<status value="draft"/> <date value="2026-10-07T16:40:32+00:00"/> <publisher value="高雄榮民總醫院 (VGHKS)"/> <contact> <name value="高雄榮民總醫院 (VGHKS)"/> <telecom> <system value="url"/> <value value="https://www.vghks.gov.tw/"/> </telecom> </contact> <description value="此 Profile 說明本 IG 如何進一步定義 FHIR 的 QuestionnaireResponse Resource，以呈現腦中風登錄表單的回覆，包括登錄識別碼、表單狀態、無法轉成臨床資源的欄位，以及來源原始值備份。"/> <purpose value="每個來源、每份表單、每位個案各建一筆。個管系統每個個管事件建一筆；EVT 登錄每位個案的主表與追蹤表各建一筆，各自記錄狀態；RAPID 每次掃描建一筆。回覆內容分兩類：無法轉成臨床資源的欄位歸為正規化題目，以 linkId 的 Slice 定義；來源原值以字串存入原始值群組（raw.*），供追溯與重新轉換。可轉成臨床資源的資料（診斷、評估、處置、用藥等），請以對應的臨床 Profile 呈現。"/> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="QuestionnaireResponse"/> <baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="1.0.0"/> </extension> <element id="QuestionnaireResponse"> <path value="QuestionnaireResponse"/> <short value="SDC Questionnaire Response"/> <definition value="Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems."/> <comment value="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."/> <alias value="Form"/> <alias value="QuestionnaireAnswers"/> <alias value="Form Data"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <key value="sdcqr-1"/> <severity value="warning"/> <human value="Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject."/> <expression value="subject.exists()"/> <xpath value="exists(f:subject)"/> <source value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <key value="sdcqr-2"/> <severity value="error"/> <human value="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."/> <expression value="(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()"/> <xpath value="not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))"/> <source value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.id"> <path value="QuestionnaireResponse.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.meta"> <path value="QuestionnaireResponse.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.implicitRules"> <path value="QuestionnaireResponse.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.language"> <path value="QuestionnaireResponse.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="QuestionnaireResponse.text"> <path value="QuestionnaireResponse.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="QuestionnaireResponse.contained"> <path value="QuestionnaireResponse.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.extension"> <path value="QuestionnaireResponse.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.extension:signature"> <path value="QuestionnaireResponse.extension"/> <sliceName value="signature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.extension:completionMode"> <path value="QuestionnaireResponse.extension"/> <sliceName value="completionMode"/> <short value="E.g. Verbal, written, electronic"/> <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.modifierExtension"> <path value="QuestionnaireResponse.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier"/> <short value="來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]"/> <definition value="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。"/> <requirements value="Used for tracking, registration and other business purposes."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.id"> <path value="QuestionnaireResponse.identifier.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.extension"> <path value="QuestionnaireResponse.identifier.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.use"> <path value="QuestionnaireResponse.identifier.use"/> <short value="usual | official | temp | secondary | old (If known)"/> <definition value="The purpose of this identifier."/> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse"/> </extension> <strength value="required"/> <description value="Identifies the purpose for this identifier, if known ."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.type"> <path value="QuestionnaireResponse.identifier.type"/> <short value="Description of identifier"/> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/> <comment value="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."/> <requirements value="Allows users to make use of identifiers when the identifier system is not known."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierType"/> </extension> <strength value="extensible"/> <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="CX.5"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.system"> <path value="QuestionnaireResponse.identifier.system"/> <short value="識別碼系統。[依來源填入固定的系統網址]"/> <definition value="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）。"/> <comment value="Identifier.system is always case sensitive."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Identifier.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <example> <label value="General"/> <valueUri value="http://www.acme.com/identifiers/patient"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / EI-2-4"/> </mapping> <mapping> <identity value="rim"/> <map value="II.root or Role.id.root"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierType"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.value"> <path value="QuestionnaireResponse.identifier.value"/> <short value="識別碼。[原樣填入來源序號]"/> <definition value="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。"/> <comment value="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](http://hl7.org/fhir/R4/extension-rendered-value.html). 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."/> <min value="1"/> <max value="1"/> <base> <path value="Identifier.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="123456"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.1 / EI.1"/> </mapping> <mapping> <identity value="rim"/> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.period"> <path value="QuestionnaireResponse.identifier.period"/> <short value="Time period when id is/was valid for use"/> <definition value="Time period during which identifier is/was valid for use."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.7 + CX.8"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.effectiveTime or implied by context"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.assigner"> <path value="QuestionnaireResponse.identifier.assigner"/> <short value="Organization that issued id (may be just text)"/> <definition value="Organization that issued/manages the identifier."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.assigner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / (CX.4,CX.9,CX.10)"/> </mapping> <mapping> <identity value="rim"/> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierIssuingAuthority"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn"> <path value="QuestionnaireResponse.basedOn"/> <short value="Request fulfilled by this QuestionnaireResponse"/> <definition value="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."/> <requirements value="Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon."/> <alias value="order"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CarePlan-twcore"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ServiceRequest-twcore"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="QuestionnaireResponse.partOf"> <path value="QuestionnaireResponse.partOf"/> <short value="Part of this action"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire"/> <short value="所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]"/> <definition value="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。"/> <comment value="For SDC, this SHALL be the version-specific URL of the form as hosted on the Form Manager."/> <requirements value="Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form."/> <alias value="Form"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.questionnaire"/> <min value="0"/> <max value="1"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/> </type> <fixedCanonical value="http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.instantiates"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.id"> <path value="QuestionnaireResponse.questionnaire.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension"> <path value="QuestionnaireResponse.questionnaire.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension:questionnaireDisplay"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="questionnaireDisplay"/> <short value="Display name for canonical reference"/> <definition value="The title or other name to display when referencing a resource by canonical URL."/> <comment value="This SHALL be the title of the Questionnaire at the time the QuestionnaireResponse was originally authored."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/display|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension:url"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="url"/> <short value="Questionnaire Url"/> <definition value="Questionnaire URI"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/questionnaire-url"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.value"> <path value="QuestionnaireResponse.questionnaire.value"/> <representation value="xmlAttr"/> <short value="Primitive value for canonical"/> <definition value="Primitive value for canonical"/> <min value="0"/> <max value="1"/> <base> <path value="uri.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="\S*"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.status"> <path value="QuestionnaireResponse.status"/> <short value="表單狀態。[應填入 in-progress 或 completed]"/> <definition value="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。"