臺灣榮總腦中風實作指引(TW VGH Stroke IG)
0.1.0 - ci-build

臺灣榮總腦中風實作指引(TW VGH Stroke IG), published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: StrokeRegistryResponse - Detailed Descriptions

Draft as of 2026-10-07

Definitions for the StrokeRegistryResponse resource profile.

See the documentation on how to interpret the contents of this table

0. QuestionnaireResponse
Definition

Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems.


A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.

ShortSDC Questionnaire ResponseA structured set of questions and their answers
Comments

The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesForm, QuestionnaireAnswers, Form Data
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. (subject.exists())
sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. ((QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue())
2. QuestionnaireResponse.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. QuestionnaireResponse.extension:signature
Slice Namesignature
Definition

Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

ShortA signature attesting to the content
Control0..*
TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. QuestionnaireResponse.extension:completionMode
Slice NamecompletionMode
Definition

Indicates how the individual completing the QuestionnaireResponse provided their responses.

ShortE.g. Verbal, written, electronic
Control0..1
TypeExtension(QuestionnaireResponse Completion Mode) (Extension Type: CodeableConcept)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. QuestionnaireResponse.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. QuestionnaireResponse.identifier
Definition

原樣填入來源系統給這份登錄資料的識別碼。個管系統回覆填個管流水序號;EVT 登錄的主表與追蹤表回覆都填 EVT 登錄個案識別碼。RAPID 回覆或來源沒有識別碼時不填。


A business identifier assigned to a particular completed (or partially completed) questionnaire.

Short來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]Unique id for this set of answers
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Used for tracking, registration and other business purposes.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. QuestionnaireResponse.identifier.use
Definition

The purpose of this identifier.

Shortusual | official | temp | secondary | old (If known)
Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Control0..1
BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
(required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

Identifies the purpose for this identifier, if known .

Typecode
Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. QuestionnaireResponse.identifier.system
Definition

個管流水序號與 EVT 登錄個案識別碼各用一個固定的系統網址。範例使用 http://www.vghks.gov.tw/stroke-case-management-serial(個管流水序號)與 http://www.vghks.gov.tw/evt-registry-id(EVT 登錄個案識別碼)。


Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Short識別碼系統。[依來源填入固定的系統網址]The namespace for the identifier value
Comments

Identifier.system is always case sensitive.

Control10..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

ExampleGeneral: http://www.acme.com/identifiers/patient
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. QuestionnaireResponse.identifier.value
Definition

原樣填入來源序號並保留前置零。個管流水序號須搭配病歷號才能識別個案,subject 須指向對應的病人。


The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Short識別碼。[原樣填入來源序號]The value that is unique
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control10..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
ExampleGeneral: 123456
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. QuestionnaireResponse.questionnaire
Definition

所有來源都使用同一份表單,固定填入 http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0。


The Questionnaire that defines and organizes the questions for which answers are being provided.

Short所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]Form being answered
Comments

For SDC, this SHALL be the version-specific URL of the form as hosted on the Form Manager.


If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).

Control10..1
Typecanonical(SDCBaseQuestionnaire, Questionnaire)
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.

Alternate NamesForm
Fixed Valuehttp://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. QuestionnaireResponse.questionnaire.extension:questionnaireDisplay
Slice NamequestionnaireDisplay
Definition

The title or other name to display when referencing a resource by canonical URL.

ShortDisplay name for canonical reference
Comments

This SHALL be the title of the Questionnaire at the time the QuestionnaireResponse was originally authored.

Control0..1
TypeExtension(Display Name) (Extension Type: string)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
22. QuestionnaireResponse.questionnaire.extension:url
Slice Nameurl
Definition

Questionnaire URI

ShortQuestionnaire Url
Control0..1
TypeExtension(Questionnaire Url) (Extension Type: uri)
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. QuestionnaireResponse.status
Definition

依來源的表單登錄狀態填寫:來源為 1(表單暫存)填 in-progress;來源為 2(已結案)且確認結案事實填 completed。來源空白、代碼無法辨識或來源沒有表單狀態(個管系統、RAPID)時填 in-progress,原始代碼保留在原始值群組。EVT 主表與追蹤表各自依登錄狀態填寫。資料若更正或作廢,改填 amended 或 entered-in-error。


The position of the questionnaire response within its overall lifecycle.

Short表單狀態。[應填入 in-progress 或 completed]in-progress | completed | amended | entered-in-error | stopped
Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Control1..1
BindingThe codes SHALL be taken from QuestionnaireResponseStatushttp://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1)

Lifecycle status of the questionnaire response.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. QuestionnaireResponse.subject
Definition

表單所屬的病人,必填,參照 StrokePatient。


The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information.

Short病人。[應參照 StrokePatient]The subject of the questions
Comments

If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. If subject is omitted - because the QuestionnaireResponse is not associated with a specific subject, ensure that QuestionnaireRsponse.identifier is present or the QuestionnaireResponse is referenced somewhere (e.g. Task.output, Composition.section.entry, etc.) to allow tracking and retrieval of the QuestionnaireResponse


If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.

Control10..1
TypeReference(腦中風-病人基本資料, Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Allows linking the answers to the individual the answers describe. May also affect access control.

Alternate NamesPatient, Focus
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. QuestionnaireResponse.encounter
Definition

表單所屬的就醫事件,確定是同一次就醫時才填。


The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated.

Short就醫事件。[應參照 StrokeEncounter]Encounter created as part of
Comments

This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.

Control0..1
TypeReference(腦中風-就醫事件, Encounter)
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Provides context for the information that was captured. May also affect access control.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. QuestionnaireResponse.authored
Definition

必填來源記錄的資料登錄日期與時間:直接填值,或以 data-absent-reason 擴充表示缺值。時區確認前只填日期(YYYY-MM-DD),時間原值以 StrokeEventTimeOnly 擴充附在 authored 上,並存於原始值群組(EVT 主表為 raw.evt.administration.keyinDate);確認後填完整日期時間並帶時區(例如 +08:00)。來源沒有登錄日期(例如個管系統、RAPID)時,authored 不填值,改以 data-absent-reason(unknown)表示。確認 EVT 的登錄日期時間是否適用追蹤表前,追蹤表的 authored 也以 data-absent-reason 表示。


The date and/or time that this set of answers were last changed.

Short資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]Date the answers were gathered
Comments

May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.

Control10..1
TypedateTime
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.

Alternate NamesDate Created, Date published, Date Issued, Date updated
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. QuestionnaireResponse.authored.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on QuestionnaireResponse.authored.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

    34. QuestionnaireResponse.authored.extension:dataAbsentReason
    Slice NamedataAbsentReason
    Definition

    來源沒有登錄日期時使用,valueCode 填 unknown,此時 authored 不填值。若 authored 已填日期或完整日期時間,則不填本擴充。

    Short登錄時間缺值原因。[來源沒有登錄日期時填 unknown]
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Data Absent Reason) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    36. QuestionnaireResponse.author
    Definition

    填入登錄這份表單的人員或院所。只知道姓名時填 author.display 即可,不另建 Practitioner;不知道時不填。登錄經手人員另記錄於 StrokeProvenance。


    Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.

    Short登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]Person who received and recorded the answers
    Comments

    Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.

    Control0..1
    TypeReference(腦中風-醫事人員, 腦中風-醫療院所, Device, Practitioner, PractitionerRole, Patient, RelatedPerson, Organization)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.

    Alternate NamesLaboratory, Service, Practitioner, Department, Company, Performer
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. QuestionnaireResponse.source
    Definition

    實際提供回答內容的人。登錄資料多摘錄自病歷,平時不填;明確由病人本人或特定醫事人員提供時才填。


    The person who answered the questions about the subject.

    Short回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]The person who answered the questions
    Comments

    If not specified, no inference can be made about who provided the data.

    Control0..1
    TypeReference(腦中風-病人基本資料, 腦中風-醫事人員, Patient, Practitioner, PractitionerRole, RelatedPerson)
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. QuestionnaireResponse.item
    Definition

    題目與回答分兩類。正規化題目:下列各 Slice,linkId 固定,答案型別依各 Slice 規定;原始值群組:包含 raw.ncva(個管系統)、raw.evt(EVT 登錄)、raw.rapid(RAPID),均以字串保存來源原值。每份回覆只填該來源有的題目。所有 linkId 都必須存在於 stroke-registry 表單,並依表單順序排列。來源空白時略過該題;來源值無法辨識時(例如是否題出現 0、1 以外的值、選項題出現未定義代碼),不填正規化題目,只存於原始值群組。


    A group or question item from the original questionnaire for which answers are provided.

    Short表單題目與回答Groups and questions
    Comments

    Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
    qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
    SlicingThis element introduces a set of slices on QuestionnaireResponse.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ linkId
    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

      42. QuestionnaireResponse.item.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      44. QuestionnaireResponse.item.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      46. QuestionnaireResponse.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      48. QuestionnaireResponse.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. QuestionnaireResponse.item.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. QuestionnaireResponse.item.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. QuestionnaireResponse.item.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      56. QuestionnaireResponse.item.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      58. QuestionnaireResponse.item.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. QuestionnaireResponse.item.answer.value[x]
      Definition

      The answer (or one of the answers) provided by the respondent to the question.

      ShortSingle-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control0..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      TypeChoice of: boolean, date, dateTime, time, decimal, integer, string, Coding, uri, Quantity, Attachment, Reference(Resource)
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support TypesChoice of: boolean, date, dateTime, Reference
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. QuestionnaireResponse.item.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. QuestionnaireResponse.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      66. QuestionnaireResponse.item:consent
      Slice Nameconsent
      Definition

      記錄病人是否已簽署研究同意書。只記錄簽署事實,不據此建立 Consent。


      A group or question item from the original questionnaire for which answers are provided.

      Short研究同意書簽署狀態。[適用 EVT 登錄主表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      68. QuestionnaireResponse.item:consent.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      70. QuestionnaireResponse.item:consent.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      72. QuestionnaireResponse.item:consent.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      74. QuestionnaireResponse.item:consent.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valuedemographics.consent
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      76. QuestionnaireResponse.item:consent.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      78. QuestionnaireResponse.item:consent.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. QuestionnaireResponse.item:consent.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      82. QuestionnaireResponse.item:consent.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      84. QuestionnaireResponse.item:consent.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      86. QuestionnaireResponse.item:consent.answer.value[x]
      Definition

      來源為 1(已簽署)填 true;0(無簽署)填 false。來源空白時略過本題;其他值只存於原始值群組。


      The answer (or one of the answers) provided by the respondent to the question.

      Short是否已簽署。[true=已簽署;false=無簽署]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      Typeboolean, date, dateTime, string, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support Typesboolean
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      88. QuestionnaireResponse.item:consent.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      90. QuestionnaireResponse.item:consent.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      92. QuestionnaireResponse.item:consentDate
      Slice NameconsentDate
      Definition

      填入研究同意書簽署日期,只保存在表單。待取得實際同意文件與同意範圍後,才另建 Consent。


      A group or question item from the original questionnaire for which answers are provided.

      Short研究同意書簽署日期。[適用 EVT 登錄主表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      94. QuestionnaireResponse.item:consentDate.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      96. QuestionnaireResponse.item:consentDate.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      98. QuestionnaireResponse.item:consentDate.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      100. QuestionnaireResponse.item:consentDate.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valuedemographics.consentDate
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      102. QuestionnaireResponse.item:consentDate.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      104. QuestionnaireResponse.item:consentDate.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      106. QuestionnaireResponse.item:consentDate.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      108. QuestionnaireResponse.item:consentDate.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      110. QuestionnaireResponse.item:consentDate.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      112. QuestionnaireResponse.item:consentDate.answer.value[x]
      Definition

      西元年月日,格式為 YYYY-MM-DD。來源空白時略過本題;日期格式不正確時只存於原始值群組。


      The answer (or one of the answers) provided by the respondent to the question.

      Short簽署日期。[YYYY-MM-DD,西元年月日]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      Typedate, dateTime, boolean, string, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support Typesdateboolean
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      114. QuestionnaireResponse.item:consentDate.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      116. QuestionnaireResponse.item:consentDate.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      118. QuestionnaireResponse.item:signDnr
      Slice NamesignDnr
      Definition

      記錄住院期間是否簽署 DNR(不施行心肺復甦術)意願書。只記錄簽署註記,不據此建立醫囑或 Consent。


      A group or question item from the original questionnaire for which answers are provided.

      Short住院期間簽署 DNR。[適用個管系統]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      120. QuestionnaireResponse.item:signDnr.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      122. QuestionnaireResponse.item:signDnr.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      124. QuestionnaireResponse.item:signDnr.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      126. QuestionnaireResponse.item:signDnr.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed ValueinpatientTreatment.tre09
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      128. QuestionnaireResponse.item:signDnr.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      130. QuestionnaireResponse.item:signDnr.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      132. QuestionnaireResponse.item:signDnr.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      134. QuestionnaireResponse.item:signDnr.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      136. QuestionnaireResponse.item:signDnr.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      138. QuestionnaireResponse.item:signDnr.answer.value[x]
      Definition

      來源為 1(有)填 true;0(無)填 false。來源空白時略過本題;其他值只存於原始值群組。


      The answer (or one of the answers) provided by the respondent to the question.

      Short是否簽署。[true=有;false=無]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      Typeboolean, date, dateTime, string, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Must Support Typesboolean
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      140. QuestionnaireResponse.item:signDnr.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      142. QuestionnaireResponse.item:signDnr.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      144. QuestionnaireResponse.item:beforeEvtIvtpa
      Slice NamebeforeEvtIvtpa
      Definition

      EVT 前是否施打 IV-tPA 及施打院所共有三種選項。選 1 或 2 且施打時間、劑量等資料齊全時,另以 StrokeMedicationAdministration 記錄給藥;選 3 則只保留在本題,不另建未給藥紀錄。


      A group or question item from the original questionnaire for which answers are provided.

      ShortEVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      146. QuestionnaireResponse.item:beforeEvtIvtpa.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      148. QuestionnaireResponse.item:beforeEvtIvtpa.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      150. QuestionnaireResponse.item:beforeEvtIvtpa.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      152. QuestionnaireResponse.item:beforeEvtIvtpa.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed ValuepreEvt.beforeEvtIvtpa
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      154. QuestionnaireResponse.item:beforeEvtIvtpa.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      156. QuestionnaireResponse.item:beforeEvtIvtpa.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      158. QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      160. QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      162. QuestionnaireResponse.item:beforeEvtIvtpa.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      164. QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]
      Definition

      system 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site。代碼可填 1(本院施打)、2(他院施打)、3(未施打)。來源空白請省略本題;其他代碼只保留在原始值群組。


      The answer (or one of the answers) provided by the respondent to the question.

      Short施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingThe codes SHALL be taken from For example codes, see 腦中風-EVT 前 IV-tPA 施打院所值集http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (required to http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site)
      TypeCoding, date, dateTime, boolean, string, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      166. QuestionnaireResponse.item:beforeEvtIvtpa.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      168. QuestionnaireResponse.item:beforeEvtIvtpa.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      170. QuestionnaireResponse.item:rapidRequestNo
      Slice NamerapidRequestNo
      Definition

      原樣保留 RAPID 影像分析資料的申請序號。在確認此序號是檢查的 accession number、醫令號或檢查項目碼之前,請勿寫入 ImagingStudy 或 ServiceRequest 的識別碼。


      A group or question item from the original questionnaire for which answers are provided.

      ShortRAPID 影像申請序號。[適用 RAPID]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      172. QuestionnaireResponse.item:rapidRequestNo.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      174. QuestionnaireResponse.item:rapidRequestNo.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      176. QuestionnaireResponse.item:rapidRequestNo.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      178. QuestionnaireResponse.item:rapidRequestNo.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valuerapid.rpreqno
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      180. QuestionnaireResponse.item:rapidRequestNo.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      182. QuestionnaireResponse.item:rapidRequestNo.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      184. QuestionnaireResponse.item:rapidRequestNo.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      186. QuestionnaireResponse.item:rapidRequestNo.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      188. QuestionnaireResponse.item:rapidRequestNo.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      190. QuestionnaireResponse.item:rapidRequestNo.answer.value[x]
      Definition

      原樣填入並保留前置零。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short申請序號。[原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      192. QuestionnaireResponse.item:rapidRequestNo.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      194. QuestionnaireResponse.item:rapidRequestNo.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      196. QuestionnaireResponse.item:dischargeTransferHospital
      Slice NamedischargeTransferHospital
      Definition

      離院去向為轉院時填寫的轉入醫院名稱。院所主檔核定後,可另填入 StrokeEncounter 的 hospitalization.destination.display。


      A group or question item from the original questionnaire for which answers are provided.

      Short離院轉入醫院。[適用 EVT 登錄主表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      198. QuestionnaireResponse.item:dischargeTransferHospital.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      200. QuestionnaireResponse.item:dischargeTransferHospital.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      202. QuestionnaireResponse.item:dischargeTransferHospital.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      204. QuestionnaireResponse.item:dischargeTransferHospital.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valuedischarge.leavePlaceHospital
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      206. QuestionnaireResponse.item:dischargeTransferHospital.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      208. QuestionnaireResponse.item:dischargeTransferHospital.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      210. QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      212. QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      214. QuestionnaireResponse.item:dischargeTransferHospital.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      216. QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]
      Definition

      原樣填入醫院名稱。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short醫院名稱。[自由文字,原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      218. QuestionnaireResponse.item:dischargeTransferHospital.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      220. QuestionnaireResponse.item:dischargeTransferHospital.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      222. QuestionnaireResponse.item:threeMonthHospital
      Slice NamethreeMonthHospital
      Definition

      填寫中風後 3 個月追蹤時,病人所在的醫院名稱。


      A group or question item from the original questionnaire for which answers are provided.

