnosisReference | Reference([PH_Condition](StructureDefinition-PH-Condition.md)) | 1..1 |   |
| 6. Orientation to MCP / Availment of Benefits (Yes / No) | Questionnaire.item.text | string | 0..1 |   |
| 6. Expected date of delivery (MM-DD-YYYY) | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.effectiveDateTime | dateTime | 0..1 |   |
| 7a. Prenatal Consultation No. | Claim.item.sequence | positiveInt | 1..1 |   |
| 7b. Date of visit (MM-DD-YYYY) | Claim.item.servicedDate | date | 0..1 |   |
| 7c. AOG in weeks | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valueInteger | integer | 0..1 |   |
| 7d. Weight and Vital Signs | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.valcodeueInteger | CodeableConcept | 1..1 |   |
| 7d.1**Weight** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 7d.1 Weight**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueQuantity | Quantity | 0..1 |   |
| 7d.2**Cardiac Rate** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 7d.2 Cardiac Rate**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 7d.3**Respiratory Rate** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 7d.3 Respiratory Rate**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 7d.4**Blood Pressure** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 7d.4 Blood Pressure**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 7d.5**Temperature** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 7d.5 Temperature**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueQuantity | Quantity | 0..1 |   |
| **Part II - Maternity Care Package (Delivery Outcome)** |   |   |   |   |
| 8. Date of Delivery (MM-DD-YYYY)(AM/PM)[HH:MM] | Claim.item.servicedDate | date | 0..1 |   |
| 9. Maternal Outcome**(Obstetric Index)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 9. Maternal Outcome (Obstetric Index)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 9. Pregnancy Uterine**(AOG by LMP)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 9. Pregnancy Uterine (AOG by LMP)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 9. Pregnancy Uterine**(Manner of Delivery)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 9. Pregnancy Uterine (Manner of Delivery)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 9. Pregnancy Uterine**(Presentation)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 9. Pregnancy Uterine (Presentation)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 10.**Birth Outcome** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.code | CodeableConcept | 1..1 |   |
| 10. Birth Outcome**(Fetal Outcome)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 10. Birth Outcome (Fetal Outcome)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 10. Birth Outcome**(Sex)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 10. Birth Outcome (Sex)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 10. Birth Outcome**(Birth Weight (grm))** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 10. Birth Outcome (Birth Weight (grm))**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 10. Birth Outcome**(APGAR Score)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.code | CodeableConcept | 1..1 |   |
| 10. Birth Outcome (APGAR Score)**(value)** | Claim.supportingInfo.valueReference | Reference([PH_Observation](StructureDefinition-PH-Observation.md)) | 0..1 |   |
| ► | Observation.component.valueString | string | 0..1 |   |
| 11. Scheduled Postpartum follow-up consultation 1 week after delivery | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.period.start | dateTime |   |   |
| 12. Date of Discharge | Claim.extension:encounter | Reference([PH_Encounter](StructureDefinition-PH-Encounter.md)) |   |   |
| ► | Encounter.period.end | dateTime |   |   |
| **Part II - Maternity Care Package (Postpartum Care)** |   |   |   |   |
| 13. Perineal wound care (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 13. Perineal wound care (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 14. Signs of Maternal Postpartum Complications (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 14. Signs of Maternal Postpartum Complications (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 15a. Counselling and Education (Breastfeeding and Nutrition) (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 15a. Counselling and Education (Breastfeeding and Nutrition) (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 15b. Counselling and Education (Family Planning) (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 15b. Counselling and Education (Family Planning) (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 16. Provided family planning service to patient (as requested by patient) (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 16. Provided family planning service to patient (as requested by patient) (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 17. Referred to partner physician for Voluntary Surgical Sterilization (as requested by pt.) (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 17. Refereed to partner physician for Voluntary Surgical Sterilization (as requested by pt.) (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 18. Schedule the next postpartum follow-up (checkbox) | Questionnaire.item.text | string | 0..1 |   |
| 18. Schedule the next postpartum follow-up (Remarks) | Questionnaire.item.text | string | 0..1 |   |
| 19. Signature Type | Provenance.signature.type | 1..* | Coding |   |
| 19. Signature Over**Printed Name**of Attending Physician / Midwife | Provenance.signature.who | Reference([PH_Practitioner](StructureDefinition-PH-Practitioner.md)) | 1..1 |   |
| ► | Practitioner.name | HumanName |   |   |
| 19.**Signature**Over Printed Name of Attending Physician / Midwife | Provenance.signature.data | base64Binary | 0..1 |   |
| 19. Date Signed | Provenance.signature.when | instant | 1..1 |   |

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### Mandatory Elements Not in the Form

| | | |
| :--- | :--- | :--- |
| Provenance.target | Reference([PH_Claim](StructureDefinition-PH-Claim.md)) | Reference the intact Claim resource |
| Provenance.recorded | instant | Must be system-generated timestamp |
| Provenance.agent.who | Reference([PH_Organization](StructureDefinition-PH-Organization.md)) | Reference the intact Organization (Health Facility) resource |
| Organization.name | string | Derive from the referenced Organization resource |
| Claim.status | code | Use expected value 'submitted' |
| Claim.type | CodeableConcept | Use expected value '(custom ValueSet to be provided later)' |
| Claim.use | code | Use expected value 'claim' |
| Claim.created | dateTime | "Resource creation date", should be the`instant`that the resource was created. |
| Claim.priority | CodeableConcept | Use expected value 'normal' |
| Claim.supportingInfo.sequence | positiveInt | Expected incrementing value per object |
| Claim.supportingInfo.category | CodeableConcept | TBD |
| Claim.diagnosis.sequence | positiveInt | Expected incrementing value per object |
| Claim.procedure.sequence | positiveInt | Expected incrementing value per object |
| Claim.insurance.sequence | positiveInt | Expected incrementing value per object |
| Claim.insurance.focal | boolean | Flag that determines the coverage to be used for the adjudication of this claim. |
| Claim.insurance.coverage | Reference([PH_Coverage](StructureDefinition-PH-Coverage.md)) | To be resolved |
| Claim.item.sequence | positiveInt | Expected incrementing value per object |
| Questionnaire.status | code | Use expected value 'active' |
| Questionnaire.item.linkId | string | Expected incrementing value per questionnaire item. |
| Questionnaire.item.type | code | Indicates expected data type for the questionnaire item. |