/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <requirements value="The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireResponseStatus"/> </extension> <strength value="required"/> <description value="Lifecycle status of the questionnaire response."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)"/> </mapping> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject"/> <short value="病人。[應參照 StrokePatient]"/> <definition value="表單所屬的病人，必填，參照 StrokePatient。"/> <comment value="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"/> <requirements value="Allows linking the answers to the individual the answers describe. May also affect access control."/> <alias value="Patient"/> <alias value="Focus"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="QuestionnaireResponse.encounter"> <path value="QuestionnaireResponse.encounter"/> <short value="就醫事件。[應參照 StrokeEncounter]"/> <definition value="表單所屬的就醫事件，確定是同一次就醫時才填。"/> <comment value="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."/> <requirements value="Provides context for the information that was captured. May also affect access control."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored"/> <short value="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]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers."/> <alias value="Date Created"/> <alias value="Date published"/> <alias value="Date Issued"/> <alias value="Date updated"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.authored"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="QuestionnaireResponse.authored.id"> <path value="QuestionnaireResponse.authored.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.authored.extension"> <path value="QuestionnaireResponse.authored.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.authored.extension:dataAbsentReason"> <path value="QuestionnaireResponse.authored.extension"/> <sliceName value="dataAbsentReason"/> <short value="登錄時間缺值原因。[來源沒有登錄日期時填 unknown]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="ANY.nullFlavor"/> </mapping> </element> <element id="QuestionnaireResponse.authored.value"> <path value="QuestionnaireResponse.authored.value"/> <representation value="xmlAttr"/> <short value="Primitive value for dateTime"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="dateTime.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="dateTime"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\.[0-9]+)?(Z|(\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"/> </extension> <code value="http://hl7.org/fhirpath/System.DateTime"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.author"> <path value="QuestionnaireResponse.author"/> <short value="登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers."/> <alias value="Laboratory"/> <alias value="Service"/> <alias value="Practitioner"/> <alias value="Department"/> <alias value="Company"/> <alias value="Performer"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.author"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> </element> <element id="QuestionnaireResponse.source"> <path value="QuestionnaireResponse.source"/> <short value="回答資料的提供者。[通常不填；若填，應參照 StrokePatient 或 StrokePractitioner]"/> <definition value="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。"/> <comment value="If not specified, no inference can be made about who provided the data."/> <requirements value="When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.source"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role"/> </mapping> </element> <element id="QuestionnaireResponse.item"> <path value="QuestionnaireResponse.item"/> <slicing> <discriminator> <type value="value"/> <path value="linkId"/> </discriminator> <description value="依 linkId 區分正規化題目與原始值群組"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="表單題目與回答"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent"> <path value="QuestionnaireResponse.item"/> <sliceName value="consent"/> <short value="研究同意書簽署狀態。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="demographics.consent"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否已簽署。[true＝已簽署；false＝無簽署]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate"> <path value="QuestionnaireResponse.item"/> <sliceName value="consentDate"/> <short value="研究同意書簽署日期。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="demographics.consentDate"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="簽署日期。[YYYY-MM-DD，西元年月日]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr"> <path value="QuestionnaireResponse.item"/> <sliceName value="signDnr"/> <short value="住院期間簽署 DNR。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="inpatientTreatment.tre09"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否簽署。[true＝有；false＝無]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa"> <path value="QuestionnaireResponse.item"/> <sliceName value="beforeEvtIvtpa"/> <short value="EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="preEvt.beforeEvtIvtpa"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼：1｜2｜3]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSet value="http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo"> <path value="QuestionnaireResponse.item"/> <sliceName value="rapidRequestNo"/> <short value="RAPID 影像申請序號。[適用 RAPID]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="rapid.rpreqno"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="申請序號。[原樣填入]"/> <definition value="原樣填入並保留前置零。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="dischargeTransferHospital"/> <short value="離院轉入醫院。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="discharge.leavePlaceHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="threeMonthHospital"/> <short value="中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫中風後 3 個月追蹤時，病人所在的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUp3Month.traceThreePlaceHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="followUpVisitHospital"/> <short value="追蹤回診醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間病人繼續回診服藥的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUpEvent.traceTreat1Hospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="recurrentStrokeHospital"/> <short value="再中風就醫醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間再中風時，病人就醫的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUpEvent.traceTreat2StrokeHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedComaScaleCol19"/> <short value="昏迷指數與生命徵象的額外欄位（第 19 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.COMASCALE.UNNAMED_COL_19"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol06"/> <short value="mRS 評估的額外欄位（第 6 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_06"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol07"/> <short value="mRS 評估的額外欄位（第 7 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_07"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawNcva"/> <short value="個管系統原始值。[linkId 固定為 raw.ncva]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.ncva"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.id"> <path value="QuestionnaireResponse.item.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.extension"> <path value="QuestionnaireResponse.item.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.linkId"> <path value="QuestionnaireResponse.item.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.definition"> <path value="QuestionnaireResponse.item.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.text"> <path value="QuestionnaireResponse.item.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer"> <path value="QuestionnaireResponse.item.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.id"> <path value="QuestionnaireResponse.item.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.extension"> <path value="QuestionnaireResponse.item.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.item"> <path value="QuestionnaireResponse.item.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawEvt"/> <short value="EVT 登錄原始值。[linkId 固定為 raw.evt]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.evt"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.id"> <path value="QuestionnaireResponse.item.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.extension"> <path value="QuestionnaireResponse.item.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.linkId"> <path value="QuestionnaireResponse.item.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.definition"> <path value="QuestionnaireResponse.item.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.text"> <path value="QuestionnaireResponse.item.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer"> <path value="QuestionnaireResponse.item.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.id"> <path value="QuestionnaireResponse.item.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.extension"> <path value="QuestionnaireResponse.item.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.item"> <path value="QuestionnaireResponse.item.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawRapid"/> <short value="RAPID 原始值。[linkId 固定為 raw.rapid]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.rapid"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier"/> <short value="來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.identifier.system"> <path value="QuestionnaireResponse.identifier.system"/> <short value="識別碼系統。[依來源填入固定的系統網址]"/> <definition value="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）。"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.identifier.value"> <path value="QuestionnaireResponse.identifier.value"/> <short value="識別碼。[原樣填入來源序號]"/> <definition value="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。"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire"/> <short value="所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]"/> <definition value="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。"