      Short中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      224. QuestionnaireResponse.item:threeMonthHospital.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      226. QuestionnaireResponse.item:threeMonthHospital.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      228. QuestionnaireResponse.item:threeMonthHospital.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      230. QuestionnaireResponse.item:threeMonthHospital.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed ValuefollowUp3Month.traceThreePlaceHospital
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      232. QuestionnaireResponse.item:threeMonthHospital.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      234. QuestionnaireResponse.item:threeMonthHospital.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      236. QuestionnaireResponse.item:threeMonthHospital.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      238. QuestionnaireResponse.item:threeMonthHospital.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      240. QuestionnaireResponse.item:threeMonthHospital.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      242. QuestionnaireResponse.item:threeMonthHospital.answer.value[x]
      Definition

      原樣填入醫院名稱。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short醫院名稱。[自由文字,原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      244. QuestionnaireResponse.item:threeMonthHospital.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      246. QuestionnaireResponse.item:threeMonthHospital.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      248. QuestionnaireResponse.item:followUpVisitHospital
      Slice NamefollowUpVisitHospital
      Definition

      填寫追蹤期間病人繼續回診服藥的醫院名稱。


      A group or question item from the original questionnaire for which answers are provided.

      Short追蹤回診醫院。[適用 EVT 登錄追蹤表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      250. QuestionnaireResponse.item:followUpVisitHospital.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      252. QuestionnaireResponse.item:followUpVisitHospital.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      254. QuestionnaireResponse.item:followUpVisitHospital.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      256. QuestionnaireResponse.item:followUpVisitHospital.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed ValuefollowUpEvent.traceTreat1Hospital
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      258. QuestionnaireResponse.item:followUpVisitHospital.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      260. QuestionnaireResponse.item:followUpVisitHospital.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      262. QuestionnaireResponse.item:followUpVisitHospital.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      264. QuestionnaireResponse.item:followUpVisitHospital.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      266. QuestionnaireResponse.item:followUpVisitHospital.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      268. QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]
      Definition

      原樣填入醫院名稱。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short醫院名稱。[自由文字,原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      270. QuestionnaireResponse.item:followUpVisitHospital.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      272. QuestionnaireResponse.item:followUpVisitHospital.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      274. QuestionnaireResponse.item:recurrentStrokeHospital
      Slice NamerecurrentStrokeHospital
      Definition

      填寫追蹤期間再中風時,病人就醫的醫院名稱。


      A group or question item from the original questionnaire for which answers are provided.

      Short再中風就醫醫院。[適用 EVT 登錄追蹤表]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      276. QuestionnaireResponse.item:recurrentStrokeHospital.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      278. QuestionnaireResponse.item:recurrentStrokeHospital.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      280. QuestionnaireResponse.item:recurrentStrokeHospital.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      282. QuestionnaireResponse.item:recurrentStrokeHospital.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed ValuefollowUpEvent.traceTreat2StrokeHospital
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      284. QuestionnaireResponse.item:recurrentStrokeHospital.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      286. QuestionnaireResponse.item:recurrentStrokeHospital.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      288. QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      290. QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      292. QuestionnaireResponse.item:recurrentStrokeHospital.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      294. QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]
      Definition

      原樣填入醫院名稱。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short醫院名稱。[自由文字,原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      296. QuestionnaireResponse.item:recurrentStrokeHospital.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      298. QuestionnaireResponse.item:recurrentStrokeHospital.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      300. QuestionnaireResponse.item:unresolvedComaScaleCol19
      Slice NameunresolvedComaScaleCol19
      Definition

      記錄個管系統昏迷指數與生命徵象資料中,實際檔案比譯碼簿多出的一欄。


      A group or question item from the original questionnaire for which answers are provided.

      Short昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      302. QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      304. QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      306. QuestionnaireResponse.item:unresolvedComaScaleCol19.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      308. QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueunresolved.NCVA.COMASCALE.UNNAMED_COL_19
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      310. QuestionnaireResponse.item:unresolvedComaScaleCol19.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      312. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      314. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      316. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      318. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      320. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]
      Definition

      完整填入原始字串。來源空白請省略本題。


      The answer (or one of the answers) provided by the respondent to the question.

      Short原始值。[原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      322. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      324. QuestionnaireResponse.item:unresolvedComaScaleCol19.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      326. QuestionnaireResponse.item:unresolvedMrsCol06
      Slice NameunresolvedMrsCol06
      Definition

      個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第一欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。


      A group or question item from the original questionnaire for which answers are provided.

      ShortmRS 評估的額外欄位(第 6 欄)。[適用個管系統]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      328. QuestionnaireResponse.item:unresolvedMrsCol06.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      330. QuestionnaireResponse.item:unresolvedMrsCol06.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      332. QuestionnaireResponse.item:unresolvedMrsCol06.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      334. QuestionnaireResponse.item:unresolvedMrsCol06.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_06
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      336. QuestionnaireResponse.item:unresolvedMrsCol06.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      338. QuestionnaireResponse.item:unresolvedMrsCol06.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      340. QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      342. QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      344. QuestionnaireResponse.item:unresolvedMrsCol06.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      346. QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]
      Definition

      完整填入原始字串,空白值不填。


      The answer (or one of the answers) provided by the respondent to the question.

      Short原始值。[原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      348. QuestionnaireResponse.item:unresolvedMrsCol06.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      350. QuestionnaireResponse.item:unresolvedMrsCol06.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      352. QuestionnaireResponse.item:unresolvedMrsCol07
      Slice NameunresolvedMrsCol07
      Definition

      個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第二欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。


      A group or question item from the original questionnaire for which answers are provided.

      ShortmRS 評估的額外欄位(第 7 欄)。[適用個管系統]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      354. QuestionnaireResponse.item:unresolvedMrsCol07.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      356. QuestionnaireResponse.item:unresolvedMrsCol07.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      358. QuestionnaireResponse.item:unresolvedMrsCol07.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      360. QuestionnaireResponse.item:unresolvedMrsCol07.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_07
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      362. QuestionnaireResponse.item:unresolvedMrsCol07.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      364. QuestionnaireResponse.item:unresolvedMrsCol07.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      366. QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:itemAnswerMedia
      Slice NameitemAnswerMedia
      Definition

      Media to render/make available as an accompaniment to a specific answer option

      ShortAnswer Media to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Answer Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      368. QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:ordinalValue
      Slice NameordinalValue
      Definition

      A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

      ShortAssigned Ordinal Value
      Comments

      Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

      Control0..1
      TypeExtension(Ordinal Value) (Extension Type: decimal)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      370. QuestionnaireResponse.item:unresolvedMrsCol07.answer.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      372. QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]
      Definition

      完整填入原始字串,空白值不填。


      The answer (or one of the answers) provided by the respondent to the question.

      Short原始值。[原樣填入]Single-valued answer to the question
      Comments

      More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

      Control10..1
      BindingFor example codes, see QuestionnaireAnswerCodeshttp://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1
      (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

      Code indicating the response provided for a question.

      Typestring, date, dateTime, boolean, Coding, Reference(Resource), Quantity, Attachment, integer, time, decimal, uri
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Ability to retain a single-valued answer to a question.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      374. QuestionnaireResponse.item:unresolvedMrsCol07.answer.item
      Definition

      Nested groups and/or questions found within this particular answer.

      ShortNested groups and questions
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      376. QuestionnaireResponse.item:unresolvedMrsCol07.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      378. QuestionnaireResponse.item:rawNcva
      Slice NamerawNcva
      Definition

      收納個管系統的來源原始值。下層請依個管系統邏輯模型(StrokeCaseManagementLM)元素排列:識別欄位與各欄位為字串題目,資料表為群組題目。linkId 為 raw.ncva.<邏輯模型元素路徑>,例如 raw.ncva.caseMain.occdate。NIHSS 與 mRS 評估每一列各建一個群組。所有值一律填入 valueString(包含代碼、日期、時間與數字);去除前後空白,其餘不改寫;空白欄位直接省略。


      A group or question item from the original questionnaire for which answers are provided.

      Short個管系統原始值。[linkId 固定為 raw.ncva]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      380. QuestionnaireResponse.item:rawNcva.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      382. QuestionnaireResponse.item:rawNcva.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      384. QuestionnaireResponse.item:rawNcva.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      386. QuestionnaireResponse.item:rawNcva.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueraw.ncva
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      388. QuestionnaireResponse.item:rawNcva.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      390. QuestionnaireResponse.item:rawNcva.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control0..0*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      397. QuestionnaireResponse.item:rawNcva.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      399. QuestionnaireResponse.item:rawNcva.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      401. QuestionnaireResponse.item:rawNcva.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      403. QuestionnaireResponse.item:rawNcva.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      405. QuestionnaireResponse.item:rawNcva.item.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      407. QuestionnaireResponse.item:rawNcva.item.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      409. QuestionnaireResponse.item:rawNcva.item.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      411. QuestionnaireResponse.item:rawEvt
      Slice NamerawEvt
      Definition

      收納 EVT 登錄的來源原始值。下層請依 EVT 登錄邏輯模型(StrokeEvtRegistryLM)元素排列:個案識別碼與各欄位為字串題目,欄位分組為群組題目。linkId 為 raw.evt.<邏輯模型元素路徑>,例如 raw.evt.demographics.consent。主表回覆放追蹤以外的欄位;追蹤表回覆放個案識別碼、追蹤表登錄狀態,以及 3 個月追蹤與追蹤醫療事件的欄位。值一律填入 valueString;去除前後空白,其餘不改寫;空白欄位直接省略。


      A group or question item from the original questionnaire for which answers are provided.

      ShortEVT 登錄原始值。[linkId 固定為 raw.evt]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      413. QuestionnaireResponse.item:rawEvt.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      415. QuestionnaireResponse.item:rawEvt.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      417. QuestionnaireResponse.item:rawEvt.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      419. QuestionnaireResponse.item:rawEvt.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueraw.evt
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      421. QuestionnaireResponse.item:rawEvt.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      423. QuestionnaireResponse.item:rawEvt.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control0..0*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      430. QuestionnaireResponse.item:rawEvt.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      432. QuestionnaireResponse.item:rawEvt.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      434. QuestionnaireResponse.item:rawEvt.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      436. QuestionnaireResponse.item:rawEvt.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..*
      TypeBackboneElement
      Is Modifierfalse
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      438. QuestionnaireResponse.item:rawEvt.item.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      440. QuestionnaireResponse.item:rawEvt.item.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      442. QuestionnaireResponse.item:rawEvt.item.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      444. QuestionnaireResponse.item:rawRapid
      Slice NamerawRapid
      Definition

      收納 RAPID 影像分析的來源原始值。下層請依 RAPID 邏輯模型(StrokeRapidLM)元素排列,每個欄位建一個字串題目,linkId 為 raw.rapid.<邏輯模型元素路徑>,例如 raw.rapid.scantype。值一律填入 valueString;去除前後空白,其餘不改寫,9999 等特殊值也照填;空白欄位直接省略。


      A group or question item from the original questionnaire for which answers are provided.

      ShortRAPID 原始值。[linkId 固定為 raw.rapid]Groups and questions
      Comments

      Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
      446. QuestionnaireResponse.item:rawRapid.extension:itemMedia
      Slice NameitemMedia
      Definition

      Media to render/make available as an accompaniment to the question being asked

      ShortMedia to display
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeExtension(Item Media) (Extension Type: Attachment)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      448. QuestionnaireResponse.item:rawRapid.extension:ItemSignature
      Slice NameItemSignature
      Definition

      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

      ShortA signature attesting to the content
      Control0..*
      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      450. QuestionnaireResponse.item:rawRapid.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      452. QuestionnaireResponse.item:rawRapid.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Fixed Valueraw.rapid
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      454. QuestionnaireResponse.item:rawRapid.text
      Definition

      Text that is displayed above the contents of the group or as the text of the question being answered.

      ShortName for group or question text
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summaryfalse
      Requirements

      Allows the questionnaire response to be read without access to the questionnaire.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      456. QuestionnaireResponse.item:rawRapid.answer
      Definition

      The respondent's answer(s) to the question.

      ShortThe response(s) to the question
      Comments

      The value is nested because we cannot have a repeating structure that has variable type.

      Control0..0*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      463. QuestionnaireResponse.item:rawRapid.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control10..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      465. QuestionnaireResponse.item:rawRapid.item.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      467. QuestionnaireResponse.item:rawRapid.item.linkId
      Definition

      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

      ShortPointer to specific item from Questionnaire
      Control1..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      Requirements

      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      469. QuestionnaireResponse.item:rawRapid.item.item
      Definition

      Questions or sub-groups nested beneath a question or group.

      ShortNested questionnaire response items
      Control0..0*
      TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
      Is Modifierfalse
      Summaryfalse
      Requirements

      Reports can consist of complex nested groups.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

      See the documentation on how to interpret the contents of this table

      0. QuestionnaireResponse
      2. QuestionnaireResponse.identifier
      Definition

      原樣填入來源系統給這份登錄資料的識別碼。個管系統回覆填個管流水序號;EVT 登錄的主表與追蹤表回覆都填 EVT 登錄個案識別碼。RAPID 回覆或來源沒有識別碼時不填。

      Short來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]
      NoteThis is a business identifier, not a resource identifier (see discussion)
      4. QuestionnaireResponse.identifier.system
      Definition

      個管流水序號與 EVT 登錄個案識別碼各用一個固定的系統網址。範例使用 http://www.vghks.gov.tw/stroke-case-management-serial(個管流水序號)與 http://www.vghks.gov.tw/evt-registry-id(EVT 登錄個案識別碼)。

      Short識別碼系統。[依來源填入固定的系統網址]
      Control1..?
      Must Supporttrue
      6. QuestionnaireResponse.identifier.value
      Definition

      原樣填入來源序號並保留前置零。個管流水序號須搭配病歷號才能識別個案,subject 須指向對應的病人。

      Short識別碼。[原樣填入來源序號]
      Control1..?
      Must Supporttrue
      8. QuestionnaireResponse.questionnaire
      Definition

      所有來源都使用同一份表單,固定填入 http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0。

      Short所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]
      Fixed Valuehttp://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0
      10. QuestionnaireResponse.status
      Definition

      依來源的表單登錄狀態填寫:來源為 1(表單暫存)填 in-progress;來源為 2(已結案)且確認結案事實填 completed。來源空白、代碼無法辨識或來源沒有表單狀態(個管系統、RAPID)時填 in-progress,原始代碼保留在原始值群組。EVT 主表與追蹤表各自依登錄狀態填寫。資料若更正或作廢,改填 amended 或 entered-in-error。

      Short表單狀態。[應填入 in-progress 或 completed]
      12. QuestionnaireResponse.subject
      Definition

      表單所屬的病人,必填,參照 StrokePatient。

      Short病人。[應參照 StrokePatient]
      TypeReference(腦中風-病人基本資料)
      14. QuestionnaireResponse.encounter
      Definition

      表單所屬的就醫事件,確定是同一次就醫時才填。

      Short就醫事件。[應參照 StrokeEncounter]
      TypeReference(腦中風-就醫事件)
      Must Supporttrue
      16. QuestionnaireResponse.authored
      Definition

      必填來源記錄的資料登錄日期與時間:直接填值,或以 data-absent-reason 擴充表示缺值。時區確認前只填日期(YYYY-MM-DD),時間原值以 StrokeEventTimeOnly 擴充附在 authored 上,並存於原始值群組(EVT 主表為 raw.evt.administration.keyinDate);確認後填完整日期時間並帶時區(例如 +08:00)。來源沒有登錄日期(例如個管系統、RAPID)時,authored 不填值,改以 data-absent-reason(unknown)表示。確認 EVT 的登錄日期時間是否適用追蹤表前,追蹤表的 authored 也以 data-absent-reason 表示。

      Short資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]
      18. QuestionnaireResponse.authored.extension
      SlicingThis element introduces a set of slices on QuestionnaireResponse.authored.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

        20. QuestionnaireResponse.authored.extension:dataAbsentReason
        Slice NamedataAbsentReason
        Definition

        來源沒有登錄日期時使用,valueCode 填 unknown,此時 authored 不填值。若 authored 已填日期或完整日期時間,則不填本擴充。

        Short登錄時間缺值原因。[來源沒有登錄日期時填 unknown]
        Control0..1
        TypeExtension(Data Absent Reason) (Extension Type: code)
        Must Supporttrue
        22. QuestionnaireResponse.author
        Definition

        填入登錄這份表單的人員或院所。只知道姓名時填 author.display 即可,不另建 Practitioner;不知道時不填。登錄經手人員另記錄於 StrokeProvenance。

        Short登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]
        TypeReference(腦中風-醫事人員, 腦中風-醫療院所)
        24. QuestionnaireResponse.source
        Definition

        實際提供回答內容的人。登錄資料多摘錄自病歷,平時不填;明確由病人本人或特定醫事人員提供時才填。

        Short回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]
        TypeReference(腦中風-病人基本資料, 腦中風-醫事人員)
        26. QuestionnaireResponse.item
        Definition