/> <fixedCanonical value="http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0"/> </element> <element id="QuestionnaireResponse.status"> <path value="QuestionnaireResponse.status"/> <short value="表單狀態。[應填入 in-progress 或 completed]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject"/> <short value="病人。[應參照 StrokePatient]"/> <definition value="表單所屬的病人，必填，參照 StrokePatient。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> </type> </element> <element id="QuestionnaireResponse.encounter"> <path value="QuestionnaireResponse.encounter"/> <short value="就醫事件。[應參照 StrokeEncounter]"/> <definition value="表單所屬的就醫事件，確定是同一次就醫時才填。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"/> </type> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored"/> <short value="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]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.authored.extension"> <path value="QuestionnaireResponse.authored.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element id="QuestionnaireResponse.authored.extension:dataAbsentReason"> <path value="QuestionnaireResponse.authored.extension"/> <sliceName value="dataAbsentReason"/> <short value="登錄時間缺值原因。[來源沒有登錄日期時填 unknown]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"/> </type> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.author"> <path value="QuestionnaireResponse.author"/> <short value="登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]"/> <definition value="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。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"/> </type> </element> <element id="QuestionnaireResponse.source"> <path value="QuestionnaireResponse.source"/> <short value="回答資料的提供者。[通常不填；若填，應參照 StrokePatient 或 StrokePractitioner]"/> <definition value="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。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> </type> </element> <element id="QuestionnaireResponse.item"> <path value="QuestionnaireResponse.item"/> <slicing> <discriminator> <type value="value"/> <path value="linkId"/> </discriminator> <description value="依 linkId 區分正規化題目與原始值群組"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="表單題目與回答"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.item:consent"> <path value="QuestionnaireResponse.item"/> <sliceName value="consent"/> <short value="研究同意書簽署狀態。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:consent.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="demographics.consent"/> </element> <element id="QuestionnaireResponse.item:consent.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:consent.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否已簽署。[true＝已簽署；false＝無簽署]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> </element> <element id="QuestionnaireResponse.item:consent.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consent.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consentDate"> <path value="QuestionnaireResponse.item"/> <sliceName value="consentDate"/> <short value="研究同意書簽署日期。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:consentDate.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="demographics.consentDate"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="簽署日期。[YYYY-MM-DD，西元年月日]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> </element> <element id="QuestionnaireResponse.item:consentDate.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consentDate.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:signDnr"> <path value="QuestionnaireResponse.item"/> <sliceName value="signDnr"/> <short value="住院期間簽署 DNR。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:signDnr.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="inpatientTreatment.tre09"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否簽署。[true＝有；false＝無]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> </element> <element id="QuestionnaireResponse.item:signDnr.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:signDnr.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa"> <path value="QuestionnaireResponse.item"/> <sliceName value="beforeEvtIvtpa"/> <short value="EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="preEvt.beforeEvtIvtpa"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼：1｜2｜3]"/> <definition value="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。"/> <min value="1"/> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <valueSet value="http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"/> </binding> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo"> <path value="QuestionnaireResponse.item"/> <sliceName value="rapidRequestNo"/> <short value="RAPID 影像申請序號。[適用 RAPID]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="rapid.rpreqno"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="申請序號。[原樣填入]"/> <definition value="原樣填入並保留前置零。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="dischargeTransferHospital"/> <short value="離院轉入醫院。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="discharge.leavePlaceHospital"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="threeMonthHospital"/> <short value="中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫中風後 3 個月追蹤時，病人所在的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUp3Month.traceThreePlaceHospital"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="followUpVisitHospital"/> <short value="追蹤回診醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間病人繼續回診服藥的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUpEvent.traceTreat1Hospital"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="recurrentStrokeHospital"/> <short value="再中風就醫醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間再中風時，病人就醫的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUpEvent.traceTreat2StrokeHospital"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedComaScaleCol19"/> <short value="昏迷指數與生命徵象的額外欄位（第 19 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="unresolved.NCVA.COMASCALE.UNNAMED_COL_19"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol06"/> <short value="mRS 評估的額外欄位（第 6 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_06"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol07"/> <short value="mRS 評估的額外欄位（第 7 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_07"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawNcva"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawNcva"/> <short value="個管系統原始值。[linkId 固定為 raw.ncva]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rawNcva.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="raw.ncva"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer"> <path value="QuestionnaireResponse.item.answer"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawNcva.item"> <path value="QuestionnaireResponse.item.item"/> <min value="1"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawEvt"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawEvt"/> <short value="EVT 登錄原始值。[linkId 固定為 raw.evt]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rawEvt.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="raw.evt"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer"> <path value="QuestionnaireResponse.item.answer"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawEvt.item"> <path value="QuestionnaireResponse.item.item"/> <min value="1"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawRapid"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawRapid"/> <short value="RAPID 原始值。[linkId 固定為 raw.rapid]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rawRapid.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="raw.rapid"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer"> <path value="QuestionnaireResponse.item.answer"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawRapid.item"> <path value="QuestionnaireResponse.item.item"/> <min value="1"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rawRapid.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <max value="0"/> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition StrokeRegistryResponse

Name	Flags	Card.	Type	Description & Constraints
QuestionnaireResponse			TWCoreQuestionnaireResponse
QuestionnaireResponse.identifier		0..1	Identifier	來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]
QuestionnaireResponse.identifier.system	S This element must be supported.	1..1	uri	識別碼系統。[依來源填入固定的系統網址]
QuestionnaireResponse.identifier.value	S This element must be supported.	1..1	string	識別碼。[原樣填入來源序號]
QuestionnaireResponse.questionnaire		1..1	canonical(SDCBaseQuestionnaire)	所回答的表單。[固定為 stroke-registry 表單 0.1.0 版] Fixed Value: http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry\|0.1.0
QuestionnaireResponse.status		1..1	code	表單狀態。[應填入 in-progress 或 completed]
QuestionnaireResponse.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
QuestionnaireResponse.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
QuestionnaireResponse.authored		1..1	dateTime	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]
QuestionnaireResponse.authored.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
QuestionnaireResponse.authored.Slices for extension.extension:dataAbsentReason	S This element must be supported.	0..1	code	登錄時間缺值原因。[來源沒有登錄日期時填 unknown] URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
QuestionnaireResponse.author		0..1	Reference(腦中風－醫事人員 \| 腦中風－醫療院所)	登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]
QuestionnaireResponse.source		0..1	Reference(腦中風－病人基本資料 \| 腦中風－醫事人員)	回答資料的提供者。[通常不填；若填，應參照 StrokePatient 或 StrokePractitioner]
QuestionnaireResponse.Slices for item		0..*	BackboneElement	表單題目與回答 Slice: Unordered, Open by value:linkId Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