        題目與回答分兩類。正規化題目:下列各 Slice,linkId 固定,答案型別依各 Slice 規定;原始值群組:包含 raw.ncva(個管系統)、raw.evt(EVT 登錄)、raw.rapid(RAPID),均以字串保存來源原值。每份回覆只填該來源有的題目。所有 linkId 都必須存在於 stroke-registry 表單,並依表單順序排列。來源空白時略過該題;來源值無法辨識時(例如是否題出現 0、1 以外的值、選項題出現未定義代碼),不填正規化題目,只存於原始值群組。

        Short表單題目與回答
        SlicingThis element introduces a set of slices on QuestionnaireResponse.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ linkId
        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

          28. QuestionnaireResponse.item:consent
          Slice Nameconsent
          Definition

          記錄病人是否已簽署研究同意書。只記錄簽署事實,不據此建立 Consent。

          Short研究同意書簽署狀態。[適用 EVT 登錄主表]
          Control0..1
          Must Supporttrue
          30. QuestionnaireResponse.item:consent.linkId
          Fixed Valuedemographics.consent
          32. QuestionnaireResponse.item:consent.answer
          Control1..1
          34. QuestionnaireResponse.item:consent.answer.value[x]
          Definition

          來源為 1(已簽署)填 true;0(無簽署)填 false。來源空白時略過本題;其他值只存於原始值群組。

          Short是否已簽署。[true=已簽署;false=無簽署]
          Control1..?
          Typeboolean
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          36. QuestionnaireResponse.item:consent.answer.item
          Control0..0
          38. QuestionnaireResponse.item:consent.item
          Control0..0
          40. QuestionnaireResponse.item:consentDate
          Slice NameconsentDate
          Definition

          填入研究同意書簽署日期,只保存在表單。待取得實際同意文件與同意範圍後,才另建 Consent。

          Short研究同意書簽署日期。[適用 EVT 登錄主表]
          Control0..1
          Must Supporttrue
          42. QuestionnaireResponse.item:consentDate.linkId
          Fixed Valuedemographics.consentDate
          44. QuestionnaireResponse.item:consentDate.answer
          Control1..1
          46. QuestionnaireResponse.item:consentDate.answer.value[x]
          Definition

          西元年月日,格式為 YYYY-MM-DD。來源空白時略過本題;日期格式不正確時只存於原始值群組。

          Short簽署日期。[YYYY-MM-DD,西元年月日]
          Control1..?
          Typedate
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          48. QuestionnaireResponse.item:consentDate.answer.item
          Control0..0
          50. QuestionnaireResponse.item:consentDate.item
          Control0..0
          52. QuestionnaireResponse.item:signDnr
          Slice NamesignDnr
          Definition

          記錄住院期間是否簽署 DNR(不施行心肺復甦術)意願書。只記錄簽署註記,不據此建立醫囑或 Consent。

          Short住院期間簽署 DNR。[適用個管系統]
          Control0..1
          Must Supporttrue
          54. QuestionnaireResponse.item:signDnr.linkId
          Fixed ValueinpatientTreatment.tre09
          56. QuestionnaireResponse.item:signDnr.answer
          Control1..1
          58. QuestionnaireResponse.item:signDnr.answer.value[x]
          Definition

          來源為 1(有)填 true;0(無)填 false。來源空白時略過本題;其他值只存於原始值群組。

          Short是否簽署。[true=有;false=無]
          Control1..?
          Typeboolean
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          60. QuestionnaireResponse.item:signDnr.answer.item
          Control0..0
          62. QuestionnaireResponse.item:signDnr.item
          Control0..0
          64. QuestionnaireResponse.item:beforeEvtIvtpa
          Slice NamebeforeEvtIvtpa
          Definition

          EVT 前是否施打 IV-tPA 及施打院所共有三種選項。選 1 或 2 且施打時間、劑量等資料齊全時,另以 StrokeMedicationAdministration 記錄給藥;選 3 則只保留在本題,不另建未給藥紀錄。

          ShortEVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]
          Control0..1
          Must Supporttrue
          66. QuestionnaireResponse.item:beforeEvtIvtpa.linkId
          Fixed ValuepreEvt.beforeEvtIvtpa
          68. QuestionnaireResponse.item:beforeEvtIvtpa.answer
          Control1..1
          70. QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]
          Definition

          system 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site。代碼可填 1(本院施打)、2(他院施打)、3(未施打)。來源空白請省略本題;其他代碼只保留在原始值群組。

          Short施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]
          Control1..?
          BindingThe codes SHALL be taken from 腦中風-EVT 前 IV-tPA 施打院所值集
          (required to http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site)
          TypeCoding
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          72. QuestionnaireResponse.item:beforeEvtIvtpa.answer.item
          Control0..0
          74. QuestionnaireResponse.item:beforeEvtIvtpa.item
          Control0..0
          76. QuestionnaireResponse.item:rapidRequestNo
          Slice NamerapidRequestNo
          Definition

          原樣保留 RAPID 影像分析資料的申請序號。在確認此序號是檢查的 accession number、醫令號或檢查項目碼之前,請勿寫入 ImagingStudy 或 ServiceRequest 的識別碼。

          ShortRAPID 影像申請序號。[適用 RAPID]
          Control0..1
          Must Supporttrue
          78. QuestionnaireResponse.item:rapidRequestNo.linkId
          Fixed Valuerapid.rpreqno
          80. QuestionnaireResponse.item:rapidRequestNo.answer
          Control1..1
          82. QuestionnaireResponse.item:rapidRequestNo.answer.value[x]
          Definition

          原樣填入並保留前置零。來源空白請省略本題。

          Short申請序號。[原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          84. QuestionnaireResponse.item:rapidRequestNo.answer.item
          Control0..0
          86. QuestionnaireResponse.item:rapidRequestNo.item
          Control0..0
          88. QuestionnaireResponse.item:dischargeTransferHospital
          Slice NamedischargeTransferHospital
          Definition

          離院去向為轉院時填寫的轉入醫院名稱。院所主檔核定後,可另填入 StrokeEncounter 的 hospitalization.destination.display。

          Short離院轉入醫院。[適用 EVT 登錄主表]
          Control0..1
          Must Supporttrue
          90. QuestionnaireResponse.item:dischargeTransferHospital.linkId
          Fixed Valuedischarge.leavePlaceHospital
          92. QuestionnaireResponse.item:dischargeTransferHospital.answer
          Control1..1
          94. QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]
          Definition

          原樣填入醫院名稱。來源空白請省略本題。

          Short醫院名稱。[自由文字,原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          96. QuestionnaireResponse.item:dischargeTransferHospital.answer.item
          Control0..0
          98. QuestionnaireResponse.item:dischargeTransferHospital.item
          Control0..0
          100. QuestionnaireResponse.item:threeMonthHospital
          Slice NamethreeMonthHospital
          Definition

          填寫中風後 3 個月追蹤時,病人所在的醫院名稱。

          Short中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]
          Control0..1
          Must Supporttrue
          102. QuestionnaireResponse.item:threeMonthHospital.linkId
          Fixed ValuefollowUp3Month.traceThreePlaceHospital
          104. QuestionnaireResponse.item:threeMonthHospital.answer
          Control1..1
          106. QuestionnaireResponse.item:threeMonthHospital.answer.value[x]
          Definition

          原樣填入醫院名稱。來源空白請省略本題。

          Short醫院名稱。[自由文字,原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          108. QuestionnaireResponse.item:threeMonthHospital.answer.item
          Control0..0
          110. QuestionnaireResponse.item:threeMonthHospital.item
          Control0..0
          112. QuestionnaireResponse.item:followUpVisitHospital
          Slice NamefollowUpVisitHospital
          Definition

          填寫追蹤期間病人繼續回診服藥的醫院名稱。

          Short追蹤回診醫院。[適用 EVT 登錄追蹤表]
          Control0..1
          Must Supporttrue
          114. QuestionnaireResponse.item:followUpVisitHospital.linkId
          Fixed ValuefollowUpEvent.traceTreat1Hospital
          116. QuestionnaireResponse.item:followUpVisitHospital.answer
          Control1..1
          118. QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]
          Definition

          原樣填入醫院名稱。來源空白請省略本題。

          Short醫院名稱。[自由文字,原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          120. QuestionnaireResponse.item:followUpVisitHospital.answer.item
          Control0..0
          122. QuestionnaireResponse.item:followUpVisitHospital.item
          Control0..0
          124. QuestionnaireResponse.item:recurrentStrokeHospital
          Slice NamerecurrentStrokeHospital
          Definition

          填寫追蹤期間再中風時,病人就醫的醫院名稱。

          Short再中風就醫醫院。[適用 EVT 登錄追蹤表]
          Control0..1
          Must Supporttrue
          126. QuestionnaireResponse.item:recurrentStrokeHospital.linkId
          Fixed ValuefollowUpEvent.traceTreat2StrokeHospital
          128. QuestionnaireResponse.item:recurrentStrokeHospital.answer
          Control1..1
          130. QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]
          Definition

          原樣填入醫院名稱。來源空白請省略本題。

          Short醫院名稱。[自由文字,原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          132. QuestionnaireResponse.item:recurrentStrokeHospital.answer.item
          Control0..0
          134. QuestionnaireResponse.item:recurrentStrokeHospital.item
          Control0..0
          136. QuestionnaireResponse.item:unresolvedComaScaleCol19
          Slice NameunresolvedComaScaleCol19
          Definition

          記錄個管系統昏迷指數與生命徵象資料中,實際檔案比譯碼簿多出的一欄。

          Short昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]
          Control0..1
          Must Supporttrue
          138. QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId
          Fixed Valueunresolved.NCVA.COMASCALE.UNNAMED_COL_19
          140. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer
          Control1..1
          142. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]
          Definition

          完整填入原始字串。來源空白請省略本題。

          Short原始值。[原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          144. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item
          Control0..0
          146. QuestionnaireResponse.item:unresolvedComaScaleCol19.item
          Control0..0
          148. QuestionnaireResponse.item:unresolvedMrsCol06
          Slice NameunresolvedMrsCol06
          Definition

          個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第一欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。

          ShortmRS 評估的額外欄位(第 6 欄)。[適用個管系統]
          Control0..1
          Must Supporttrue
          150. QuestionnaireResponse.item:unresolvedMrsCol06.linkId
          Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_06
          152. QuestionnaireResponse.item:unresolvedMrsCol06.answer
          Control1..?
          154. QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]
          Definition

          完整填入原始字串,空白值不填。

          Short原始值。[原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          156. QuestionnaireResponse.item:unresolvedMrsCol06.answer.item
          Control0..0
          158. QuestionnaireResponse.item:unresolvedMrsCol06.item
          Control0..0
          160. QuestionnaireResponse.item:unresolvedMrsCol07
          Slice NameunresolvedMrsCol07
          Definition

          個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第二欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。

          ShortmRS 評估的額外欄位(第 7 欄)。[適用個管系統]
          Control0..1
          Must Supporttrue
          162. QuestionnaireResponse.item:unresolvedMrsCol07.linkId
          Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_07
          164. QuestionnaireResponse.item:unresolvedMrsCol07.answer
          Control1..?
          166. QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]
          Definition

          完整填入原始字串,空白值不填。

          Short原始值。[原樣填入]
          Control1..?
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          168. QuestionnaireResponse.item:unresolvedMrsCol07.answer.item
          Control0..0
          170. QuestionnaireResponse.item:unresolvedMrsCol07.item
          Control0..0
          172. QuestionnaireResponse.item:rawNcva
          Slice NamerawNcva
          Definition

          收納個管系統的來源原始值。下層請依個管系統邏輯模型(StrokeCaseManagementLM)元素排列:識別欄位與各欄位為字串題目,資料表為群組題目。linkId 為 raw.ncva.<邏輯模型元素路徑>,例如 raw.ncva.caseMain.occdate。NIHSS 與 mRS 評估每一列各建一個群組。所有值一律填入 valueString(包含代碼、日期、時間與數字);去除前後空白,其餘不改寫;空白欄位直接省略。

          Short個管系統原始值。[linkId 固定為 raw.ncva]
          Control0..1
          Must Supporttrue
          174. QuestionnaireResponse.item:rawNcva.linkId
          Fixed Valueraw.ncva
          176. QuestionnaireResponse.item:rawNcva.answer
          Control0..0
          178. QuestionnaireResponse.item:rawNcva.item
          Control1..?
          TypeBackboneElement
          180. QuestionnaireResponse.item:rawNcva.item.answer
          182. QuestionnaireResponse.item:rawNcva.item.answer.value[x]
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          184. QuestionnaireResponse.item:rawNcva.item.item
          TypeBackboneElement
          186. QuestionnaireResponse.item:rawNcva.item.item.answer
          188. QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          190. QuestionnaireResponse.item:rawNcva.item.item.item
          Control0..0
          192. QuestionnaireResponse.item:rawEvt
          Slice NamerawEvt
          Definition

          收納 EVT 登錄的來源原始值。下層請依 EVT 登錄邏輯模型(StrokeEvtRegistryLM)元素排列:個案識別碼與各欄位為字串題目,欄位分組為群組題目。linkId 為 raw.evt.<邏輯模型元素路徑>,例如 raw.evt.demographics.consent。主表回覆放追蹤以外的欄位;追蹤表回覆放個案識別碼、追蹤表登錄狀態,以及 3 個月追蹤與追蹤醫療事件的欄位。值一律填入 valueString;去除前後空白,其餘不改寫;空白欄位直接省略。

          ShortEVT 登錄原始值。[linkId 固定為 raw.evt]
          Control0..1
          Must Supporttrue
          194. QuestionnaireResponse.item:rawEvt.linkId
          Fixed Valueraw.evt
          196. QuestionnaireResponse.item:rawEvt.answer
          Control0..0
          198. QuestionnaireResponse.item:rawEvt.item
          Control1..?
          TypeBackboneElement
          200. QuestionnaireResponse.item:rawEvt.item.answer
          202. QuestionnaireResponse.item:rawEvt.item.answer.value[x]
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          204. QuestionnaireResponse.item:rawEvt.item.item
          TypeBackboneElement
          206. QuestionnaireResponse.item:rawEvt.item.item.answer
          208. QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          210. QuestionnaireResponse.item:rawEvt.item.item.item
          Control0..0
          212. QuestionnaireResponse.item:rawRapid
          Slice NamerawRapid
          Definition

          收納 RAPID 影像分析的來源原始值。下層請依 RAPID 邏輯模型(StrokeRapidLM)元素排列,每個欄位建一個字串題目,linkId 為 raw.rapid.<邏輯模型元素路徑>,例如 raw.rapid.scantype。值一律填入 valueString;去除前後空白,其餘不改寫,9999 等特殊值也照填;空白欄位直接省略。

          ShortRAPID 原始值。[linkId 固定為 raw.rapid]
          Control0..1
          Must Supporttrue
          214. QuestionnaireResponse.item:rawRapid.linkId
          Fixed Valueraw.rapid
          216. QuestionnaireResponse.item:rawRapid.answer
          Control0..0
          218. QuestionnaireResponse.item:rawRapid.item
          Control1..?
          TypeBackboneElement
          220. QuestionnaireResponse.item:rawRapid.item.answer
          222. QuestionnaireResponse.item:rawRapid.item.answer.value[x]
          Typestring
          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          224. QuestionnaireResponse.item:rawRapid.item.item
          Control0..0

          See the documentation on how to interpret the contents of this table

          0. QuestionnaireResponse
          Definition

          Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems.

          ShortSDC Questionnaire Response
          Comments

          The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.

          Control0..*
          Is Modifierfalse
          Must Supportfalse
          Summaryfalse
          Alternate NamesForm, QuestionnaireAnswers, Form Data
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          sdcqr-1: Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject. (subject.exists())
          sdcqr-2: When repeats=true for a group, it'll be represented with multiple items with the same linkId in the QuestionnaireResponse. For a question, it'll be represented by a single item with that linkId with multiple answers. ((QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue())
          2. QuestionnaireResponse.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. QuestionnaireResponse.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. QuestionnaireResponse.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. QuestionnaireResponse.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. QuestionnaireResponse.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. QuestionnaireResponse.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. QuestionnaireResponse.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on QuestionnaireResponse.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. QuestionnaireResponse.extension:signature
            Slice Namesignature
            Definition

            Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

            ShortA signature attesting to the content
            Control0..*
            TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. QuestionnaireResponse.extension:completionMode
            Slice NamecompletionMode
            Definition

            Indicates how the individual completing the QuestionnaireResponse provided their responses.

            ShortE.g. Verbal, written, electronic
            Control0..1
            TypeExtension(QuestionnaireResponse Completion Mode) (Extension Type: CodeableConcept)
            Is Modifierfalse
            Must Supportfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. QuestionnaireResponse.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            22. QuestionnaireResponse.identifier
            Definition

            原樣填入來源系統給這份登錄資料的識別碼。個管系統回覆填個管流水序號;EVT 登錄的主表與追蹤表回覆都填 EVT 登錄個案識別碼。RAPID 回覆或來源沒有識別碼時不填。

            Short來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Used for tracking, registration and other business purposes.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. QuestionnaireResponse.identifier.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            26. QuestionnaireResponse.identifier.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on QuestionnaireResponse.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 28. QuestionnaireResponse.identifier.use
              Definition

              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUse
              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

              Identifies the purpose for this identifier, if known .

              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. QuestionnaireResponse.identifier.type
              Definition

              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

              ShortDescription of identifier
              Comments

              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

              Control0..1
              BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
              (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Allows users to make use of identifiers when the identifier system is not known.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. QuestionnaireResponse.identifier.system
              Definition

              個管流水序號與 EVT 登錄個案識別碼各用一個固定的系統網址。範例使用 http://www.vghks.gov.tw/stroke-case-management-serial(個管流水序號)與 http://www.vghks.gov.tw/evt-registry-id(EVT 登錄個案識別碼)。

              Short識別碼系統。[依來源填入固定的系統網址]
              Comments

              Identifier.system is always case sensitive.

              Control1..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              ExampleGeneral: http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              34. QuestionnaireResponse.identifier.value
              Definition

              原樣填入來源序號並保留前置零。個管流水序號須搭配病歷號才能識別個案,subject 須指向對應的病人。

              Short識別碼。[原樣填入來源序號]
              Comments

              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

              Control1..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              ExampleGeneral: 123456
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              36. QuestionnaireResponse.identifier.period
              Definition

              Time period during which identifier is/was valid for use.

              ShortTime period when id is/was valid for use
              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              38. QuestionnaireResponse.identifier.assigner
              Definition

              Organization that issued/manages the identifier.

              ShortOrganization that issued id (may be just text)
              Comments

              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

              Control0..1
              TypeReference(Organization)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              40. QuestionnaireResponse.basedOn
              Definition

              The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.

              ShortRequest fulfilled by this QuestionnaireResponse
              Control0..*
              TypeReference(TW Core CarePlan, TW Core ServiceRequest)
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Requirements

              Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.

              Alternate Namesorder
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. QuestionnaireResponse.partOf
              Definition

              A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.

              ShortPart of this action
              Comments

              Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn.

              Control0..*
              TypeReference(TW Core Observation Clinical Result, TW Core Procedure)
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. QuestionnaireResponse.questionnaire
              Definition

              所有來源都使用同一份表單,固定填入 http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0。

              Short所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]
              Comments

              For SDC, this SHALL be the version-specific URL of the form as hosted on the Form Manager.

              Control1..1
              Typecanonical(SDCBaseQuestionnaire)
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.

              Alternate NamesForm
              Fixed Valuehttp://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              46. QuestionnaireResponse.questionnaire.id
              Definition

              unique id for the element within a resource (for internal references)

              Shortxml:id (or equivalent in JSON)
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              48. QuestionnaireResponse.questionnaire.extension
              Definition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on QuestionnaireResponse.questionnaire.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 50. QuestionnaireResponse.questionnaire.extension:questionnaireDisplay
                Slice NamequestionnaireDisplay
                Definition

                The title or other name to display when referencing a resource by canonical URL.

                ShortDisplay name for canonical reference
                Comments

                This SHALL be the title of the Questionnaire at the time the QuestionnaireResponse was originally authored.

                Control0..1
                TypeExtension(Display Name) (Extension Type: string)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                52. QuestionnaireResponse.questionnaire.extension:url
                Slice Nameurl
                Definition

                Questionnaire URI

                ShortQuestionnaire Url
                Control0..1
                TypeExtension(Questionnaire Url) (Extension Type: uri)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                54. QuestionnaireResponse.questionnaire.value
                Definition

                Primitive value for canonical

                ShortPrimitive value for canonical
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                56. QuestionnaireResponse.status
                Definition

                依來源的表單登錄狀態填寫:來源為 1(表單暫存)填 in-progress;來源為 2(已結案)且確認結案事實填 completed。來源空白、代碼無法辨識或來源沒有表單狀態(個管系統、RAPID)時填 in-progress,原始代碼保留在原始值群組。EVT 主表與追蹤表各自依登錄狀態填寫。資料若更正或作廢,改填 amended 或 entered-in-error。

                Short表單狀態。[應填入 in-progress 或 completed]
                Comments

                This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                Control1..1
                BindingThe codes SHALL be taken from QuestionnaireResponseStatus
                (required to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1)

                Lifecycle status of the questionnaire response.

                Typecode
                Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                58. QuestionnaireResponse.subject
                Definition

                表單所屬的病人,必填,參照 StrokePatient。

                Short病人。[應參照 StrokePatient]
                Comments

                If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types. If subject is omitted - because the QuestionnaireResponse is not associated with a specific subject, ensure that QuestionnaireRsponse.identifier is present or the QuestionnaireResponse is referenced somewhere (e.g. Task.output, Composition.section.entry, etc.) to allow tracking and retrieval of the QuestionnaireResponse

                Control1..1
                TypeReference(腦中風-病人基本資料)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows linking the answers to the individual the answers describe. May also affect access control.

                Alternate NamesPatient, Focus
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                60. QuestionnaireResponse.encounter
                Definition

                表單所屬的就醫事件,確定是同一次就醫時才填。

                Short就醫事件。[應參照 StrokeEncounter]
                Comments

                This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.

                Control0..1
                TypeReference(腦中風-就醫事件)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Provides context for the information that was captured. May also affect access control.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                62. QuestionnaireResponse.authored
                Definition

                必填來源記錄的資料登錄日期與時間:直接填值,或以 data-absent-reason 擴充表示缺值。時區確認前只填日期(YYYY-MM-DD),時間原值以 StrokeEventTimeOnly 擴充附在 authored 上,並存於原始值群組(EVT 主表為 raw.evt.administration.keyinDate);確認後填完整日期時間並帶時區(例如 +08:00)。來源沒有登錄日期(例如個管系統、RAPID)時,authored 不填值,改以 data-absent-reason(unknown)表示。確認 EVT 的登錄日期時間是否適用追蹤表前,追蹤表的 authored 也以 data-absent-reason 表示。

                Short資料登錄日期時間。[YYYY-MM-DD;時區確認後填 YYYY-MM-DDThh:mm:ss+時區;來源沒有登錄日期時改填 data-absent-reason]
                Comments

                May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.

                This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.

                Control1..1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.

                Alternate NamesDate Created, Date published, Date Issued, Date updated
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                64. QuestionnaireResponse.authored.id
                Definition

                unique id for the element within a resource (for internal references)

                Shortxml:id (or equivalent in JSON)
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                66. QuestionnaireResponse.authored.extension
                Definition

                An Extension

                ShortExtension
                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on QuestionnaireResponse.authored.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                  68. QuestionnaireResponse.authored.extension:dataAbsentReason
                  Slice NamedataAbsentReason
                  Definition

                  來源沒有登錄日期時使用,valueCode 填 unknown,此時 authored 不填值。若 authored 已填日期或完整日期時間,則不填本擴充。

                  Short登錄時間缺值原因。[來源沒有登錄日期時填 unknown]
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension(Data Absent Reason) (Extension Type: code)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  70. QuestionnaireResponse.authored.value
                  Definition

                  The actual value

                  ShortPrimitive value for dateTime
                  Control0..1
                  TypedateTime
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  72. QuestionnaireResponse.author
                  Definition

                  填入登錄這份表單的人員或院所。只知道姓名時填 author.display 即可,不另建 Practitioner;不知道時不填。登錄經手人員另記錄於 StrokeProvenance。

                  Short登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]
                  Comments

                  Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.

                  Control0..1
                  TypeReference(腦中風-醫事人員, 腦中風-醫療院所)
                  Is Modifierfalse
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summarytrue
                  Requirements

                  Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.

                  Alternate NamesLaboratory, Service, Practitioner, Department, Company, Performer
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  74. QuestionnaireResponse.source
                  Definition

                  實際提供回答內容的人。登錄資料多摘錄自病歷,平時不填;明確由病人本人或特定醫事人員提供時才填。

                  Short回答資料的提供者。[通常不填;若填,應參照 StrokePatient 或 StrokePractitioner]
                  Comments

                  If not specified, no inference can be made about who provided the data.

                  Control0..1
                  TypeReference(腦中風-病人基本資料, 腦中風-醫事人員)
                  Is Modifierfalse
                  Must Supportfalse
                  Summarytrue
                  Requirements

                  When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  76. QuestionnaireResponse.item
                  Definition

                  題目與回答分兩類。正規化題目:下列各 Slice,linkId 固定,答案型別依各 Slice 規定;原始值群組:包含 raw.ncva(個管系統)、raw.evt(EVT 登錄)、raw.rapid(RAPID),均以字串保存來源原值。每份回覆只填該來源有的題目。所有 linkId 都必須存在於 stroke-registry 表單,並依表單順序排列。來源空白時略過該題;來源值無法辨識時(例如是否題出現 0、1 以外的值、選項題出現未定義代碼),不填正規化題目,只存於原始值群組。

                  Short表單題目與回答
                  Comments

                  Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                  Control0..*
                  TypeBackboneElement
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                  SlicingThis element introduces a set of slices on QuestionnaireResponse.item. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ linkId
                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                    78. QuestionnaireResponse.item.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    80. QuestionnaireResponse.item.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 82. QuestionnaireResponse.item.extension:itemMedia
                      Slice NameitemMedia
                      Definition

                      Media to render/make available as an accompaniment to the question being asked

                      ShortMedia to display
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(Item Media) (Extension Type: Attachment)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      84. QuestionnaireResponse.item.extension:ItemSignature
                      Slice NameItemSignature
                      Definition

                      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                      ShortA signature attesting to the content
                      Control0..*
                      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                      Is Modifierfalse
                      Must Supportfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      86. QuestionnaireResponse.item.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      88. QuestionnaireResponse.item.linkId
                      Definition

                      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                      ShortPointer to specific item from Questionnaire
                      Control1..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. QuestionnaireResponse.item.definition
                      Definition

                      A reference to an ElementDefinition that provides the details for the item.

                      ShortElementDefinition - details for the item
                      Comments

                      The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                      There is no need for this element if the item pointed to by the linkId has a definition listed.

                      Control0..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Requirements

                      A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. QuestionnaireResponse.item.text
                      Definition

                      Text that is displayed above the contents of the group or as the text of the question being answered.

                      ShortName for group or question text
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summaryfalse
                      Requirements

                      Allows the questionnaire response to be read without access to the questionnaire.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. QuestionnaireResponse.item.answer
                      Definition

                      The respondent's answer(s) to the question.

                      ShortThe response(s) to the question
                      Comments

                      The value is nested because we cannot have a repeating structure that has variable type.

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      96. QuestionnaireResponse.item.answer.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      98. QuestionnaireResponse.item.answer.extension
                      Definition

                      An Extension

                      ShortExtension
                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 100. QuestionnaireResponse.item.answer.extension:itemAnswerMedia
                        Slice NameitemAnswerMedia
                        Definition

                        Media to render/make available as an accompaniment to a specific answer option

                        ShortAnswer Media to display
                        Control0..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(Item Answer Media) (Extension Type: Attachment)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        102. QuestionnaireResponse.item.answer.extension:ordinalValue
                        Slice NameordinalValue
                        Definition

                        A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                        ShortAssigned Ordinal Value
                        Comments

                        Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                        Control0..1
                        TypeExtension(Ordinal Value) (Extension Type: decimal)
                        Is Modifierfalse
                        Must Supportfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        104. QuestionnaireResponse.item.answer.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        106. QuestionnaireResponse.item.answer.value[x]
                        Definition

                        The answer (or one of the answers) provided by the respondent to the question.

                        ShortSingle-valued answer to the question
                        Comments

                        More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                        Control0..1
                        BindingFor example codes, see QuestionnaireAnswerCodes
                        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                        Code indicating the response provided for a question.

                        TypeChoice of: boolean, date, dateTime, time, decimal, integer, string, Coding, uri, Quantity, Attachment
                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Must Support TypesChoice of: boolean, date, dateTime
                        Summaryfalse
                        Requirements

                        Ability to retain a single-valued answer to a question.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        108. QuestionnaireResponse.item.answer.item
                        Definition

                        Nested groups and/or questions found within this particular answer.

                        ShortNested groups and questions
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Requirements

                        It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        110. QuestionnaireResponse.item.item
                        Definition

                        Questions or sub-groups nested beneath a question or group.

                        ShortNested questionnaire response items
                        Control0..*
                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Requirements

                        Reports can consist of complex nested groups.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        112. QuestionnaireResponse.item:consent
                        Slice Nameconsent
                        Definition

                        記錄病人是否已簽署研究同意書。只記錄簽署事實,不據此建立 Consent。

                        Short研究同意書簽署狀態。[適用 EVT 登錄主表]
                        Comments

                        Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                        Control0..1
                        TypeBackboneElement
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                        114. QuestionnaireResponse.item:consent.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        116. QuestionnaireResponse.item:consent.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 118. QuestionnaireResponse.item:consent.extension:itemMedia
                          Slice NameitemMedia
                          Definition

                          Media to render/make available as an accompaniment to the question being asked

                          ShortMedia to display
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          TypeExtension(Item Media) (Extension Type: Attachment)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          120. QuestionnaireResponse.item:consent.extension:ItemSignature
                          Slice NameItemSignature
                          Definition

                          Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                          ShortA signature attesting to the content
                          Control0..*
                          TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                          Is Modifierfalse
                          Must Supportfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          122. QuestionnaireResponse.item:consent.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          124. QuestionnaireResponse.item:consent.linkId
                          Definition

                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                          ShortPointer to specific item from Questionnaire
                          Control1..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summaryfalse
                          Requirements

                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                          Fixed Valuedemographics.consent
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          126. QuestionnaireResponse.item:consent.definition
                          Definition

                          A reference to an ElementDefinition that provides the details for the item.

                          ShortElementDefinition - details for the item
                          Comments

                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                          Control0..1
                          Typeuri
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          Requirements

                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          128. QuestionnaireResponse.item:consent.text
                          Definition

                          Text that is displayed above the contents of the group or as the text of the question being answered.

                          ShortName for group or question text
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Summaryfalse
                          Requirements

                          Allows the questionnaire response to be read without access to the questionnaire.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          130. QuestionnaireResponse.item:consent.answer
                          Definition

                          The respondent's answer(s) to the question.

                          ShortThe response(s) to the question
                          Comments

                          The value is nested because we cannot have a repeating structure that has variable type.

                          Control1..1
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supporttrue
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          132. QuestionnaireResponse.item:consent.answer.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          134. QuestionnaireResponse.item:consent.answer.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 136. QuestionnaireResponse.item:consent.answer.extension:itemAnswerMedia
                            Slice NameitemAnswerMedia
                            Definition

                            Media to render/make available as an accompaniment to a specific answer option

                            ShortAnswer Media to display
                            Control0..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(Item Answer Media) (Extension Type: Attachment)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            138. QuestionnaireResponse.item:consent.answer.extension:ordinalValue
                            Slice NameordinalValue
                            Definition

                            A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                            ShortAssigned Ordinal Value
                            Comments

                            Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                            Control0..1
                            TypeExtension(Ordinal Value) (Extension Type: decimal)
                            Is Modifierfalse
                            Must Supportfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            140. QuestionnaireResponse.item:consent.answer.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            142. QuestionnaireResponse.item:consent.answer.value[x]
                            Definition

                            來源為 1(已簽署)填 true;0(無簽署)填 false。來源空白時略過本題;其他值只存於原始值群組。

                            Short是否已簽署。[true=已簽署;false=無簽署]
                            Comments

                            More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                            Control1..1
                            Typeboolean
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Must Support Typesboolean
                            Summaryfalse
                            Requirements

                            Ability to retain a single-valued answer to a question.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            144. QuestionnaireResponse.item:consent.answer.item
                            Definition

                            Nested groups and/or questions found within this particular answer.

                            ShortNested groups and questions
                            Control0..0
                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Requirements

                            It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            146. QuestionnaireResponse.item:consent.item
                            Definition

                            Questions or sub-groups nested beneath a question or group.

                            ShortNested questionnaire response items
                            Control0..0
                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Requirements

                            Reports can consist of complex nested groups.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            148. QuestionnaireResponse.item:consentDate
                            Slice NameconsentDate
                            Definition

                            填入研究同意書簽署日期,只保存在表單。待取得實際同意文件與同意範圍後,才另建 Consent。

                            Short研究同意書簽署日期。[適用 EVT 登錄主表]
                            Comments

                            Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                            Control0..1
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                            150. QuestionnaireResponse.item:consentDate.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            152. QuestionnaireResponse.item:consentDate.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 154. QuestionnaireResponse.item:consentDate.extension:itemMedia
                              Slice NameitemMedia
                              Definition

                              Media to render/make available as an accompaniment to the question being asked

                              ShortMedia to display
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(Item Media) (Extension Type: Attachment)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              156. QuestionnaireResponse.item:consentDate.extension:ItemSignature
                              Slice NameItemSignature
                              Definition

                              Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                              ShortA signature attesting to the content
                              Control0..*
                              TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                              Is Modifierfalse
                              Must Supportfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              158. QuestionnaireResponse.item:consentDate.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              160. QuestionnaireResponse.item:consentDate.linkId
                              Definition

                              The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                              ShortPointer to specific item from Questionnaire
                              Control1..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Requirements

                              Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                              Fixed Valuedemographics.consentDate
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              162. QuestionnaireResponse.item:consentDate.definition
                              Definition

                              A reference to an ElementDefinition that provides the details for the item.

                              ShortElementDefinition - details for the item
                              Comments

                              The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                              There is no need for this element if the item pointed to by the linkId has a definition listed.

                              Control0..1
                              Typeuri
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Requirements

                              A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              164. QuestionnaireResponse.item:consentDate.text
                              Definition

                              Text that is displayed above the contents of the group or as the text of the question being answered.