QuestionnaireResponse.Slices for item.item:consent	S This element must be supported.	0..1	BackboneElement	研究同意書簽署狀態。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:consent.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: demographics.consent
QuestionnaireResponse.Slices for item.item:consent.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:consent.answer.value[x]		1..1	boolean	是否已簽署。[true＝已簽署；false＝無簽署]
QuestionnaireResponse.Slices for item.item:consent.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:consent.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:consentDate	S This element must be supported.	0..1	BackboneElement	研究同意書簽署日期。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:consentDate.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: demographics.consentDate
QuestionnaireResponse.Slices for item.item:consentDate.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:consentDate.answer.value[x]		1..1	date	簽署日期。[YYYY-MM-DD，西元年月日]
QuestionnaireResponse.Slices for item.item:consentDate.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:consentDate.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:signDnr	S This element must be supported.	0..1	BackboneElement	住院期間簽署 DNR。[適用個管系統]
QuestionnaireResponse.Slices for item.item:signDnr.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: inpatientTreatment.tre09
QuestionnaireResponse.Slices for item.item:signDnr.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:signDnr.answer.value[x]		1..1	boolean	是否簽署。[true＝有；false＝無]
QuestionnaireResponse.Slices for item.item:signDnr.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:signDnr.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa	S This element must be supported.	0..1	BackboneElement	EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: preEvt.beforeEvtIvtpa
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer.value[x]		1..1	Coding	施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼：1｜2｜3] Binding: 腦中風－EVT 前 IV-tPA 施打院所值集 (required)
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:beforeEvtIvtpa.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rapidRequestNo	S This element must be supported.	0..1	BackboneElement	RAPID 影像申請序號。[適用 RAPID]
QuestionnaireResponse.Slices for item.item:rapidRequestNo.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: rapid.rpreqno
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer.value[x]		1..1	string	申請序號。[原樣填入]
QuestionnaireResponse.Slices for item.item:rapidRequestNo.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:rapidRequestNo.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital	S This element must be supported.	0..1	BackboneElement	離院轉入醫院。[適用 EVT 登錄主表]
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: discharge.leavePlaceHospital
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer.value[x]		1..1	string	醫院名稱。[自由文字，原樣填入]
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:dischargeTransferHospital.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:threeMonthHospital	S This element must be supported.	0..1	BackboneElement	中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:threeMonthHospital.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: followUp3Month.traceThreePlaceHospital
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer.value[x]		1..1	string	醫院名稱。[自由文字，原樣填入]
QuestionnaireResponse.Slices for item.item:threeMonthHospital.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:threeMonthHospital.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:followUpVisitHospital	S This element must be supported.	0..1	BackboneElement	追蹤回診醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: followUpEvent.traceTreat1Hospital
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer.value[x]		1..1	string	醫院名稱。[自由文字，原樣填入]
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:followUpVisitHospital.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital	S This element must be supported.	0..1	BackboneElement	再中風就醫醫院。[適用 EVT 登錄追蹤表]
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: followUpEvent.traceTreat2StrokeHospital
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer.value[x]		1..1	string	醫院名稱。[自由文字，原樣填入]
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:recurrentStrokeHospital.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19	S This element must be supported.	0..1	BackboneElement	昏迷指數與生命徵象的額外欄位（第 19 欄）。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: unresolved.NCVA.COMASCALE.UNNAMED_COL_19
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer		1..1	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer.value[x]		1..1	string	原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedComaScaleCol19.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06	S This element must be supported.	0..1	BackboneElement	mRS 評估的額外欄位（第 6 欄）。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: unresolved.NCVA.mRS.UNNAMED_COL_06
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer		1..*	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer.value[x]		1..1	string	原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol06.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07	S This element must be supported.	0..1	BackboneElement	mRS 評估的額外欄位（第 7 欄）。[適用個管系統]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: unresolved.NCVA.mRS.UNNAMED_COL_07
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer		1..*	BackboneElement	The response(s) to the question
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer.value[x]		1..1	string	原始值。[原樣填入]
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.answer.item		0..0		Nested groups and questions
QuestionnaireResponse.Slices for item.item:unresolvedMrsCol07.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva	S This element must be supported.	0..1	BackboneElement	個管系統原始值。[linkId 固定為 raw.ncva]
QuestionnaireResponse.Slices for item.item:rawNcva.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: raw.ncva
QuestionnaireResponse.Slices for item.item:rawNcva.answer		0..0		The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item		1..*	BackboneElement	Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva.item.answer
QuestionnaireResponse.Slices for item.item:rawNcva.item.answer.value[x]		0..1	string	Single-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item.item		0..*	BackboneElement	Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.answer
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.answer.value[x]		0..1	string	Single-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawNcva.item.item.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt	S This element must be supported.	0..1	BackboneElement	EVT 登錄原始值。[linkId 固定為 raw.evt]
QuestionnaireResponse.Slices for item.item:rawEvt.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: raw.evt
QuestionnaireResponse.Slices for item.item:rawEvt.answer		0..0		The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item		1..*	BackboneElement	Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt.item.answer
QuestionnaireResponse.Slices for item.item:rawEvt.item.answer.value[x]		0..1	string	Single-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item.item		0..*	BackboneElement	Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.answer
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.answer.value[x]		0..1	string	Single-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawEvt.item.item.item		0..0		Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawRapid	S This element must be supported.	0..1	BackboneElement	RAPID 原始值。[linkId 固定為 raw.rapid]
QuestionnaireResponse.Slices for item.item:rawRapid.linkId		1..1	string	Pointer to specific item from Questionnaire Fixed Value: raw.rapid
QuestionnaireResponse.Slices for item.item:rawRapid.answer		0..0		The response(s) to the question
QuestionnaireResponse.Slices for item.item:rawRapid.item		1..*	BackboneElement	Nested questionnaire response items
QuestionnaireResponse.Slices for item.item:rawRapid.item.answer
QuestionnaireResponse.Slices for item.item:rawRapid.item.answer.value[x]		0..1	string	Single-valued answer to the question
QuestionnaireResponse.Slices for item.item:rawRapid.item.item		0..0		Nested questionnaire response items
Documentation for this format

<status value="draft"/> <date value="2026-10-07T16:40:32+00:00"/> <publisher value="高雄榮民總醫院 (VGHKS)"/> <contact> <name value="高雄榮民總醫院 (VGHKS)"/> <telecom> <system value="url"/> <value value="https://www.vghks.gov.tw/"/> </telecom> </contact> <description value="此 Profile 說明本 IG 如何進一步定義 FHIR 的 QuestionnaireResponse Resource，以呈現腦中風登錄表單的回覆，包括登錄識別碼、表單狀態、無法轉成臨床資源的欄位，以及來源原始值備份。"/> <purpose value="每個來源、每份表單、每位個案各建一筆。個管系統每個個管事件建一筆；EVT 登錄每位個案的主表與追蹤表各建一筆，各自記錄狀態；RAPID 每次掃描建一筆。回覆內容分兩類：無法轉成臨床資源的欄位歸為正規化題目，以 linkId 的 Slice 定義；來源原值以字串存入原始值群組（raw.*），供追溯與重新轉換。可轉成臨床資源的資料（診斷、評估、處置、用藥等），請以對應的臨床 Profile 呈現。"/> <fhirVersion value="4.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="QuestionnaireResponse"/> <baseDefinition value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/QuestionnaireResponse-twcore"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="1.0.0"/> </extension> <element id="QuestionnaireResponse"> <path value="QuestionnaireResponse"/> <short value="SDC Questionnaire Response"/> <definition value="Sets expectations for supported capabilities for questionnaire responses for SDC-conformant systems."/> <comment value="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."/> <alias value="Form"/> <alias value="QuestionnaireAnswers"/> <alias value="Form Data"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/> <expression value="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()"/> <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <key value="sdcqr-1"/> <severity value="warning"/> <human value="Subject SHOULD be present (searching is difficult without subject). Almost all QuestionnaireResponses should be with respect to some sort of subject."/> <expression value="subject.exists()"/> <xpath value="exists(f:subject)"/> <source value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <key value="sdcqr-2"/> <severity value="error"/> <human value="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."/> <expression value="(QuestionnaireResponse|repeat(answer|item)).select(item.where(answer.value.exists()).linkId.isDistinct()).allTrue()"/> <xpath value="not(exists(for $item in descendant::f:item[f:answer] return $item/preceding-sibling::f:item[f:linkId/@value=$item/f:linkId/@value]))"/> <source value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.id"> <path value="QuestionnaireResponse.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.meta"> <path value="QuestionnaireResponse.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.implicitRules"> <path value="QuestionnaireResponse.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="QuestionnaireResponse.language"> <path value="QuestionnaireResponse.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages|4.0.1"/> </binding> </element> <element id="QuestionnaireResponse.text"> <path value="QuestionnaireResponse.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="QuestionnaireResponse.contained"> <path value="QuestionnaireResponse.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.extension"> <path value="QuestionnaireResponse.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.extension:signature"> <path value="QuestionnaireResponse.extension"/> <sliceName value="signature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.extension:completionMode"> <path value="QuestionnaireResponse.extension"/> <sliceName value="completionMode"/> <short value="E.g. Verbal, written, electronic"/> <definition value="Indicates how the individual completing the QuestionnaireResponse provided their responses."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-completionMode|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.modifierExtension"> <path value="QuestionnaireResponse.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier"/> <short value="來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]"/> <definition value="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。"/> <requirements value="Used for tracking, registration and other business purposes."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.id"> <path value="QuestionnaireResponse.identifier.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.extension"> <path value="QuestionnaireResponse.identifier.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.use"> <path value="QuestionnaireResponse.identifier.use"/> <short value="usual | official | temp | secondary | old (If known)"/> <definition value="The purpose of this identifier."/> <comment value="Applications can assume that an identifier is permanent unless it explicitly says that it is temporary."/> <requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.use"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one."/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierUse"/> </extension> <strength value="required"/> <description value="Identifies the purpose for this identifier, if known ."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-use|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="N/A"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.type"> <path value="QuestionnaireResponse.identifier.type"/> <short value="Description of identifier"/> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose."/> <comment value="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."/> <requirements value="Allows users to make use of identifiers when the identifier system is not known."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.type"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="IdentifierType"/> </extension> <strength value="extensible"/> <description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose."/> <valueSet value="http://hl7.org/fhir/ValueSet/identifier-type|4.0.1"/> </binding> <mapping> <identity value="v2"/> <map value="CX.5"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.code or implied by context"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.system"> <path value="QuestionnaireResponse.identifier.system"/> <short value="識別碼系統。[依來源填入固定的系統網址]"/> <definition value="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）。"/> <comment value="Identifier.system is always case sensitive."/> <requirements value="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."/> <min value="1"/> <max value="1"/> <base> <path value="Identifier.system"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <example> <label value="General"/> <valueUri value="http://www.acme.com/identifiers/patient"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / EI-2-4"/> </mapping> <mapping> <identity value="rim"/> <map value="II.root or Role.id.root"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierType"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.value"> <path value="QuestionnaireResponse.identifier.value"/> <short value="識別碼。[原樣填入來源序號]"/> <definition value="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。"/> <comment value="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](http://hl7.org/fhir/R4/extension-rendered-value.html). 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."/> <min value="1"/> <max value="1"/> <base> <path value="Identifier.value"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <example> <label value="General"/> <valueString value="123456"/> </example> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.1 / EI.1"/> </mapping> <mapping> <identity value="rim"/> <map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"/> </mapping> <mapping> <identity value="servd"/> <map value="./Value"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.period"> <path value="QuestionnaireResponse.identifier.period"/> <short value="Time period when id is/was valid for use"/> <definition value="Time period during which identifier is/was valid for use."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.7 + CX.8"/> </mapping> <mapping> <identity value="rim"/> <map value="Role.effectiveTime or implied by context"/> </mapping> <mapping> <identity value="servd"/> <map value="./StartDate and ./EndDate"/> </mapping> </element> <element id="QuestionnaireResponse.identifier.assigner"> <path value="QuestionnaireResponse.identifier.assigner"/> <short value="Organization that issued id (may be just text)"/> <definition value="Organization that issued/manages the identifier."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="Identifier.assigner"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="v2"/> <map value="CX.4 / (CX.4,CX.9,CX.10)"/> </mapping> <mapping> <identity value="rim"/> <map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"/> </mapping> <mapping> <identity value="servd"/> <map value="./IdentifierIssuingAuthority"/> </mapping> </element> <element id="QuestionnaireResponse.basedOn"> <path value="QuestionnaireResponse.basedOn"/> <short value="Request fulfilled by this QuestionnaireResponse"/> <definition value="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."/> <requirements value="Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon."/> <alias value="order"/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/CarePlan-twcore"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/ServiceRequest-twcore"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="QuestionnaireResponse.partOf"> <path value="QuestionnaireResponse.partOf"/> <short value="Part of this action"/> <definition value="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."/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Observation-clinical-result-twcore"/> <targetProfile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Procedure-twcore"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire"/> <short value="所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]"/> <definition value="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。"/> <comment value="For SDC, this SHALL be the version-specific URL of the form as hosted on the Form Manager."/> <requirements value="Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form."/> <alias value="Form"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.questionnaire"/> <min value="0"/> <max value="1"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/> </type> <fixedCanonical value="http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.instantiates"/> </mapping> <mapping> <identity value="rim"/> <map value="./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"/> </mapping> </element> <element id="QuestionnaireResponse.questionnaire.id"> <path value="QuestionnaireResponse.questionnaire.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension"> <path value="QuestionnaireResponse.questionnaire.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension:questionnaireDisplay"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="questionnaireDisplay"/> <short value="Display name for canonical reference"/> <definition value="The title or other name to display when referencing a resource by canonical URL."/> <comment value="This SHALL be the title of the Questionnaire at the time the QuestionnaireResponse was originally authored."