                              ShortName for group or question text
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summaryfalse
                              Requirements

                              Allows the questionnaire response to be read without access to the questionnaire.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              166. QuestionnaireResponse.item:consentDate.answer
                              Definition

                              The respondent's answer(s) to the question.

                              ShortThe response(s) to the question
                              Comments

                              The value is nested because we cannot have a repeating structure that has variable type.

                              Control1..1
                              TypeBackboneElement
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              168. QuestionnaireResponse.item:consentDate.answer.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              170. QuestionnaireResponse.item:consentDate.answer.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 172. QuestionnaireResponse.item:consentDate.answer.extension:itemAnswerMedia
                                Slice NameitemAnswerMedia
                                Definition

                                Media to render/make available as an accompaniment to a specific answer option

                                ShortAnswer Media to display
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                174. QuestionnaireResponse.item:consentDate.answer.extension:ordinalValue
                                Slice NameordinalValue
                                Definition

                                A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                ShortAssigned Ordinal Value
                                Comments

                                Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                Control0..1
                                TypeExtension(Ordinal Value) (Extension Type: decimal)
                                Is Modifierfalse
                                Must Supportfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                176. QuestionnaireResponse.item:consentDate.answer.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                178. QuestionnaireResponse.item:consentDate.answer.value[x]
                                Definition

                                西元年月日,格式為 YYYY-MM-DD。來源空白時略過本題;日期格式不正確時只存於原始值群組。

                                Short簽署日期。[YYYY-MM-DD,西元年月日]
                                Comments

                                More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                Control1..1
                                Typedate
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Must Support Typesdate
                                Summaryfalse
                                Requirements

                                Ability to retain a single-valued answer to a question.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                180. QuestionnaireResponse.item:consentDate.answer.item
                                Definition

                                Nested groups and/or questions found within this particular answer.

                                ShortNested groups and questions
                                Control0..0
                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                182. QuestionnaireResponse.item:consentDate.item
                                Definition

                                Questions or sub-groups nested beneath a question or group.

                                ShortNested questionnaire response items
                                Control0..0
                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Reports can consist of complex nested groups.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                184. QuestionnaireResponse.item:signDnr
                                Slice NamesignDnr
                                Definition

                                記錄住院期間是否簽署 DNR(不施行心肺復甦術)意願書。只記錄簽署註記,不據此建立醫囑或 Consent。

                                Short住院期間簽署 DNR。[適用個管系統]
                                Comments

                                Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                Control0..1
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                186. QuestionnaireResponse.item:signDnr.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                188. QuestionnaireResponse.item:signDnr.extension
                                Definition

                                An Extension

                                ShortExtension
                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 190. QuestionnaireResponse.item:signDnr.extension:itemMedia
                                  Slice NameitemMedia
                                  Definition

                                  Media to render/make available as an accompaniment to the question being asked

                                  ShortMedia to display
                                  Control0..1
                                  This element is affected by the following invariants: ele-1
                                  TypeExtension(Item Media) (Extension Type: Attachment)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  192. QuestionnaireResponse.item:signDnr.extension:ItemSignature
                                  Slice NameItemSignature
                                  Definition

                                  Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                  ShortA signature attesting to the content
                                  Control0..*
                                  TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                  Is Modifierfalse
                                  Must Supportfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  194. QuestionnaireResponse.item:signDnr.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  196. QuestionnaireResponse.item:signDnr.linkId
                                  Definition

                                  The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                  ShortPointer to specific item from Questionnaire
                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summaryfalse
                                  Requirements

                                  Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                  Fixed ValueinpatientTreatment.tre09
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  198. QuestionnaireResponse.item:signDnr.definition
                                  Definition

                                  A reference to an ElementDefinition that provides the details for the item.

                                  ShortElementDefinition - details for the item
                                  Comments

                                  The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                  There is no need for this element if the item pointed to by the linkId has a definition listed.

                                  Control0..1
                                  Typeuri
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  200. QuestionnaireResponse.item:signDnr.text
                                  Definition

                                  Text that is displayed above the contents of the group or as the text of the question being answered.

                                  ShortName for group or question text
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summaryfalse
                                  Requirements

                                  Allows the questionnaire response to be read without access to the questionnaire.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  202. QuestionnaireResponse.item:signDnr.answer
                                  Definition

                                  The respondent's answer(s) to the question.

                                  ShortThe response(s) to the question
                                  Comments

                                  The value is nested because we cannot have a repeating structure that has variable type.

                                  Control1..1
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  204. QuestionnaireResponse.item:signDnr.answer.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  206. QuestionnaireResponse.item:signDnr.answer.extension
                                  Definition

                                  An Extension

                                  ShortExtension
                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 208. QuestionnaireResponse.item:signDnr.answer.extension:itemAnswerMedia
                                    Slice NameitemAnswerMedia
                                    Definition

                                    Media to render/make available as an accompaniment to a specific answer option

                                    ShortAnswer Media to display
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    210. QuestionnaireResponse.item:signDnr.answer.extension:ordinalValue
                                    Slice NameordinalValue
                                    Definition

                                    A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                    ShortAssigned Ordinal Value
                                    Comments

                                    Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                    Control0..1
                                    TypeExtension(Ordinal Value) (Extension Type: decimal)
                                    Is Modifierfalse
                                    Must Supportfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    212. QuestionnaireResponse.item:signDnr.answer.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    214. QuestionnaireResponse.item:signDnr.answer.value[x]
                                    Definition

                                    來源為 1(有)填 true;0(無)填 false。來源空白時略過本題;其他值只存於原始值群組。

                                    Short是否簽署。[true=有;false=無]
                                    Comments

                                    More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                    Control1..1
                                    Typeboolean
                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                    Is Modifierfalse
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Must Supporttrue
                                    Must Support Typesboolean
                                    Summaryfalse
                                    Requirements

                                    Ability to retain a single-valued answer to a question.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    216. QuestionnaireResponse.item:signDnr.answer.item
                                    Definition

                                    Nested groups and/or questions found within this particular answer.

                                    ShortNested groups and questions
                                    Control0..0
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Requirements

                                    It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    218. QuestionnaireResponse.item:signDnr.item
                                    Definition

                                    Questions or sub-groups nested beneath a question or group.

                                    ShortNested questionnaire response items
                                    Control0..0
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Requirements

                                    Reports can consist of complex nested groups.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    220. QuestionnaireResponse.item:beforeEvtIvtpa
                                    Slice NamebeforeEvtIvtpa
                                    Definition

                                    EVT 前是否施打 IV-tPA 及施打院所共有三種選項。選 1 或 2 且施打時間、劑量等資料齊全時,另以 StrokeMedicationAdministration 記錄給藥;選 3 則只保留在本題,不另建未給藥紀錄。

                                    ShortEVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]
                                    Comments

                                    Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                    Control0..1
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                    222. QuestionnaireResponse.item:beforeEvtIvtpa.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    224. QuestionnaireResponse.item:beforeEvtIvtpa.extension
                                    Definition

                                    An Extension

                                    ShortExtension
                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 226. QuestionnaireResponse.item:beforeEvtIvtpa.extension:itemMedia
                                      Slice NameitemMedia
                                      Definition

                                      Media to render/make available as an accompaniment to the question being asked

                                      ShortMedia to display
                                      Control0..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(Item Media) (Extension Type: Attachment)
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      228. QuestionnaireResponse.item:beforeEvtIvtpa.extension:ItemSignature
                                      Slice NameItemSignature
                                      Definition

                                      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                      ShortA signature attesting to the content
                                      Control0..*
                                      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                      Is Modifierfalse
                                      Must Supportfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      230. QuestionnaireResponse.item:beforeEvtIvtpa.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      232. QuestionnaireResponse.item:beforeEvtIvtpa.linkId
                                      Definition

                                      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                      ShortPointer to specific item from Questionnaire
                                      Control1..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summaryfalse
                                      Requirements

                                      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                      Fixed ValuepreEvt.beforeEvtIvtpa
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      234. QuestionnaireResponse.item:beforeEvtIvtpa.definition
                                      Definition

                                      A reference to an ElementDefinition that provides the details for the item.

                                      ShortElementDefinition - details for the item
                                      Comments

                                      The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                      There is no need for this element if the item pointed to by the linkId has a definition listed.

                                      Control0..1
                                      Typeuri
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Requirements

                                      A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      236. QuestionnaireResponse.item:beforeEvtIvtpa.text
                                      Definition

                                      Text that is displayed above the contents of the group or as the text of the question being answered.

                                      ShortName for group or question text
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Summaryfalse
                                      Requirements

                                      Allows the questionnaire response to be read without access to the questionnaire.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      238. QuestionnaireResponse.item:beforeEvtIvtpa.answer
                                      Definition

                                      The respondent's answer(s) to the question.

                                      ShortThe response(s) to the question
                                      Comments

                                      The value is nested because we cannot have a repeating structure that has variable type.

                                      Control1..1
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      240. QuestionnaireResponse.item:beforeEvtIvtpa.answer.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      242. QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension
                                      Definition

                                      An Extension

                                      ShortExtension
                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 244. QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:itemAnswerMedia
                                        Slice NameitemAnswerMedia
                                        Definition

                                        Media to render/make available as an accompaniment to a specific answer option

                                        ShortAnswer Media to display
                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        246. QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:ordinalValue
                                        Slice NameordinalValue
                                        Definition

                                        A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                        ShortAssigned Ordinal Value
                                        Comments

                                        Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                        Control0..1
                                        TypeExtension(Ordinal Value) (Extension Type: decimal)
                                        Is Modifierfalse
                                        Must Supportfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        248. QuestionnaireResponse.item:beforeEvtIvtpa.answer.modifierExtension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        TypeExtension
                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                        Summarytrue
                                        Requirements

                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                        Alternate Namesextensions, user content, modifiers
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        250. QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]
                                        Definition

                                        system 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site。代碼可填 1(本院施打)、2(他院施打)、3(未施打)。來源空白請省略本題;其他代碼只保留在原始值群組。

                                        Short施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼:1|2|3]
                                        Comments

                                        More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                        Control1..1
                                        BindingThe codes SHALL be taken from 腦中風-EVT 前 IV-tPA 施打院所值集
                                        (required to http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site)
                                        TypeCoding
                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        Ability to retain a single-valued answer to a question.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        252. QuestionnaireResponse.item:beforeEvtIvtpa.answer.item
                                        Definition

                                        Nested groups and/or questions found within this particular answer.

                                        ShortNested groups and questions
                                        Control0..0
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        254. QuestionnaireResponse.item:beforeEvtIvtpa.item
                                        Definition

                                        Questions or sub-groups nested beneath a question or group.

                                        ShortNested questionnaire response items
                                        Control0..0
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        Reports can consist of complex nested groups.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        256. QuestionnaireResponse.item:rapidRequestNo
                                        Slice NamerapidRequestNo
                                        Definition

                                        原樣保留 RAPID 影像分析資料的申請序號。在確認此序號是檢查的 accession number、醫令號或檢查項目碼之前,請勿寫入 ImagingStudy 或 ServiceRequest 的識別碼。

                                        ShortRAPID 影像申請序號。[適用 RAPID]
                                        Comments

                                        Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                        Control0..1
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                        258. QuestionnaireResponse.item:rapidRequestNo.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        260. QuestionnaireResponse.item:rapidRequestNo.extension
                                        Definition

                                        An Extension

                                        ShortExtension
                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 262. QuestionnaireResponse.item:rapidRequestNo.extension:itemMedia
                                          Slice NameitemMedia
                                          Definition

                                          Media to render/make available as an accompaniment to the question being asked

                                          ShortMedia to display
                                          Control0..1
                                          This element is affected by the following invariants: ele-1
                                          TypeExtension(Item Media) (Extension Type: Attachment)
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          264. QuestionnaireResponse.item:rapidRequestNo.extension:ItemSignature
                                          Slice NameItemSignature
                                          Definition

                                          Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                          ShortA signature attesting to the content
                                          Control0..*
                                          TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                          Is Modifierfalse
                                          Must Supportfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          266. QuestionnaireResponse.item:rapidRequestNo.modifierExtension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                          Summarytrue
                                          Requirements

                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                          Alternate Namesextensions, user content, modifiers
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          268. QuestionnaireResponse.item:rapidRequestNo.linkId
                                          Definition

                                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                          ShortPointer to specific item from Questionnaire
                                          Control1..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summaryfalse
                                          Requirements

                                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                          Fixed Valuerapid.rpreqno
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          270. QuestionnaireResponse.item:rapidRequestNo.definition
                                          Definition

                                          A reference to an ElementDefinition that provides the details for the item.

                                          ShortElementDefinition - details for the item
                                          Comments

                                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                                          Control0..1
                                          Typeuri
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Summaryfalse
                                          Requirements

                                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          272. QuestionnaireResponse.item:rapidRequestNo.text
                                          Definition

                                          Text that is displayed above the contents of the group or as the text of the question being answered.

                                          ShortName for group or question text
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                          Must Supporttrue
                                          Summaryfalse
                                          Requirements

                                          Allows the questionnaire response to be read without access to the questionnaire.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          274. QuestionnaireResponse.item:rapidRequestNo.answer
                                          Definition

                                          The respondent's answer(s) to the question.

                                          ShortThe response(s) to the question
                                          Comments

                                          The value is nested because we cannot have a repeating structure that has variable type.

                                          Control1..1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          276. QuestionnaireResponse.item:rapidRequestNo.answer.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          278. QuestionnaireResponse.item:rapidRequestNo.answer.extension
                                          Definition

                                          An Extension

                                          ShortExtension
                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 280. QuestionnaireResponse.item:rapidRequestNo.answer.extension:itemAnswerMedia
                                            Slice NameitemAnswerMedia
                                            Definition

                                            Media to render/make available as an accompaniment to a specific answer option

                                            ShortAnswer Media to display
                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            282. QuestionnaireResponse.item:rapidRequestNo.answer.extension:ordinalValue
                                            Slice NameordinalValue
                                            Definition

                                            A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                            ShortAssigned Ordinal Value
                                            Comments

                                            Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                            Control0..1
                                            TypeExtension(Ordinal Value) (Extension Type: decimal)
                                            Is Modifierfalse
                                            Must Supportfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            284. QuestionnaireResponse.item:rapidRequestNo.answer.modifierExtension
                                            Definition

                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                            Control0..*
                                            TypeExtension
                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                            Summarytrue
                                            Requirements

                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                            Alternate Namesextensions, user content, modifiers
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            286. QuestionnaireResponse.item:rapidRequestNo.answer.value[x]
                                            Definition

                                            原樣填入並保留前置零。來源空白請省略本題。

                                            Short申請序號。[原樣填入]
                                            Comments

                                            More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                            Control1..1
                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                            Code indicating the response provided for a question.

                                            Typestring
                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summaryfalse
                                            Requirements

                                            Ability to retain a single-valued answer to a question.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            288. QuestionnaireResponse.item:rapidRequestNo.answer.item
                                            Definition

                                            Nested groups and/or questions found within this particular answer.

                                            ShortNested groups and questions
                                            Control0..0
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Requirements

                                            It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            290. QuestionnaireResponse.item:rapidRequestNo.item
                                            Definition

                                            Questions or sub-groups nested beneath a question or group.

                                            ShortNested questionnaire response items
                                            Control0..0
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Requirements

                                            Reports can consist of complex nested groups.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            292. QuestionnaireResponse.item:dischargeTransferHospital
                                            Slice NamedischargeTransferHospital
                                            Definition

                                            離院去向為轉院時填寫的轉入醫院名稱。院所主檔核定後,可另填入 StrokeEncounter 的 hospitalization.destination.display。

                                            Short離院轉入醫院。[適用 EVT 登錄主表]
                                            Comments

                                            Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                            Control0..1
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                            294. QuestionnaireResponse.item:dischargeTransferHospital.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            296. QuestionnaireResponse.item:dischargeTransferHospital.extension
                                            Definition

                                            An Extension

                                            ShortExtension
                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 298. QuestionnaireResponse.item:dischargeTransferHospital.extension:itemMedia
                                              Slice NameitemMedia
                                              Definition

                                              Media to render/make available as an accompaniment to the question being asked

                                              ShortMedia to display
                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(Item Media) (Extension Type: Attachment)
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              300. QuestionnaireResponse.item:dischargeTransferHospital.extension:ItemSignature
                                              Slice NameItemSignature
                                              Definition

                                              Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                              ShortA signature attesting to the content
                                              Control0..*
                                              TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                              Is Modifierfalse
                                              Must Supportfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              302. QuestionnaireResponse.item:dischargeTransferHospital.modifierExtension
                                              Definition

                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              TypeExtension
                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                              Summarytrue
                                              Requirements

                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                              Alternate Namesextensions, user content, modifiers
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              304. QuestionnaireResponse.item:dischargeTransferHospital.linkId
                                              Definition

                                              The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                              ShortPointer to specific item from Questionnaire
                                              Control1..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summaryfalse
                                              Requirements

                                              Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                              Fixed Valuedischarge.leavePlaceHospital
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              306. QuestionnaireResponse.item:dischargeTransferHospital.definition
                                              Definition

                                              A reference to an ElementDefinition that provides the details for the item.

                                              ShortElementDefinition - details for the item
                                              Comments

                                              The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                              There is no need for this element if the item pointed to by the linkId has a definition listed.

                                              Control0..1
                                              Typeuri
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summaryfalse
                                              Requirements

                                              A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              308. QuestionnaireResponse.item:dischargeTransferHospital.text
                                              Definition

                                              Text that is displayed above the contents of the group or as the text of the question being answered.

                                              ShortName for group or question text
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summaryfalse
                                              Requirements

                                              Allows the questionnaire response to be read without access to the questionnaire.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              310. QuestionnaireResponse.item:dischargeTransferHospital.answer
                                              Definition

                                              The respondent's answer(s) to the question.

                                              ShortThe response(s) to the question
                                              Comments

                                              The value is nested because we cannot have a repeating structure that has variable type.

                                              Control1..1
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              312. QuestionnaireResponse.item:dischargeTransferHospital.answer.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              314. QuestionnaireResponse.item:dischargeTransferHospital.answer.extension
                                              Definition

                                              An Extension

                                              ShortExtension
                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 316. QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:itemAnswerMedia
                                                Slice NameitemAnswerMedia
                                                Definition

                                                Media to render/make available as an accompaniment to a specific answer option

                                                ShortAnswer Media to display
                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                318. QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:ordinalValue
                                                Slice NameordinalValue
                                                Definition

                                                A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                ShortAssigned Ordinal Value
                                                Comments

                                                Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                Control0..1
                                                TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                Is Modifierfalse
                                                Must Supportfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                320. QuestionnaireResponse.item:dischargeTransferHospital.answer.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                322. QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]
                                                Definition

                                                原樣填入醫院名稱。來源空白請省略本題。

                                                Short醫院名稱。[自由文字,原樣填入]
                                                Comments

                                                More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                Control1..1
                                                BindingFor example codes, see QuestionnaireAnswerCodes
                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                Code indicating the response provided for a question.

                                                Typestring
                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                Is Modifierfalse
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Must Supporttrue
                                                Summaryfalse
                                                Requirements

                                                Ability to retain a single-valued answer to a question.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                324. QuestionnaireResponse.item:dischargeTransferHospital.answer.item
                                                Definition

                                                Nested groups and/or questions found within this particular answer.

                                                ShortNested groups and questions
                                                Control0..0
                                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Requirements

                                                It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                326. QuestionnaireResponse.item:dischargeTransferHospital.item
                                                Definition

                                                Questions or sub-groups nested beneath a question or group.

                                                ShortNested questionnaire response items
                                                Control0..0
                                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Requirements

                                                Reports can consist of complex nested groups.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                328. QuestionnaireResponse.item:threeMonthHospital
                                                Slice NamethreeMonthHospital
                                                Definition

                                                填寫中風後 3 個月追蹤時,病人所在的醫院名稱。

                                                Short中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]
                                                Comments

                                                Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                Control0..1
                                                TypeBackboneElement
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                330. QuestionnaireResponse.item:threeMonthHospital.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                332. QuestionnaireResponse.item:threeMonthHospital.extension
                                                Definition

                                                An Extension

                                                ShortExtension
                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 334. QuestionnaireResponse.item:threeMonthHospital.extension:itemMedia
                                                  Slice NameitemMedia
                                                  Definition

                                                  Media to render/make available as an accompaniment to the question being asked

                                                  ShortMedia to display
                                                  Control0..1
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension(Item Media) (Extension Type: Attachment)
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  336. QuestionnaireResponse.item:threeMonthHospital.extension:ItemSignature
                                                  Slice NameItemSignature
                                                  Definition

                                                  Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                  ShortA signature attesting to the content
                                                  Control0..*
                                                  TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                  Is Modifierfalse
                                                  Must Supportfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  338. QuestionnaireResponse.item:threeMonthHospital.modifierExtension
                                                  Definition

                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                  Summarytrue
                                                  Requirements

                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                  Alternate Namesextensions, user content, modifiers
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  340. QuestionnaireResponse.item:threeMonthHospital.linkId
                                                  Definition

                                                  The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                  ShortPointer to specific item from Questionnaire
                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Requirements

                                                  Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                  Fixed ValuefollowUp3Month.traceThreePlaceHospital
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  342. QuestionnaireResponse.item:threeMonthHospital.definition
                                                  Definition

                                                  A reference to an ElementDefinition that provides the details for the item.

                                                  ShortElementDefinition - details for the item
                                                  Comments

                                                  The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                  There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                  Control0..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summaryfalse
                                                  Requirements

                                                  A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  344. QuestionnaireResponse.item:threeMonthHospital.text
                                                  Definition

                                                  Text that is displayed above the contents of the group or as the text of the question being answered.

                                                  ShortName for group or question text
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Requirements

                                                  Allows the questionnaire response to be read without access to the questionnaire.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  346. QuestionnaireResponse.item:threeMonthHospital.answer
                                                  Definition

                                                  The respondent's answer(s) to the question.

                                                  ShortThe response(s) to the question
                                                  Comments

                                                  The value is nested because we cannot have a repeating structure that has variable type.

                                                  Control1..1
                                                  TypeBackboneElement
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  348. QuestionnaireResponse.item:threeMonthHospital.answer.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  350. QuestionnaireResponse.item:threeMonthHospital.answer.extension
                                                  Definition

                                                  An Extension

                                                  ShortExtension
                                                  Control0..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 352. QuestionnaireResponse.item:threeMonthHospital.answer.extension:itemAnswerMedia
                                                    Slice NameitemAnswerMedia
                                                    Definition

                                                    Media to render/make available as an accompaniment to a specific answer option

                                                    ShortAnswer Media to display
                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    354. QuestionnaireResponse.item:threeMonthHospital.answer.extension:ordinalValue
                                                    Slice NameordinalValue
                                                    Definition

                                                    A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                    ShortAssigned Ordinal Value
                                                    Comments

                                                    Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                    Control0..1
                                                    TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                    Is Modifierfalse
                                                    Must Supportfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    356. QuestionnaireResponse.item:threeMonthHospital.answer.modifierExtension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                    Summarytrue
                                                    Requirements

                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                    Alternate Namesextensions, user content, modifiers
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    358. QuestionnaireResponse.item:threeMonthHospital.answer.value[x]
                                                    Definition

                                                    原樣填入醫院名稱。來源空白請省略本題。

                                                    Short醫院名稱。[自由文字,原樣填入]
                                                    Comments

                                                    More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                    Control1..1
                                                    BindingFor example codes, see QuestionnaireAnswerCodes
                                                    (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                    Code indicating the response provided for a question.

                                                    Typestring
                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                    Is Modifierfalse
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Requirements

                                                    Ability to retain a single-valued answer to a question.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    360. QuestionnaireResponse.item:threeMonthHospital.answer.item
                                                    Definition

                                                    Nested groups and/or questions found within this particular answer.

                                                    ShortNested groups and questions
                                                    Control0..0
                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Requirements

                                                    It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    362. QuestionnaireResponse.item:threeMonthHospital.item
                                                    Definition

                                                    Questions or sub-groups nested beneath a question or group.

                                                    ShortNested questionnaire response items
                                                    Control0..0
                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Requirements

                                                    Reports can consist of complex nested groups.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    364. QuestionnaireResponse.item:followUpVisitHospital
                                                    Slice NamefollowUpVisitHospital
                                                    Definition

                                                    填寫追蹤期間病人繼續回診服藥的醫院名稱。

                                                    Short追蹤回診醫院。[適用 EVT 登錄追蹤表]
                                                    Comments

                                                    Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                    Control0..1
                                                    TypeBackboneElement
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                    366. QuestionnaireResponse.item:followUpVisitHospital.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    368. QuestionnaireResponse.item:followUpVisitHospital.extension
                                                    Definition

                                                    An Extension

                                                    ShortExtension
                                                    Control0..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 370. QuestionnaireResponse.item:followUpVisitHospital.extension:itemMedia
                                                      Slice NameitemMedia
                                                      Definition

                                                      Media to render/make available as an accompaniment to the question being asked

                                                      ShortMedia to display
                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(Item Media) (Extension Type: Attachment)
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      372. QuestionnaireResponse.item:followUpVisitHospital.extension:ItemSignature
                                                      Slice NameItemSignature
                                                      Definition

                                                      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                      ShortA signature attesting to the content
                                                      Control0..*
                                                      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                      Is Modifierfalse
                                                      Must Supportfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      374. QuestionnaireResponse.item:followUpVisitHospital.modifierExtension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                      Summarytrue
                                                      Requirements

                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                      Alternate Namesextensions, user content, modifiers
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      376. QuestionnaireResponse.item:followUpVisitHospital.linkId
                                                      Definition

                                                      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                      ShortPointer to specific item from Questionnaire
                                                      Control1..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Requirements

                                                      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                      Fixed ValuefollowUpEvent.traceTreat1Hospital
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      378. QuestionnaireResponse.item:followUpVisitHospital.definition
                                                      Definition

                                                      A reference to an ElementDefinition that provides the details for the item.

                                                      ShortElementDefinition - details for the item
                                                      Comments

                                                      The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                      There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                      Control0..1
                                                      Typeuri
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summaryfalse
                                                      Requirements

                                                      A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      380. QuestionnaireResponse.item:followUpVisitHospital.text
                                                      Definition

                                                      Text that is displayed above the contents of the group or as the text of the question being answered.

                                                      ShortName for group or question text
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Requirements

                                                      Allows the questionnaire response to be read without access to the questionnaire.

                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      382. QuestionnaireResponse.item:followUpVisitHospital.answer
                                                      Definition

                                                      The respondent's answer(s) to the question.

                                                      ShortThe response(s) to the question
                                                      Comments

                                                      The value is nested because we cannot have a repeating structure that has variable type.

                                                      Control1..1
                                                      TypeBackboneElement
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      384. QuestionnaireResponse.item:followUpVisitHospital.answer.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      386. QuestionnaireResponse.item:followUpVisitHospital.answer.extension
                                                      Definition

                                                      An Extension

                                                      ShortExtension
                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 388. QuestionnaireResponse.item:followUpVisitHospital.answer.extension:itemAnswerMedia
                                                        Slice NameitemAnswerMedia
                                                        Definition

                                                        Media to render/make available as an accompaniment to a specific answer option

                                                        ShortAnswer Media to display
                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        390. QuestionnaireResponse.item:followUpVisitHospital.answer.extension:ordinalValue
                                                        Slice NameordinalValue
                                                        Definition

                                                        A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                        ShortAssigned Ordinal Value
                                                        Comments

                                                        Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                        Control0..1
                                                        TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                        Is Modifierfalse
                                                        Must Supportfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        392. QuestionnaireResponse.item:followUpVisitHospital.answer.modifierExtension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                        Summarytrue
                                                        Requirements

                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                        Alternate Namesextensions, user content, modifiers
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        394. QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]
                                                        Definition

                                                        原樣填入醫院名稱。來源空白請省略本題。

                                                        Short醫院名稱。[自由文字,原樣填入]
                                                        Comments

                                                        More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                        Control1..1
                                                        BindingFor example codes, see QuestionnaireAnswerCodes
                                                        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                        Code indicating the response provided for a question.

                                                        Typestring
                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Requirements

                                                        Ability to retain a single-valued answer to a question.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        396. QuestionnaireResponse.item:followUpVisitHospital.answer.item
                                                        Definition

                                                        Nested groups and/or questions found within this particular answer.

                                                        ShortNested groups and questions
                                                        Control0..0
                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Requirements

                                                        It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        398. QuestionnaireResponse.item:followUpVisitHospital.item
                                                        Definition

                                                        Questions or sub-groups nested beneath a question or group.

                                                        ShortNested questionnaire response items
                                                        Control0..0
                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Requirements

                                                        Reports can consist of complex nested groups.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        400. QuestionnaireResponse.item:recurrentStrokeHospital
                                                        Slice NamerecurrentStrokeHospital
                                                        Definition

                                                        填寫追蹤期間再中風時,病人就醫的醫院名稱。

                                                        Short再中風就醫醫院。[適用 EVT 登錄追蹤表]
                                                        Comments

                                                        Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                        Control0..1
                                                        TypeBackboneElement
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                        402. QuestionnaireResponse.item:recurrentStrokeHospital.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        404. QuestionnaireResponse.item:recurrentStrokeHospital.extension
                                                        Definition

                                                        An Extension

                                                        ShortExtension
                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 406. QuestionnaireResponse.item:recurrentStrokeHospital.extension:itemMedia
                                                          Slice NameitemMedia
                                                          Definition

                                                          Media to render/make available as an accompaniment to the question being asked

                                                          ShortMedia to display
                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension(Item Media) (Extension Type: Attachment)
                                                          Is Modifierfalse
                                                          Must Supportfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          408. QuestionnaireResponse.item:recurrentStrokeHospital.extension:ItemSignature
                                                          Slice NameItemSignature
                                                          Definition

                                                          Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                          ShortA signature attesting to the content
                                                          Control0..*
                                                          TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                          Is Modifierfalse
                                                          Must Supportfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          410. QuestionnaireResponse.item:recurrentStrokeHospital.modifierExtension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                          Summarytrue
                                                          Requirements

                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                          Alternate Namesextensions, user content, modifiers
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          412. QuestionnaireResponse.item:recurrentStrokeHospital.linkId
                                                          Definition

                                                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                          ShortPointer to specific item from Questionnaire
                                                          Control1..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supporttrue
                                                          Summaryfalse
                                                          Requirements

                                                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                          Fixed ValuefollowUpEvent.traceTreat2StrokeHospital
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          414. QuestionnaireResponse.item:recurrentStrokeHospital.definition
                                                          Definition

                                                          A reference to an ElementDefinition that provides the details for the item.

                                                          ShortElementDefinition - details for the item
                                                          Comments

                                                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                          Control0..1
                                                          Typeuri
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summaryfalse
                                                          Requirements

                                                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          416. QuestionnaireResponse.item:recurrentStrokeHospital.text
                                                          Definition

                                                          Text that is displayed above the contents of the group or as the text of the question being answered.

                                                          ShortName for group or question text
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Must Supporttrue
                                                          Summaryfalse
                                                          Requirements

                                                          Allows the questionnaire response to be read without access to the questionnaire.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          418. QuestionnaireResponse.item:recurrentStrokeHospital.answer
                                                          Definition

                                                          The respondent's answer(s) to the question.

                                                          ShortThe response(s) to the question
                                                          Comments

                                                          The value is nested because we cannot have a repeating structure that has variable type.

                                                          Control1..1
                                                          TypeBackboneElement
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          420. QuestionnaireResponse.item:recurrentStrokeHospital.answer.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          422. QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension
                                                          Definition

                                                          An Extension

                                                          ShortExtension
                                                          Control0..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 424. QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:itemAnswerMedia
                                                            Slice NameitemAnswerMedia
                                                            Definition

                                                            Media to render/make available as an accompaniment to a specific answer option

                                                            ShortAnswer Media to display
                                                            Control0..1
                                                            This element is affected by the following invariants: ele-1
                                                            TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            426. QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:ordinalValue
                                                            Slice NameordinalValue
                                                            Definition

                                                            A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                            ShortAssigned Ordinal Value
                                                            Comments

                                                            Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                            Control0..1
                                                            TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                            Is Modifierfalse
                                                            Must Supportfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            428. QuestionnaireResponse.item:recurrentStrokeHospital.answer.modifierExtension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                            Summarytrue
                                                            Requirements

                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                            Alternate Namesextensions, user content, modifiers
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            430. QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]
                                                            Definition

                                                            原樣填入醫院名稱。來源空白請省略本題。

                                                            Short醫院名稱。[自由文字,原樣填入]
                                                            Comments

                                                            More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                            Control1..1
                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                            Code indicating the response provided for a question.

                                                            Typestring
                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                            Is Modifierfalse
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Requirements

                                                            Ability to retain a single-valued answer to a question.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            432. QuestionnaireResponse.item:recurrentStrokeHospital.answer.item
                                                            Definition

                                                            Nested groups and/or questions found within this particular answer.

                                                            ShortNested groups and questions
                                                            Control0..0
                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Requirements

                                                            It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            434. QuestionnaireResponse.item:recurrentStrokeHospital.item
                                                            Definition

                                                            Questions or sub-groups nested beneath a question or group.

                                                            ShortNested questionnaire response items
                                                            Control0..0
                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Requirements

                                                            Reports can consist of complex nested groups.

                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            436. QuestionnaireResponse.item:unresolvedComaScaleCol19
                                                            Slice NameunresolvedComaScaleCol19
                                                            Definition

                                                            記錄個管系統昏迷指數與生命徵象資料中,實際檔案比譯碼簿多出的一欄。

                                                            Short昏迷指數與生命徵象的額外欄位(第 19 欄)。[適用個管系統]
                                                            Comments

                                                            Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                            Control0..1
                                                            TypeBackboneElement
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                            438. QuestionnaireResponse.item:unresolvedComaScaleCol19.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            440. QuestionnaireResponse.item:unresolvedComaScaleCol19.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 442. QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:itemMedia
                                                              Slice NameitemMedia
                                                              Definition

                                                              Media to render/make available as an accompaniment to the question being asked

                                                              ShortMedia to display
                                                              Control0..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(Item Media) (Extension Type: Attachment)
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              444. QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:ItemSignature
                                                              Slice NameItemSignature
                                                              Definition

                                                              Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                              ShortA signature attesting to the content
                                                              Control0..*
                                                              TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                              Is Modifierfalse
                                                              Must Supportfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              446. QuestionnaireResponse.item:unresolvedComaScaleCol19.modifierExtension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              448. QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId
                                                              Definition

                                                              The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                              ShortPointer to specific item from Questionnaire
                                                              Control1..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Requirements

                                                              Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                              Fixed Valueunresolved.NCVA.COMASCALE.UNNAMED_COL_19
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              450. QuestionnaireResponse.item:unresolvedComaScaleCol19.definition
                                                              Definition

                                                              A reference to an ElementDefinition that provides the details for the item.