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/display|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.extension:url"> <path value="QuestionnaireResponse.questionnaire.extension"/> <sliceName value="url"/> <short value="Questionnaire Url"/> <definition value="Questionnaire URI"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/questionnaire-url"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.questionnaire.value"> <path value="QuestionnaireResponse.questionnaire.value"/> <representation value="xmlAttr"/> <short value="Primitive value for canonical"/> <definition value="Primitive value for canonical"/> <min value="0"/> <max value="1"/> <base> <path value="uri.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="\S*"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.status"> <path value="QuestionnaireResponse.status"/> <short value="表單狀態。[應填入 in-progress 或 completed]"/> <definition value="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。"/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <requirements value="The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireResponseStatus"/> </extension> <strength value="required"/> <description value="Lifecycle status of the questionnaire response."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)"/> </mapping> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject"/> <short value="病人。[應參照 StrokePatient]"/> <definition value="表單所屬的病人，必填，參照 StrokePatient。"/> <comment value="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"/> <requirements value="Allows linking the answers to the individual the answers describe. May also affect access control."/> <alias value="Patient"/> <alias value="Focus"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="QuestionnaireResponse.encounter"> <path value="QuestionnaireResponse.encounter"/> <short value="就醫事件。[應參照 StrokeEncounter]"/> <definition value="表單所屬的就醫事件，確定是同一次就醫時才填。"/> <comment value="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."/> <requirements value="Provides context for the information that was captured. May also affect access control."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored"/> <short value="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]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers."/> <alias value="Date Created"/> <alias value="Date published"/> <alias value="Date Issued"/> <alias value="Date updated"/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.authored"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="QuestionnaireResponse.authored.id"> <path value="QuestionnaireResponse.authored.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.authored.extension"> <path value="QuestionnaireResponse.authored.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.authored.extension:dataAbsentReason"> <path value="QuestionnaireResponse.authored.extension"/> <sliceName value="dataAbsentReason"/> <short value="登錄時間缺值原因。[來源沒有登錄日期時填 unknown]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="ANY.nullFlavor"/> </mapping> </element> <element id="QuestionnaireResponse.authored.value"> <path value="QuestionnaireResponse.authored.value"/> <representation value="xmlAttr"/> <short value="Primitive value for dateTime"/> <definition value="The actual value"/> <min value="0"/> <max value="1"/> <base> <path value="dateTime.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="dateTime"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/regex"> <valueString value="([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\.[0-9]+)?(Z|(\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?"/> </extension> <code value="http://hl7.org/fhirpath/System.DateTime"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.author"> <path value="QuestionnaireResponse.author"/> <short value="登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers."/> <alias value="Laboratory"/> <alias value="Service"/> <alias value="Practitioner"/> <alias value="Department"/> <alias value="Company"/> <alias value="Performer"/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.author"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.author"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> </element> <element id="QuestionnaireResponse.source"> <path value="QuestionnaireResponse.source"/> <short value="回答資料的提供者。[通常不填；若填，應參照 StrokePatient 或 StrokePractitioner]"/> <definition value="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。"/> <comment value="If not specified, no inference can be made about who provided the data."/> <requirements value="When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.source"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.source"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=INF].role"/> </mapping> </element> <element id="QuestionnaireResponse.item"> <path value="QuestionnaireResponse.item"/> <slicing> <discriminator> <type value="value"/> <path value="linkId"/> </discriminator> <description value="依 linkId 區分正規化題目與原始值群組"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="表單題目與回答"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent"> <path value="QuestionnaireResponse.item"/> <sliceName value="consent"/> <short value="研究同意書簽署狀態。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="demographics.consent"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consent.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否已簽署。[true＝已簽署；false＝無簽署]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consent.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate"> <path value="QuestionnaireResponse.item"/> <sliceName value="consentDate"/> <short value="研究同意書簽署日期。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="demographics.consentDate"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="簽署日期。[YYYY-MM-DD，西元年月日]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:consentDate.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr"> <path value="QuestionnaireResponse.item"/> <sliceName value="signDnr"/> <short value="住院期間簽署 DNR。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="inpatientTreatment.tre09"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否簽署。[true＝有；false＝無]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:signDnr.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa"> <path value="QuestionnaireResponse.item"/> <sliceName value="beforeEvtIvtpa"/> <short value="EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="preEvt.beforeEvtIvtpa"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼：1｜2｜3]"/> <definition value="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。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <strength value="required"/> <valueSet value="http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo"> <path value="QuestionnaireResponse.item"/> <sliceName value="rapidRequestNo"/> <short value="RAPID 影像申請序號。[適用 RAPID]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="rapid.rpreqno"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="申請序號。[原樣填入]"/> <definition value="原樣填入並保留前置零。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="dischargeTransferHospital"/> <short value="離院轉入醫院。[適用 EVT 登錄主表]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="discharge.leavePlaceHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="threeMonthHospital"/> <short value="中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫中風後 3 個月追蹤時，病人所在的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUp3Month.traceThreePlaceHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="followUpVisitHospital"/> <short value="追蹤回診醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間病人繼續回診服藥的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUpEvent.traceTreat1Hospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="recurrentStrokeHospital"/> <short value="再中風就醫醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間再中風時，病人就醫的醫院名稱。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="followUpEvent.traceTreat2StrokeHospital"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedComaScaleCol19"/> <short value="昏迷指數與生命徵象的額外欄位（第 19 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.COMASCALE.UNNAMED_COL_19"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串。來源空白請省略本題。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol06"/> <short value="mRS 評估的額外欄位（第 6 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_06"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol07"/> <short value="mRS 評估的額外欄位（第 7 欄）。[適用個管系統]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_07"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawNcva"/> <short value="個管系統原始值。[linkId 固定為 raw.ncva]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.ncva"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.id"> <path value="QuestionnaireResponse.item.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.extension"> <path value="QuestionnaireResponse.item.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.linkId"> <path value="QuestionnaireResponse.item.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.definition"> <path value="QuestionnaireResponse.item.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.text"> <path value="QuestionnaireResponse.item.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer"> <path value="QuestionnaireResponse.item.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.id"> <path value="QuestionnaireResponse.item.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.extension"> <path value="QuestionnaireResponse.item.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.answer.item"> <path value="QuestionnaireResponse.item.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawNcva.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawEvt"/> <short value="EVT 登錄原始值。