                                                              ShortElementDefinition - details for the item
                                                              Comments

                                                              The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                              There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                              Control0..1
                                                              Typeuri
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summaryfalse
                                                              Requirements

                                                              A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              452. QuestionnaireResponse.item:unresolvedComaScaleCol19.text
                                                              Definition

                                                              Text that is displayed above the contents of the group or as the text of the question being answered.

                                                              ShortName for group or question text
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Requirements

                                                              Allows the questionnaire response to be read without access to the questionnaire.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              454. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer
                                                              Definition

                                                              The respondent's answer(s) to the question.

                                                              ShortThe response(s) to the question
                                                              Comments

                                                              The value is nested because we cannot have a repeating structure that has variable type.

                                                              Control1..1
                                                              TypeBackboneElement
                                                              Is Modifierfalse
                                                              Must Supporttrue
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              456. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              458. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension
                                                              Definition

                                                              An Extension

                                                              ShortExtension
                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 460. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:itemAnswerMedia
                                                                Slice NameitemAnswerMedia
                                                                Definition

                                                                Media to render/make available as an accompaniment to a specific answer option

                                                                ShortAnswer Media to display
                                                                Control0..1
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                462. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:ordinalValue
                                                                Slice NameordinalValue
                                                                Definition

                                                                A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                                ShortAssigned Ordinal Value
                                                                Comments

                                                                Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                                Control0..1
                                                                TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                                Is Modifierfalse
                                                                Must Supportfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                464. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.modifierExtension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                Summarytrue
                                                                Requirements

                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                Alternate Namesextensions, user content, modifiers
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                466. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]
                                                                Definition

                                                                完整填入原始字串。來源空白請省略本題。

                                                                Short原始值。[原樣填入]
                                                                Comments

                                                                More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                Control1..1
                                                                BindingFor example codes, see QuestionnaireAnswerCodes
                                                                (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                Code indicating the response provided for a question.

                                                                Typestring
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Requirements

                                                                Ability to retain a single-valued answer to a question.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                468. QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item
                                                                Definition

                                                                Nested groups and/or questions found within this particular answer.

                                                                ShortNested groups and questions
                                                                Control0..0
                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Requirements

                                                                It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                470. QuestionnaireResponse.item:unresolvedComaScaleCol19.item
                                                                Definition

                                                                Questions or sub-groups nested beneath a question or group.

                                                                ShortNested questionnaire response items
                                                                Control0..0
                                                                TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Requirements

                                                                Reports can consist of complex nested groups.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                472. QuestionnaireResponse.item:unresolvedMrsCol06
                                                                Slice NameunresolvedMrsCol06
                                                                Definition

                                                                個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第一欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。

                                                                ShortmRS 評估的額外欄位(第 6 欄)。[適用個管系統]
                                                                Comments

                                                                Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                                Control0..1
                                                                TypeBackboneElement
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                                474. QuestionnaireResponse.item:unresolvedMrsCol06.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                476. QuestionnaireResponse.item:unresolvedMrsCol06.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 478. QuestionnaireResponse.item:unresolvedMrsCol06.extension:itemMedia
                                                                  Slice NameitemMedia
                                                                  Definition

                                                                  Media to render/make available as an accompaniment to the question being asked

                                                                  ShortMedia to display
                                                                  Control0..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension(Item Media) (Extension Type: Attachment)
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  480. QuestionnaireResponse.item:unresolvedMrsCol06.extension:ItemSignature
                                                                  Slice NameItemSignature
                                                                  Definition

                                                                  Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                                  ShortA signature attesting to the content
                                                                  Control0..*
                                                                  TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                                  Is Modifierfalse
                                                                  Must Supportfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  482. QuestionnaireResponse.item:unresolvedMrsCol06.modifierExtension
                                                                  Definition

                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                  Comments

                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                  Summarytrue
                                                                  Requirements

                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                  Alternate Namesextensions, user content, modifiers
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  484. QuestionnaireResponse.item:unresolvedMrsCol06.linkId
                                                                  Definition

                                                                  The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                  ShortPointer to specific item from Questionnaire
                                                                  Control1..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                  Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_06
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  486. QuestionnaireResponse.item:unresolvedMrsCol06.definition
                                                                  Definition

                                                                  A reference to an ElementDefinition that provides the details for the item.

                                                                  ShortElementDefinition - details for the item
                                                                  Comments

                                                                  The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                  There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                  Control0..1
                                                                  Typeuri
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Requirements

                                                                  A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  488. QuestionnaireResponse.item:unresolvedMrsCol06.text
                                                                  Definition

                                                                  Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                  ShortName for group or question text
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Must Supporttrue
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Allows the questionnaire response to be read without access to the questionnaire.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  490. QuestionnaireResponse.item:unresolvedMrsCol06.answer
                                                                  Definition

                                                                  The respondent's answer(s) to the question.

                                                                  ShortThe response(s) to the question
                                                                  Comments

                                                                  The value is nested because we cannot have a repeating structure that has variable type.

                                                                  Control1..*
                                                                  TypeBackboneElement
                                                                  Is Modifierfalse
                                                                  Must Supporttrue
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  492. QuestionnaireResponse.item:unresolvedMrsCol06.answer.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  494. QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control0..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 496. QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:itemAnswerMedia
                                                                    Slice NameitemAnswerMedia
                                                                    Definition

                                                                    Media to render/make available as an accompaniment to a specific answer option

                                                                    ShortAnswer Media to display
                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    498. QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:ordinalValue
                                                                    Slice NameordinalValue
                                                                    Definition

                                                                    A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                                    ShortAssigned Ordinal Value
                                                                    Comments

                                                                    Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                                    Control0..1
                                                                    TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                                    Is Modifierfalse
                                                                    Must Supportfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    500. QuestionnaireResponse.item:unresolvedMrsCol06.answer.modifierExtension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                    Summarytrue
                                                                    Requirements

                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                    Alternate Namesextensions, user content, modifiers
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    502. QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]
                                                                    Definition

                                                                    完整填入原始字串,空白值不填。

                                                                    Short原始值。[原樣填入]
                                                                    Comments

                                                                    More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                    Control1..1
                                                                    BindingFor example codes, see QuestionnaireAnswerCodes
                                                                    (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                    Code indicating the response provided for a question.

                                                                    Typestring
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Is Modifierfalse
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Must Supporttrue
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Ability to retain a single-valued answer to a question.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    504. QuestionnaireResponse.item:unresolvedMrsCol06.answer.item
                                                                    Definition

                                                                    Nested groups and/or questions found within this particular answer.

                                                                    ShortNested groups and questions
                                                                    Control0..0
                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                    Is Modifierfalse
                                                                    Must Supporttrue
                                                                    Summaryfalse
                                                                    Requirements

                                                                    It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    506. QuestionnaireResponse.item:unresolvedMrsCol06.item
                                                                    Definition

                                                                    Questions or sub-groups nested beneath a question or group.

                                                                    ShortNested questionnaire response items
                                                                    Control0..0
                                                                    TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                    Is Modifierfalse
                                                                    Must Supporttrue
                                                                    Summaryfalse
                                                                    Requirements

                                                                    Reports can consist of complex nested groups.

                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    508. QuestionnaireResponse.item:unresolvedMrsCol07
                                                                    Slice NameunresolvedMrsCol07
                                                                    Definition

                                                                    個管系統 mRS 評估資料中,實際檔案比譯碼簿多出的第二欄。單一個管事件可有多筆 mRS 評估,每筆非空白值各填一個 answer;各值對應哪一筆評估,以原始值群組 raw.ncva.mrs 為準。

                                                                    ShortmRS 評估的額外欄位(第 7 欄)。[適用個管系統]
                                                                    Comments

                                                                    Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                                    Control0..1
                                                                    TypeBackboneElement
                                                                    Is Modifierfalse
                                                                    Must Supporttrue
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                                    510. QuestionnaireResponse.item:unresolvedMrsCol07.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    512. QuestionnaireResponse.item:unresolvedMrsCol07.extension
                                                                    Definition

                                                                    An Extension

                                                                    ShortExtension
                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 514. QuestionnaireResponse.item:unresolvedMrsCol07.extension:itemMedia
                                                                      Slice NameitemMedia
                                                                      Definition

                                                                      Media to render/make available as an accompaniment to the question being asked

                                                                      ShortMedia to display
                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension(Item Media) (Extension Type: Attachment)
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      516. QuestionnaireResponse.item:unresolvedMrsCol07.extension:ItemSignature
                                                                      Slice NameItemSignature
                                                                      Definition

                                                                      Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                                      ShortA signature attesting to the content
                                                                      Control0..*
                                                                      TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                                      Is Modifierfalse
                                                                      Must Supportfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      518. QuestionnaireResponse.item:unresolvedMrsCol07.modifierExtension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                      Summarytrue
                                                                      Requirements

                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                      Alternate Namesextensions, user content, modifiers
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      520. QuestionnaireResponse.item:unresolvedMrsCol07.linkId
                                                                      Definition

                                                                      The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                      ShortPointer to specific item from Questionnaire
                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                      Fixed Valueunresolved.NCVA.mRS.UNNAMED_COL_07
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      522. QuestionnaireResponse.item:unresolvedMrsCol07.definition
                                                                      Definition

                                                                      A reference to an ElementDefinition that provides the details for the item.

                                                                      ShortElementDefinition - details for the item
                                                                      Comments

                                                                      The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                      There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                      Control0..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summaryfalse
                                                                      Requirements

                                                                      A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      524. QuestionnaireResponse.item:unresolvedMrsCol07.text
                                                                      Definition

                                                                      Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                      ShortName for group or question text
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summaryfalse
                                                                      Requirements

                                                                      Allows the questionnaire response to be read without access to the questionnaire.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      526. QuestionnaireResponse.item:unresolvedMrsCol07.answer
                                                                      Definition

                                                                      The respondent's answer(s) to the question.

                                                                      ShortThe response(s) to the question
                                                                      Comments

                                                                      The value is nested because we cannot have a repeating structure that has variable type.

                                                                      Control1..*
                                                                      TypeBackboneElement
                                                                      Is Modifierfalse
                                                                      Must Supporttrue
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      528. QuestionnaireResponse.item:unresolvedMrsCol07.answer.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      530. QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension
                                                                      Definition

                                                                      An Extension

                                                                      ShortExtension
                                                                      Control0..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on QuestionnaireResponse.item.answer.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 532. QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:itemAnswerMedia
                                                                        Slice NameitemAnswerMedia
                                                                        Definition

                                                                        Media to render/make available as an accompaniment to a specific answer option

                                                                        ShortAnswer Media to display
                                                                        Control0..1
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeExtension(Item Answer Media) (Extension Type: Attachment)
                                                                        Is Modifierfalse
                                                                        Must Supportfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        534. QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:ordinalValue
                                                                        Slice NameordinalValue
                                                                        Definition

                                                                        A numeric value that allows the comparison (less than, greater than) or other numerical manipulation of a concept (e.g. Adding up components of a score). Scores are usually a whole number, but occasionally decimals are encountered in scores.

                                                                        ShortAssigned Ordinal Value
                                                                        Comments

                                                                        Scores are commonly encountered in various clinical assessment scales. Assigning a value to a concept should generally be done in a formal code system that defines the value, or in an applicable value set for the concept, but some concepts do not have a formal definition (or are not even represented as a concept formally, especially in Questionnaires, so this extension is allowed to appear ouside those preferred contexts. Scores may even be assigned arbitrarily during use (hence, on Coding). The value may be constrained to an integer in some contexts of use. Todo: Scoring algorithms may also be defined directly, but how this is done is not yet defined.

                                                                        Control0..1
                                                                        TypeExtension(Ordinal Value) (Extension Type: decimal)
                                                                        Is Modifierfalse
                                                                        Must Supportfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        536. QuestionnaireResponse.item:unresolvedMrsCol07.answer.modifierExtension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                        Summarytrue
                                                                        Requirements

                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                        Alternate Namesextensions, user content, modifiers
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        538. QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]
                                                                        Definition

                                                                        完整填入原始字串,空白值不填。

                                                                        Short原始值。[原樣填入]
                                                                        Comments

                                                                        More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                        Control1..1
                                                                        BindingFor example codes, see QuestionnaireAnswerCodes
                                                                        (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                        Code indicating the response provided for a question.

                                                                        Typestring
                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                        Is Modifierfalse
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Ability to retain a single-valued answer to a question.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        540. QuestionnaireResponse.item:unresolvedMrsCol07.answer.item
                                                                        Definition

                                                                        Nested groups and/or questions found within this particular answer.

                                                                        ShortNested groups and questions
                                                                        Control0..0
                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        Requirements

                                                                        It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        542. QuestionnaireResponse.item:unresolvedMrsCol07.item
                                                                        Definition

                                                                        Questions or sub-groups nested beneath a question or group.

                                                                        ShortNested questionnaire response items
                                                                        Control0..0
                                                                        TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        Requirements

                                                                        Reports can consist of complex nested groups.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        544. QuestionnaireResponse.item:rawNcva
                                                                        Slice NamerawNcva
                                                                        Definition

                                                                        收納個管系統的來源原始值。下層請依個管系統邏輯模型(StrokeCaseManagementLM)元素排列:識別欄位與各欄位為字串題目,資料表為群組題目。linkId 為 raw.ncva.<邏輯模型元素路徑>,例如 raw.ncva.caseMain.occdate。NIHSS 與 mRS 評估每一列各建一個群組。所有值一律填入 valueString(包含代碼、日期、時間與數字);去除前後空白,其餘不改寫;空白欄位直接省略。

                                                                        Short個管系統原始值。[linkId 固定為 raw.ncva]
                                                                        Comments

                                                                        Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                                        Control0..1
                                                                        TypeBackboneElement
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                                        546. QuestionnaireResponse.item:rawNcva.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        548. QuestionnaireResponse.item:rawNcva.extension
                                                                        Definition

                                                                        An Extension

                                                                        ShortExtension
                                                                        Control0..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 550. QuestionnaireResponse.item:rawNcva.extension:itemMedia
                                                                          Slice NameitemMedia
                                                                          Definition

                                                                          Media to render/make available as an accompaniment to the question being asked

                                                                          ShortMedia to display
                                                                          Control0..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension(Item Media) (Extension Type: Attachment)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          552. QuestionnaireResponse.item:rawNcva.extension:ItemSignature
                                                                          Slice NameItemSignature
                                                                          Definition

                                                                          Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                                          ShortA signature attesting to the content
                                                                          Control0..*
                                                                          TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                                          Is Modifierfalse
                                                                          Must Supportfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          554. QuestionnaireResponse.item:rawNcva.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          556. QuestionnaireResponse.item:rawNcva.linkId
                                                                          Definition

                                                                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                          ShortPointer to specific item from Questionnaire
                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                          Fixed Valueraw.ncva
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          558. QuestionnaireResponse.item:rawNcva.definition
                                                                          Definition

                                                                          A reference to an ElementDefinition that provides the details for the item.

                                                                          ShortElementDefinition - details for the item
                                                                          Comments

                                                                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                          Control0..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          560. QuestionnaireResponse.item:rawNcva.text
                                                                          Definition

                                                                          Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                          ShortName for group or question text
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Allows the questionnaire response to be read without access to the questionnaire.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          562. QuestionnaireResponse.item:rawNcva.answer
                                                                          Definition

                                                                          The respondent's answer(s) to the question.

                                                                          ShortThe response(s) to the question
                                                                          Comments

                                                                          The value is nested because we cannot have a repeating structure that has variable type.

                                                                          Control0..0
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          571. QuestionnaireResponse.item:rawNcva.item
                                                                          Definition

                                                                          Questions or sub-groups nested beneath a question or group.

                                                                          ShortNested questionnaire response items
                                                                          Control1..*
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Reports can consist of complex nested groups.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          573. QuestionnaireResponse.item:rawNcva.item.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          575. QuestionnaireResponse.item:rawNcva.item.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          577. QuestionnaireResponse.item:rawNcva.item.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          579. QuestionnaireResponse.item:rawNcva.item.linkId
                                                                          Definition

                                                                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                          ShortPointer to specific item from Questionnaire
                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          581. QuestionnaireResponse.item:rawNcva.item.definition
                                                                          Definition

                                                                          A reference to an ElementDefinition that provides the details for the item.

                                                                          ShortElementDefinition - details for the item
                                                                          Comments

                                                                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                          Control0..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          583. QuestionnaireResponse.item:rawNcva.item.text
                                                                          Definition

                                                                          Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                          ShortName for group or question text
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Allows the questionnaire response to be read without access to the questionnaire.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          585. QuestionnaireResponse.item:rawNcva.item.answer
                                                                          Definition

                                                                          The respondent's answer(s) to the question.

                                                                          ShortThe response(s) to the question
                                                                          Comments

                                                                          The value is nested because we cannot have a repeating structure that has variable type.

                                                                          Control0..*
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          587. QuestionnaireResponse.item:rawNcva.item.answer.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          589. QuestionnaireResponse.item:rawNcva.item.answer.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          591. QuestionnaireResponse.item:rawNcva.item.answer.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          593. QuestionnaireResponse.item:rawNcva.item.answer.value[x]
                                                                          Definition

                                                                          The answer (or one of the answers) provided by the respondent to the question.