[linkId 固定為 raw.evt]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.evt"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.id"> <path value="QuestionnaireResponse.item.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.extension"> <path value="QuestionnaireResponse.item.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.linkId"> <path value="QuestionnaireResponse.item.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.definition"> <path value="QuestionnaireResponse.item.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.text"> <path value="QuestionnaireResponse.item.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer"> <path value="QuestionnaireResponse.item.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.id"> <path value="QuestionnaireResponse.item.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.extension"> <path value="QuestionnaireResponse.item.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.answer.item"> <path value="QuestionnaireResponse.item.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawEvt.item.item.item"> <path value="QuestionnaireResponse.item.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid"> <path value="QuestionnaireResponse.item"/> <sliceName value="rawRapid"/> <short value="RAPID 原始值。[linkId 固定為 raw.rapid]"/> <definition value="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。"/> <comment value="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)."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="qrs-1"/> <severity value="error"/> <human value="Nested item can't be beneath both item and answer"/> <expression value="(answer.exists() and item.exists()).not()"/> <xpath value="not(exists(f:answer) and exists(f:item))"/> <source value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.id"> <path value="QuestionnaireResponse.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.extension"> <path value="QuestionnaireResponse.item.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.extension:itemMedia"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="itemMedia"/> <short value="Media to display"/> <definition value="Media to render/make available as an accompaniment to the question being asked"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.extension:ItemSignature"> <path value="QuestionnaireResponse.item.extension"/> <sliceName value="ItemSignature"/> <short value="A signature attesting to the content"/> <definition value="Represents a wet or electronic signature for either the form overall or for the question or item it's associated with."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-signature|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.modifierExtension"> <path value="QuestionnaireResponse.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <fixedString value="raw.rapid"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.definition"> <path value="QuestionnaireResponse.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.text"> <path value="QuestionnaireResponse.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer"> <path value="QuestionnaireResponse.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.id"> <path value="QuestionnaireResponse.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension"> <path value="QuestionnaireResponse.item.answer.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension:itemAnswerMedia"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="itemAnswerMedia"/> <short value="Answer Media to display"/> <definition value="Media to render/make available as an accompaniment to a specific answer option"/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-itemAnswerMedia"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.extension:ordinalValue"> <path value="QuestionnaireResponse.item.answer.extension"/> <sliceName value="ordinalValue"/> <short value="Assigned Ordinal Value"/> <definition value="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."/> <comment value="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](http://hl7.org/fhir/R4/questionnaire.html), 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."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/ordinalValue|5.3.0"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.modifierExtension"> <path value="QuestionnaireResponse.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="dateTime"/> </type> <type> <code value="time"/> </type> <type> <code value="decimal"/> </type> <type> <code value="integer"/> </type> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <type> <code value="uri"/> </type> <type> <code value="Quantity"/> </type> <type> <code value="Attachment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item"> <path value="QuestionnaireResponse.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="1"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.id"> <path value="QuestionnaireResponse.item.item.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.extension"> <path value="QuestionnaireResponse.item.item.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.modifierExtension"> <path value="QuestionnaireResponse.item.item.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.linkId"> <path value="QuestionnaireResponse.item.item.linkId"/> <short value="Pointer to specific item from Questionnaire"/> <definition value="The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource."/> <requirements value="Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier."/> <min value="1"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.linkId"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.definition"> <path value="QuestionnaireResponse.item.item.definition"/> <short value="ElementDefinition - details for the item"/> <definition value="A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item."/> <comment value="The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), 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."/> <requirements value="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."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.text"> <path value="QuestionnaireResponse.item.item.text"/> <short value="Name for group or question text"/> <definition value="Text that is displayed above the contents of the group or as the text of the question being answered."/> <requirements value="Allows the questionnaire response to be read without access to the questionnaire."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer"> <path value="QuestionnaireResponse.item.item.answer"/> <short value="The response(s) to the question"/> <definition value="The respondent's answer(s) to the question."/> <comment value="The value is nested because we cannot have a repeating structure that has variable type."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".value[type=LIST_ANY]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.id"> <path value="QuestionnaireResponse.item.item.answer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.extension"> <path value="QuestionnaireResponse.item.item.answer.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.modifierExtension"> <path value="QuestionnaireResponse.item.item.answer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <short value="Single-valued answer to the question"/> <definition value="The answer (or one of the answers) provided by the respondent to the question."/> <comment value="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."/> <requirements value="Ability to retain a single-valued answer to a question."/> <min value="0"/> <max value="1"/> <base> <path value="QuestionnaireResponse.item.answer.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="QuestionnaireAnswer"/> </extension> <strength value="example"/> <description value="Code indicating the response provided for a question."/> <valueSet value="http://hl7.org/fhir/ValueSet/questionnaire-answers|4.0.1"/> </binding> <mapping> <identity value="rim"/> <map value=".item"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.answer.item"> <path value="QuestionnaireResponse.item.item.answer.item"/> <short value="Nested groups and questions"/> <definition value="Nested groups and/or questions found within this particular answer."/> <requirements value="It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details."/> <min value="0"/> <max value="*"/> <base> <path value="QuestionnaireResponse.item.answer.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> <element id="QuestionnaireResponse.item:rawRapid.item.item"> <path value="QuestionnaireResponse.item.item.item"/> <short value="Nested questionnaire response items"/> <definition value="Questions or sub-groups nested beneath a question or group."/> <requirements value="Reports can consist of complex nested groups."/> <min value="0"/> <max value="0"/> <base> <path value="QuestionnaireResponse.item.item"/> <min value="0"/> <max value="*"/> </base> <contentReference value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse#QuestionnaireResponse.item"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="QuestionnaireResponse.identifier"> <path value="QuestionnaireResponse.identifier"/> <short value="來源登錄識別碼。[個管流水序號或 EVT 登錄個案識別碼]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.identifier.system"> <path value="QuestionnaireResponse.identifier.system"/> <short value="識別碼系統。[依來源填入固定的系統網址]"/> <definition value="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）。"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.identifier.value"> <path value="QuestionnaireResponse.identifier.value"/> <short value="識別碼。[原樣填入來源序號]"/> <definition value="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。"/> <min value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.questionnaire"> <path value="QuestionnaireResponse.questionnaire"/> <short value="所回答的表單。[固定為 stroke-registry 表單 0.1.0 版]"/> <definition value="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。"/> <fixedCanonical value="http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0"/> </element> <element id="QuestionnaireResponse.status"> <path value="QuestionnaireResponse.status"/> <short value="表單狀態。[應填入 in-progress 或 completed]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.subject"> <path value="QuestionnaireResponse.subject"/> <short value="病人。[應參照 StrokePatient]"/> <definition value="表單所屬的病人，必填，參照 StrokePatient。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> </type> </element> <element id="QuestionnaireResponse.encounter"> <path value="QuestionnaireResponse.encounter"/> <short value="就醫事件。[應參照 StrokeEncounter]"/> <definition value="表單所屬的就醫事件，確定是同一次就醫時才填。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"/> </type> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.authored"> <path value="QuestionnaireResponse.authored"/> <short value="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]"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.authored.extension"> <path value="QuestionnaireResponse.authored.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> </element> <element id="QuestionnaireResponse.authored.extension:dataAbsentReason"> <path value="QuestionnaireResponse.authored.extension"/> <sliceName value="dataAbsentReason"/> <short value="登錄時間缺值原因。[來源沒有登錄日期時填 unknown]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0"/> </type> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.author"> <path value="QuestionnaireResponse.author"/> <short value="登錄者。[應參照 StrokePractitioner 或 StrokeOrganization]"/> <definition value="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。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"/> </type> </element> <element id="QuestionnaireResponse.source"> <path value="QuestionnaireResponse.source"/> <short value="回答資料的提供者。[通常不填；若填，應參照 StrokePatient 或 StrokePractitioner]"/> <definition value="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。"/> <type> <code value="Reference"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"/> <targetProfile value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePractitioner"/> </type> </element> <element id="QuestionnaireResponse.item"> <path value="QuestionnaireResponse.item"/> <slicing> <discriminator> <type value="value"/> <path value="linkId"/> </discriminator> <description value="依 linkId 區分正規化題目與原始值群組"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="表單題目與回答"/> <definition value="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。"/> </element> <element id="QuestionnaireResponse.item:consent"> <path value="QuestionnaireResponse.item"/> <sliceName value="consent"/> <short value="研究同意書簽署狀態。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:consent.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="demographics.consent"/> </element> <element id="QuestionnaireResponse.item:consent.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:consent.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否已簽署。[true＝已簽署；false＝無簽署]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> </element> <element id="QuestionnaireResponse.item:consent.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consent.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consentDate"> <path value="QuestionnaireResponse.item"/> <sliceName value="consentDate"/> <short value="研究同意書簽署日期。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:consentDate.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="demographics.consentDate"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:consentDate.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="簽署日期。[YYYY-MM-DD，西元年月日]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="date"/> </type> </element> <element id="QuestionnaireResponse.item:consentDate.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:consentDate.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:signDnr"> <path value="QuestionnaireResponse.item"/> <sliceName value="signDnr"/> <short value="住院期間簽署 DNR。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:signDnr.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="inpatientTreatment.tre09"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:signDnr.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="是否簽署。[true＝有；false＝無]"/> <definition value="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。"/> <min value="1"/> <type> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support"> <valueBoolean value="true"/> </extension> <code value="boolean"/> </type> </element> <element id="QuestionnaireResponse.item:signDnr.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:signDnr.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa"> <path value="QuestionnaireResponse.item"/> <sliceName value="beforeEvtIvtpa"/> <short value="EVT 前施打 IV-tPA 的院所。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="preEvt.beforeEvtIvtpa"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="施打院所。[應填入 StrokePreEvtIvtpaSiteVS 代碼：1｜2｜3]"/> <definition value="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。"/> <min value="1"/> <type> <code value="Coding"/> </type> <binding> <strength value="required"/> <valueSet value="http://vgh-stroke-ig.fhir.tw/ValueSet/pre-evt-ivtpa-site"/> </binding> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:beforeEvtIvtpa.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo"> <path value="QuestionnaireResponse.item"/> <sliceName value="rapidRequestNo"/> <short value="RAPID 影像申請序號。[適用 RAPID]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="rapid.rpreqno"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="申請序號。[原樣填入]"/> <definition value="原樣填入並保留前置零。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rapidRequestNo.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="dischargeTransferHospital"/> <short value="離院轉入醫院。[適用 EVT 登錄主表]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="discharge.leavePlaceHospital"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:dischargeTransferHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="threeMonthHospital"/> <short value="中風後 3 個月所在醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫中風後 3 個月追蹤時，病人所在的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUp3Month.traceThreePlaceHospital"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:threeMonthHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="followUpVisitHospital"/> <short value="追蹤回診醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間病人繼續回診服藥的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUpEvent.traceTreat1Hospital"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:followUpVisitHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital"> <path value="QuestionnaireResponse.item"/> <sliceName value="recurrentStrokeHospital"/> <short value="再中風就醫醫院。[適用 EVT 登錄追蹤表]"/> <definition value="填寫追蹤期間再中風時，病人就醫的醫院名稱。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="followUpEvent.traceTreat2StrokeHospital"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="醫院名稱。[自由文字，原樣填入]"/> <definition value="原樣填入醫院名稱。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:recurrentStrokeHospital.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedComaScaleCol19"/> <short value="昏迷指數與生命徵象的額外欄位（第 19 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="unresolved.NCVA.COMASCALE.UNNAMED_COL_19"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> <max value="1"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串。來源空白請省略本題。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedComaScaleCol19.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol06"/> <short value="mRS 評估的額外欄位（第 6 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="unresolved.NCVA.mRS.UNNAMED_COL_06"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer"> <path value="QuestionnaireResponse.item.answer"/> <min value="1"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.value[x]"> <path value="QuestionnaireResponse.item.answer.value[x]"/> <short value="原始值。[原樣填入]"/> <definition value="完整填入原始字串，空白值不填。"/> <min value="1"/> <type> <code value="string"/> </type> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.answer.item"> <path value="QuestionnaireResponse.item.answer.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol06.item"> <path value="QuestionnaireResponse.item.item"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07"> <path value="QuestionnaireResponse.item"/> <sliceName value="unresolvedMrsCol07"/> <short value="mRS 評估的額外欄位（第 7 欄）。[適用個管系統]"/> <definition value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:unresolvedMrsCol07.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString 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value="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。"/> <min value="0"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="QuestionnaireResponse.item:rawNcva.linkId"> <path value="QuestionnaireResponse.item.linkId"/> <fixedString value="raw.ncva"/> </element> <element id="QuestionnaireResponse.item:rawNcva.answer"> <path value="QuestionnaireResponse.item.answer"/> <max value="0"/> </element> <element id="QuestionnaireResponse.item:rawNcva.item"> <path value="QuestionnaireResponse.item.item"/> <min value="1"/> <type> <code value="BackboneElement"/> </type> </element> <element id="QuestionnaireResponse.item:rawNcva.item.answer.value[x]"> <path value="QuestionnaireResponse.item.item.answer.value[x]"/> <type> <code value="string"/> </type> </element> <element 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