                                                                          ShortSingle-valued answer to the question
                                                                          Comments

                                                                          More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                          Control0..1
                                                                          BindingFor example codes, see QuestionnaireAnswerCodes
                                                                          (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                          Code indicating the response provided for a question.

                                                                          Typestring
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Ability to retain a single-valued answer to a question.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          595. QuestionnaireResponse.item:rawNcva.item.answer.item
                                                                          Definition

                                                                          Nested groups and/or questions found within this particular answer.

                                                                          ShortNested groups and questions
                                                                          Control0..*
                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          597. QuestionnaireResponse.item:rawNcva.item.item
                                                                          Definition

                                                                          Questions or sub-groups nested beneath a question or group.

                                                                          ShortNested questionnaire response items
                                                                          Control0..*
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Reports can consist of complex nested groups.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          599. QuestionnaireResponse.item:rawNcva.item.item.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          601. QuestionnaireResponse.item:rawNcva.item.item.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          603. QuestionnaireResponse.item:rawNcva.item.item.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          605. QuestionnaireResponse.item:rawNcva.item.item.linkId
                                                                          Definition

                                                                          The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                          ShortPointer to specific item from Questionnaire
                                                                          Control1..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          607. QuestionnaireResponse.item:rawNcva.item.item.definition
                                                                          Definition

                                                                          A reference to an ElementDefinition that provides the details for the item.

                                                                          ShortElementDefinition - details for the item
                                                                          Comments

                                                                          The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                          There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                          Control0..1
                                                                          Typeuri
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          609. QuestionnaireResponse.item:rawNcva.item.item.text
                                                                          Definition

                                                                          Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                          ShortName for group or question text
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Allows the questionnaire response to be read without access to the questionnaire.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          611. QuestionnaireResponse.item:rawNcva.item.item.answer
                                                                          Definition

                                                                          The respondent's answer(s) to the question.

                                                                          ShortThe response(s) to the question
                                                                          Comments

                                                                          The value is nested because we cannot have a repeating structure that has variable type.

                                                                          Control0..*
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          613. QuestionnaireResponse.item:rawNcva.item.item.answer.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          615. QuestionnaireResponse.item:rawNcva.item.item.answer.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          617. QuestionnaireResponse.item:rawNcva.item.item.answer.modifierExtension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                          ShortExtensions that cannot be ignored even if unrecognized
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                          Summarytrue
                                                                          Requirements

                                                                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                          Alternate Namesextensions, user content, modifiers
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          619. QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]
                                                                          Definition

                                                                          The answer (or one of the answers) provided by the respondent to the question.

                                                                          ShortSingle-valued answer to the question
                                                                          Comments

                                                                          More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                          Control0..1
                                                                          BindingFor example codes, see QuestionnaireAnswerCodes
                                                                          (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                          Code indicating the response provided for a question.

                                                                          Typestring
                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                          Is Modifierfalse
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Ability to retain a single-valued answer to a question.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          621. QuestionnaireResponse.item:rawNcva.item.item.answer.item
                                                                          Definition

                                                                          Nested groups and/or questions found within this particular answer.

                                                                          ShortNested groups and questions
                                                                          Control0..*
                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          623. QuestionnaireResponse.item:rawNcva.item.item.item
                                                                          Definition

                                                                          Questions or sub-groups nested beneath a question or group.

                                                                          ShortNested questionnaire response items
                                                                          Control0..0
                                                                          TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Requirements

                                                                          Reports can consist of complex nested groups.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          625. QuestionnaireResponse.item:rawEvt
                                                                          Slice NamerawEvt
                                                                          Definition

                                                                          收納 EVT 登錄的來源原始值。下層請依 EVT 登錄邏輯模型(StrokeEvtRegistryLM)元素排列:個案識別碼與各欄位為字串題目,欄位分組為群組題目。linkId 為 raw.evt.<邏輯模型元素路徑>,例如 raw.evt.demographics.consent。主表回覆放追蹤以外的欄位;追蹤表回覆放個案識別碼、追蹤表登錄狀態,以及 3 個月追蹤與追蹤醫療事件的欄位。值一律填入 valueString;去除前後空白,其餘不改寫;空白欄位直接省略。

                                                                          ShortEVT 登錄原始值。[linkId 固定為 raw.evt]
                                                                          Comments

                                                                          Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                                          Control0..1
                                                                          TypeBackboneElement
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                                          627. QuestionnaireResponse.item:rawEvt.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          629. QuestionnaireResponse.item:rawEvt.extension
                                                                          Definition

                                                                          An Extension

                                                                          ShortExtension
                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 631. QuestionnaireResponse.item:rawEvt.extension:itemMedia
                                                                            Slice NameitemMedia
                                                                            Definition

                                                                            Media to render/make available as an accompaniment to the question being asked

                                                                            ShortMedia to display
                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeExtension(Item Media) (Extension Type: Attachment)
                                                                            Is Modifierfalse
                                                                            Must Supportfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            633. QuestionnaireResponse.item:rawEvt.extension:ItemSignature
                                                                            Slice NameItemSignature
                                                                            Definition

                                                                            Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                                            ShortA signature attesting to the content
                                                                            Control0..*
                                                                            TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                                            Is Modifierfalse
                                                                            Must Supportfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            635. QuestionnaireResponse.item:rawEvt.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            637. QuestionnaireResponse.item:rawEvt.linkId
                                                                            Definition

                                                                            The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                            ShortPointer to specific item from Questionnaire
                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                            Fixed Valueraw.evt
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            639. QuestionnaireResponse.item:rawEvt.definition
                                                                            Definition

                                                                            A reference to an ElementDefinition that provides the details for the item.

                                                                            ShortElementDefinition - details for the item
                                                                            Comments

                                                                            The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                            There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                            Control0..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            641. QuestionnaireResponse.item:rawEvt.text
                                                                            Definition

                                                                            Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                            ShortName for group or question text
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Allows the questionnaire response to be read without access to the questionnaire.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            643. QuestionnaireResponse.item:rawEvt.answer
                                                                            Definition

                                                                            The respondent's answer(s) to the question.

                                                                            ShortThe response(s) to the question
                                                                            Comments

                                                                            The value is nested because we cannot have a repeating structure that has variable type.

                                                                            Control0..0
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            652. QuestionnaireResponse.item:rawEvt.item
                                                                            Definition

                                                                            Questions or sub-groups nested beneath a question or group.

                                                                            ShortNested questionnaire response items
                                                                            Control1..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Reports can consist of complex nested groups.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            654. QuestionnaireResponse.item:rawEvt.item.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            656. QuestionnaireResponse.item:rawEvt.item.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            658. QuestionnaireResponse.item:rawEvt.item.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            660. QuestionnaireResponse.item:rawEvt.item.linkId
                                                                            Definition

                                                                            The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                            ShortPointer to specific item from Questionnaire
                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            662. QuestionnaireResponse.item:rawEvt.item.definition
                                                                            Definition

                                                                            A reference to an ElementDefinition that provides the details for the item.

                                                                            ShortElementDefinition - details for the item
                                                                            Comments

                                                                            The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                            There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                            Control0..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            664. QuestionnaireResponse.item:rawEvt.item.text
                                                                            Definition

                                                                            Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                            ShortName for group or question text
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Allows the questionnaire response to be read without access to the questionnaire.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            666. QuestionnaireResponse.item:rawEvt.item.answer
                                                                            Definition

                                                                            The respondent's answer(s) to the question.

                                                                            ShortThe response(s) to the question
                                                                            Comments

                                                                            The value is nested because we cannot have a repeating structure that has variable type.

                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            668. QuestionnaireResponse.item:rawEvt.item.answer.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            670. QuestionnaireResponse.item:rawEvt.item.answer.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            672. QuestionnaireResponse.item:rawEvt.item.answer.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            674. QuestionnaireResponse.item:rawEvt.item.answer.value[x]
                                                                            Definition

                                                                            The answer (or one of the answers) provided by the respondent to the question.

                                                                            ShortSingle-valued answer to the question
                                                                            Comments

                                                                            More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                            Control0..1
                                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                            Code indicating the response provided for a question.

                                                                            Typestring
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Ability to retain a single-valued answer to a question.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            676. QuestionnaireResponse.item:rawEvt.item.answer.item
                                                                            Definition

                                                                            Nested groups and/or questions found within this particular answer.

                                                                            ShortNested groups and questions
                                                                            Control0..*
                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            678. QuestionnaireResponse.item:rawEvt.item.item
                                                                            Definition

                                                                            Questions or sub-groups nested beneath a question or group.

                                                                            ShortNested questionnaire response items
                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Reports can consist of complex nested groups.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            680. QuestionnaireResponse.item:rawEvt.item.item.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            682. QuestionnaireResponse.item:rawEvt.item.item.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            684. QuestionnaireResponse.item:rawEvt.item.item.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            686. QuestionnaireResponse.item:rawEvt.item.item.linkId
                                                                            Definition

                                                                            The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                            ShortPointer to specific item from Questionnaire
                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            688. QuestionnaireResponse.item:rawEvt.item.item.definition
                                                                            Definition

                                                                            A reference to an ElementDefinition that provides the details for the item.

                                                                            ShortElementDefinition - details for the item
                                                                            Comments

                                                                            The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                            There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                            Control0..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            690. QuestionnaireResponse.item:rawEvt.item.item.text
                                                                            Definition

                                                                            Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                            ShortName for group or question text
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Allows the questionnaire response to be read without access to the questionnaire.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            692. QuestionnaireResponse.item:rawEvt.item.item.answer
                                                                            Definition

                                                                            The respondent's answer(s) to the question.

                                                                            ShortThe response(s) to the question
                                                                            Comments

                                                                            The value is nested because we cannot have a repeating structure that has variable type.

                                                                            Control0..*
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            694. QuestionnaireResponse.item:rawEvt.item.item.answer.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            696. QuestionnaireResponse.item:rawEvt.item.item.answer.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            698. QuestionnaireResponse.item:rawEvt.item.item.answer.modifierExtension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                            Summarytrue
                                                                            Requirements

                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                            Alternate Namesextensions, user content, modifiers
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            700. QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]
                                                                            Definition

                                                                            The answer (or one of the answers) provided by the respondent to the question.

                                                                            ShortSingle-valued answer to the question
                                                                            Comments

                                                                            More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                            Control0..1
                                                                            BindingFor example codes, see QuestionnaireAnswerCodes
                                                                            (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                            Code indicating the response provided for a question.

                                                                            Typestring
                                                                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Ability to retain a single-valued answer to a question.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            702. QuestionnaireResponse.item:rawEvt.item.item.answer.item
                                                                            Definition

                                                                            Nested groups and/or questions found within this particular answer.

                                                                            ShortNested groups and questions
                                                                            Control0..*
                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            704. QuestionnaireResponse.item:rawEvt.item.item.item
                                                                            Definition

                                                                            Questions or sub-groups nested beneath a question or group.

                                                                            ShortNested questionnaire response items
                                                                            Control0..0
                                                                            TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Requirements

                                                                            Reports can consist of complex nested groups.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            706. QuestionnaireResponse.item:rawRapid
                                                                            Slice NamerawRapid
                                                                            Definition

                                                                            收納 RAPID 影像分析的來源原始值。下層請依 RAPID 邏輯模型(StrokeRapidLM)元素排列,每個欄位建一個字串題目,linkId 為 raw.rapid.<邏輯模型元素路徑>,例如 raw.rapid.scantype。值一律填入 valueString;去除前後空白,其餘不改寫,9999 等特殊值也照填;空白欄位直接省略。

                                                                            ShortRAPID 原始值。[linkId 固定為 raw.rapid]
                                                                            Comments

                                                                            Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).

                                                                            Control0..1
                                                                            TypeBackboneElement
                                                                            Is Modifierfalse
                                                                            Must Supporttrue
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            qrs-1: Nested item can't be beneath both item and answer ((answer.exists() and item.exists()).not())
                                                                            708. QuestionnaireResponse.item:rawRapid.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            710. QuestionnaireResponse.item:rawRapid.extension
                                                                            Definition

                                                                            An Extension

                                                                            ShortExtension
                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on QuestionnaireResponse.item.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 712. QuestionnaireResponse.item:rawRapid.extension:itemMedia
                                                                              Slice NameitemMedia
                                                                              Definition

                                                                              Media to render/make available as an accompaniment to the question being asked

                                                                              ShortMedia to display
                                                                              Control0..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension(Item Media) (Extension Type: Attachment)
                                                                              Is Modifierfalse
                                                                              Must Supportfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              714. QuestionnaireResponse.item:rawRapid.extension:ItemSignature
                                                                              Slice NameItemSignature
                                                                              Definition

                                                                              Represents a wet or electronic signature for either the form overall or for the question or item it's associated with.

                                                                              ShortA signature attesting to the content
                                                                              Control0..*
                                                                              TypeExtension(QuestionnaireResponse Signature) (Extension Type: Signature)
                                                                              Is Modifierfalse
                                                                              Must Supportfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              716. QuestionnaireResponse.item:rawRapid.modifierExtension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                              Summarytrue
                                                                              Requirements

                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                              Alternate Namesextensions, user content, modifiers
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              718. QuestionnaireResponse.item:rawRapid.linkId
                                                                              Definition

                                                                              The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                              ShortPointer to specific item from Questionnaire
                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                              Fixed Valueraw.rapid
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              720. QuestionnaireResponse.item:rawRapid.definition
                                                                              Definition

                                                                              A reference to an ElementDefinition that provides the details for the item.

                                                                              ShortElementDefinition - details for the item
                                                                              Comments

                                                                              The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                              There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                              Control0..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              722. QuestionnaireResponse.item:rawRapid.text
                                                                              Definition

                                                                              Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                              ShortName for group or question text
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Allows the questionnaire response to be read without access to the questionnaire.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              724. QuestionnaireResponse.item:rawRapid.answer
                                                                              Definition

                                                                              The respondent's answer(s) to the question.

                                                                              ShortThe response(s) to the question
                                                                              Comments

                                                                              The value is nested because we cannot have a repeating structure that has variable type.

                                                                              Control0..0
                                                                              TypeBackboneElement
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              733. QuestionnaireResponse.item:rawRapid.item
                                                                              Definition

                                                                              Questions or sub-groups nested beneath a question or group.

                                                                              ShortNested questionnaire response items
                                                                              Control1..*
                                                                              TypeBackboneElement
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Reports can consist of complex nested groups.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              735. QuestionnaireResponse.item:rawRapid.item.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              737. QuestionnaireResponse.item:rawRapid.item.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              739. QuestionnaireResponse.item:rawRapid.item.modifierExtension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                              Summarytrue
                                                                              Requirements

                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                              Alternate Namesextensions, user content, modifiers
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              741. QuestionnaireResponse.item:rawRapid.item.linkId
                                                                              Definition

                                                                              The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.

                                                                              ShortPointer to specific item from Questionnaire
                                                                              Control1..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              743. QuestionnaireResponse.item:rawRapid.item.definition
                                                                              Definition

                                                                              A reference to an ElementDefinition that provides the details for the item.

                                                                              ShortElementDefinition - details for the item
                                                                              Comments

                                                                              The ElementDefinition must be in a StructureDefinition, and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].

                                                                              There is no need for this element if the item pointed to by the linkId has a definition listed.

                                                                              Control0..1
                                                                              Typeuri
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              745. QuestionnaireResponse.item:rawRapid.item.text
                                                                              Definition

                                                                              Text that is displayed above the contents of the group or as the text of the question being answered.

                                                                              ShortName for group or question text
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Allows the questionnaire response to be read without access to the questionnaire.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              747. QuestionnaireResponse.item:rawRapid.item.answer
                                                                              Definition

                                                                              The respondent's answer(s) to the question.

                                                                              ShortThe response(s) to the question
                                                                              Comments

                                                                              The value is nested because we cannot have a repeating structure that has variable type.

                                                                              Control0..*
                                                                              TypeBackboneElement
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              749. QuestionnaireResponse.item:rawRapid.item.answer.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              751. QuestionnaireResponse.item:rawRapid.item.answer.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Alternate Namesextensions, user content
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              753. QuestionnaireResponse.item:rawRapid.item.answer.modifierExtension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              TypeExtension
                                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                              Summarytrue
                                                                              Requirements

                                                                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                              Alternate Namesextensions, user content, modifiers
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              755. QuestionnaireResponse.item:rawRapid.item.answer.value[x]
                                                                              Definition

                                                                              The answer (or one of the answers) provided by the respondent to the question.

                                                                              ShortSingle-valued answer to the question
                                                                              Comments

                                                                              More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.

                                                                              Control0..1
                                                                              BindingFor example codes, see QuestionnaireAnswerCodes
                                                                              (example to http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1)

                                                                              Code indicating the response provided for a question.

                                                                              Typestring
                                                                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Ability to retain a single-valued answer to a question.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              757. QuestionnaireResponse.item:rawRapid.item.answer.item
                                                                              Definition

                                                                              Nested groups and/or questions found within this particular answer.

                                                                              ShortNested groups and questions
                                                                              Control0..*
                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Requirements

                                                                              It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              759. QuestionnaireResponse.item:rawRapid.item.item
                                                                              Definition

                                                                              Questions or sub-groups nested beneath a question or group.

                                                                              ShortNested questionnaire response items
                                                                              Control0..0
                                                                              TypeSeettp://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Reports can consist of complex nested groups.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))